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Event Registration
Use this form ONLY if paying with a credit card
.
If entering via U.S. Mail using a check, please
click here
for the Event Registration form.
*
Indicates required field
Rider Name
*
First
Last
Email
*
Best Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Membership
Rider Membership #
*
Rider Membership Status
*
Current
Expired
Don't Have One
Owner Membership #
*
Owner Membership Status
*
Current
Expired
Don't Have One
Division Assignment
Division:
*
Novice Amateur Division - Assigned
Amateur Division - Assigned
Youth Novice Division - Assigned
Youth Advanced Division - Assigned
Limited Amateur Division - Not Assigned
Open Division - Not Assigned
Don't Know
For riding classification by Division refer to the
NVRHA Rules & Regulations
.
Horse Information
Horse Name (Registered Name preferred)
*
NVRHA Horse ID#:
*
Declaration of Amateur Status:
I am the owner or authorized rider of this horse and hereby certify that I have not shown, judged, trained or assisted in training or instructed another person for remuneration in riding or training a horse for a period of two (2) years. (An Amateur may accept prizes, paybacks, or purses for events and maintain Amateur status.)
Typed Signature of Rider Declaring Amateur Status
*
Event
Event Name:
*
Event Dates:
*
RELEASE:
By signing below, I/We are waiving our right, if any, to claim against, maintain an action against, or recover from any equine activity sponsors, equine professionals, or any other person for injury, loss, damage, or death resulting from any of the inherent risks of this equine activity. I/We hereby request to enter the event indicated and agree to abide by the bylaws, standing rules, judging, and rules of the respective organizations involved with this event. I/We hereby release NVRHA and any other involved organizations and its members and employees from any loss to myself, employees, agents, horses and/or equipment while attending and/or participating in this event. The provisions contained herein are hereby made a part of this entry agreement. In addition, the general understanding of any "publication, video, and internet consent and release agreement" is incorporated in this release include: no monetary considerations; photo, video or verbal statements may be used now and in subsequent years as the programs deems fit; is binding upon heirs and/or future legal representatives.
Typed Signature of Participant, Parent/Guardian (under 18 years old) accepting Release
*
Cancellation Policy:
15 days or more 100% refund; 14 days or less, decision of event manager to transfer fee to another event or partial refund determined by expenses; full refund if rider gets a paid replacement. NVRHA reserves the right to cancel an event within 48 hours prior to an event.
Submit