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Event Registration

June 10 - June 12

Ancaster Fairground - ORHA and NRHA

Please upload your: Owner's NRHA card, ORHA card, Rider's NRHA and ORHA cards (if different). NRHA competition license/lease. If your NRHA card is not up to date you can renew it online at https://nrha.com/reinersuite.

Payment for your entries can be made by cheque, EFT, PayPal or cash, no credit card. Winnings will be paid out after the show by cheque, EFT, PayPal.

This form must be signed by a parent or guardian if the rider is under 18 years of age

ONE FORM PER HORSE FOR THE ENTIRE EVENT

HORSE INFORMATION AS PER LICENSE OR REGISTRATION CERTIFICATE

Horse Name

Foaling Year

Sex

Horse NRHA number

Back Number

Numbers go form 001 to 200. Numbers already registered will not show up on the list.

Registration bill will be paid by:

Winnings to be paid to:

Please select how you would like winnigs to be paid out:

Winnings over $1,000 will be paid by cheque

Upload Horse Competition License

OWNER INFORMATION

Owner's First Name

Owner's Last Name

Phone Number

Owner's Address

Owner's Town

Owner's Province

Owner's Postal Code

Owner's NRHA #

Upload Owner NRHA Card

Owner's ORHA #

Upload Owner ORHA Card

RIDER INFORMATION (1)

Rider 1 Name

NRHA Number

ORHA Number

Youth/Prime Time DOB

Upload Rider NRHA Card (if different)

Upload Rider ORHA Card (if different)

RIDER INFORMATION (2)

Rider 2 Name

NRHA Number

ORHA Number

Youth/Prime Time DOB

Upload Rider NRHA Card (if different)

Upload Rider ORHA Card (if different)

SHOW FEES (per horse)

Office Fee (per slate per horse)

$25.00

NRHA Drug Fee (per weekend per horse)

$10.00

Grounds Fee per horse (not stalled)

$30.00

Video Fee (all your videos all weekend)

$25.00

Judge's Fee

One fee only per concurrent class

CLASS COLLECTION

Division	Class	Added	Entry Fee	Judge Fee	Pattern
Friday June 10
GROUP 1
1A 9003	Ladies	JP/Prizes	$20.00	$20.00	15
1B 9004	Mens	JP/Prizes	$20.00	$20.00	15
GROUP 2
2A 100002	NRHA Green Reiner 1	Prizes	$20.00	$0.00	8
2B 100001	NRHA Green Reiner 2	Prizes	$20.00	$0.00	8
2C	ORHA Green Reiner	Prizes	$20.00	$0.00	8
GROUP 3
3A 1700	NRHA Novice Horse Open Level 1	$300.00	$30.00	$20.00	11
3B 1750	NRHA Novice Horse Open Level 2	$500.00	$50.00	$30.00	11
3C 1800	NRHA Novice horse Non-Pro Level 1	$300.00	$30.00	$20.00	11
3D 1850	NRHA Novice Horse Non-Pro Level 2	$500.00	$50.00	$30.00	11
GROUP 4
4 9410	Green Horse	$100.00	$20.00	$20.00	5
GROUP 5
5A 1100	NRHA Open	$500.00	$50.00	$30.00	13
5B 1200	NRHA Intermediate Open	$300.00	$30.00	$20.00	13
5C 1301	NRHA Limited Open	$200.00	$20.00	$20.00	13
5D 1350	NRHA Rookie Professional	$200.00	$20.00	$20.00	13
GROUP 6
6	Ranch Riding	$200.00	$20.00	$20.00	AQHA1
Saturday June 11
GROUP 7
7A 1400	NRHA Non-Pro	$500.00	$50.00	$30.00	2
7B 1500	NRHA Intermediate Non-Pro	$300.00	$30.00	$20.00	2
7C 1600	NRHA Limited Non-Pro	$200.00	$20.00	$20.00	2
7D 1650	NRHA Prime Time Non-Pro	$200.00	$20.00	$20.00	2
GROUP 8
8A 100002	NRHA Green Reiner 1	Prizes	$20.00	$0.00	14
8B 100001	NRHA Green Reiner 2	Prizes	$20.00	$0.00	14
8C	ORHA Green Reiner	Prizes	$20.00	$0.00	14
GROUP 9
9A 3100	NRHA Youth 13 and under	Prizes	$10.00	$0.00	4
9B 3200	NRHA Youth 14-18	Prizes	$10.00	$0.00	4
9C	ORHA Rookie Youth	Prizes	$10.00	$0.00	4
9D 3500	NRHA Short Stirrup 10 & under	Prizes	$10.00	$0.00	A
9E	ORHA Short Stirrup 10 & under	Prizes	$10.00	$0.00	A
GROUP 10
10	Leadline	Prizes	$0.00	$0.00	0
GROUP 11
11A 5300	NRHA Rookie Level 1	JP/Prizes	$20.00	$20.00	13
11B 5310	NRHA Rookie Level 2	$200.00	$20.00	$20.00	13
11C 5301	NRHA Prime Time Rookie 50+	$200.00	$20.00	$20.00	13
GROUP 12
12A 2100	Open Derby Level 4	$4000.00	$400.00	$100.00	12
12B 2325	Open Derby Level 1	$3000.00	$300.00	$75.00	12
12C 2400	Non-Pro Derby Level 4	$4000.00	$400.00	$100.00	12
12D 2625	Non-Pro Derby Level 1	$3000.00	$300.00	$75.00	12
Sunday June 12
GROUP 13
13	Ranch Riding	$200.00	$20.00	$20.00	AQHA3
GROUP 14
14	Green Horse	$100.00	$20.00	$20.00	6
GROUP 15
15A 1700	NRHA Novice Horse Open Level 1	$300.00	$30.00	$20.00	13
15B 1750	NRHA Novice Horse Open Level 2	$500.00	$50.00	$30.00	13
15C 1800	NRHA Novice Horse Non-Pro Level 1	$300.00	$30.00	$20.00	13
15D 1850	NRHA Novice Horse Non-Pro Level 2	$500.00	$50.00	$30.00	13
GROUP 16
16A 5300	NRHA Rookie Level 1	JP/Prizes	$20.00	$20.00	4
16B 5310	NRHA Rookie Level 2	$200.00	$20.00	$20.00	4
16C 5301	NRHA Prime Time Rookie 50+	$200.00	$20.00	$20.00	4
GROUP 17
17A 3100	NRHA Youth 13 and under	Prizes	$10.00	$0.00	6
17B 3200	NRHA Youth 14-18	Prizes	$10.00	$0.00	6
17C	ORHA Rookie Youth	Prizes	$10.00	$0.00	6
17D 3500	NRHA Short Stirrup 10 & under	Prizes	$10.00	$0.00	B
17E	ORHA Short Stirrup 10 & under	Prizes	$10.00	$0.00	B
GROUP 18
18A 1400	NRHA Non-Pro	$500.00	$50.00	$30.00	9
18B 1500	NRHA Intermediate Non-Pro	$300.00	$30.00	$20.00	9
18C 1600	NRHA Limited Non-Pro	$200.00	$20.00	$20.00	9
18D 1650	NRHA Prime Time Non-Pro	$200.00	$20.00	$20.00	9
GROUP 19
19A 2625	NRHA Non-Pro Level 1 Maturity	$800.00	$80.00	$50.00	9
19B 2400	NRHA Non-Pro Level 4 Maturity	$1200.00	$100.00	$75.00	9
GROUP 20
20A 1100	NRHA Open	$500.00	$50.00	$30.00	9
20B 1200	NRHA Intermediate Open	$300.00	$30.00	$20.00	9
20C 1301	NRHA Limited Open	$200.00	$20.00	$20.00	9
20D 1350	NRHA Rookie Professional	$200.00	$20.00	$20.00	9
GROUP 21
21A 2325	NRHA Open Level 1 Maturity	$800.00	$80.00	$50.00	9
21B 2100	NRHA Open Level 4 Maturity	$1200.00	$100.00	$75.00	9

DISCLAIMER / TERMS & CONDITIONS

I, The Undersigned, am familiar with the risk of injury and / or death that any participant in this activity must assume, and I believe that I am physically, emotionally and mentally able to participate in this activity, and that my equipment is mechanically fit for my use in this activity.

I also understand that all applicable rules for participation must be followed and that at all times the sole responsibility for personal safety remains with me.

Furthermore, I understand that conduct of everybody from my group present at ORHA and NRHA events shall be orderly, responsible, sportsmanlike and humane in the treatment of horses.

I agree to images being taken by the Show Photographer/Videographer and understand that Photographer/Videographer and/or JJReining Inc. may use these copyrighted images in advertising and promotional materials. Any public usage of photos and videos requires written approval by the Show Photographer/Videographer.

I also understand that unsportsmanlike or irresponsible conduct or any other form of illegal, indecent activity or profane language and the inhumane treatment of horses - as determined by the Steel City Slide show Management/JJ Reining Inc - is prohibited and shall be grounds for disciplinary action including removal from the event. In addition, if I am requested to leave by the event management, I agree to do so immediately and will receive a refund of any unused fees paid.

I have read the disclaimer and agree to all terms and conditions.

YOUR NAME

TODAY'S DATE

YOUR SIGNATURE REQUIRED

Sign here with your finger if you have a touch screen, or with your mouse, or if you feel more comfortable you can sign at the show office.

Note: After you submit this form, You will receive an email confirming your registration. If you have not received it within a few minutes, please check your JUNK/SPAM folder.

I have included all necessary rider/horse documents with this form.