Silver State Gymkhana Club

~2008~

Pinenut Arena-Gardnerville

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AGE DIVISIONS

***Lead Line***

***10 & Under***

***11 thru 14***

***15 thru 19***

****Novice (horse or rider)***

***20 & Over*** 

***no saddle will be awarded to lead line or novice class***

…………………………………………………………………………………………………………………………................. 

ENTRY FEES

MEMBERS                                                                                          NON MEMBERS

ALL DAY $40.00 Office fee $3.00/rider                                                         ALL DAY $45.00

PER EVENT $ 9.00 No office fee for 3 or more                                                                                                             PER EVENT $10.00

GREEN HORSE $30.00 riders in the same family                                                                                                           GREEN HORSE $35.00

PER EVENT     $7.00                                                                                   PER EVENT    $8.00

TIME ONLY $5.00                                                                                       TIME ONLY $ 6.00

LEAD LINE $20.00 (3events)                                                                       LEAD LINE $25.00 (3 events)

PER EVENT $7.00                                                                                         PER EVENT $ 8.00

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FILL OUT ONE FORM PER RIDER

1. NAME___________________________________________________PHONE_________________

2. MAILING ADDRESS______________________________________________________________

3. CITY_________________________________________STATE__________ZIP_______________

4. AGE GROUP (circle one) LEAD LINE 10 & UNDER 11 thru 14 15/OVER NOVICE 15/OVER OPEN

5. (circle one) MEMBER                                                      NON-MEMBER (birth date if 16 or under)______________

HORSE RIDING FOR POINTS                                          2ND HORSE

NAME_____________________________                            NAME_____________________________

6. CLASSES: ALL DAY (5 events) $__________                 LEAD LINE (all events) $__________

FIGURE 8 $__________                                                                               FIGURE 8 $_________

BIG T $__________                                                                                      BIG T $_________

POLES $__________                                                                                     POLES $_________

BARRELS $__________                                                                              BARRELS $_________

REVOLVING $__________                                                                          REVOLVING $_________

SUB TOTAL FEES $__________ + OFFICE FEE $3.00 + $_________ = TOTAL $________

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I, the undersigned, hereby release SILVER STATE GYMKHANA CLUB from any liabilities. In addition, I take full responsibility for any injury, damage or loss caused by myself, horse, belongings and/or equipment.

SIGNATURE____________________________________________________________DATE_________________________

PERMISSION FOR MINOR TO RIDE: I hereby consent to the entry of my child in this gymkhana.

SIGNATURE____________________________________________________________DATE_________________________

(PARENT/LEGAL GUARDIAN)

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events/ age groups   page       patterns page   sponsor page    entry fees  

 

Contact info:  Jill Fry 775-465-2144, Pam Boyer 530-577-2686

email: postmaster@ssgc-horsegames.com