Fillable Rideslideform Ride & Slide Show Approval Form (National Reining Horse Association)

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Rideslideform Ride & Slide Show Approval Form (National Reining Horse Association)

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The Rideslideform Ride & Slide Show Approval Form (National Reining Horse Association) form is 3 pages long and contains:

  • 1 signature
  • 7 check-boxes
  • 107 other fields

Country of origin: US
File type: PDF

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EVENT NAME:____________________________________________________________________________________
START DATE:________
_________________________ END DATE:_________________________________________
START TIME:_________
_________________________
FACILITY:_________
_______________________________________________________________________________
ADDRESS:________
_______________________________________________________________________________
CITY:_________________________________________ STAT
E:____________________________________________
COUNTRY:_________
___________________________ ZIP:_______________________________________________
REGION:________
______________________________ (Country show is held for International shows/Region for North American)
Please return all forms to: NRHA - Show Department
3021 W Reno Ave
Oklahoma City, OK 73107-5302
Phone: (405) 946-7400
Fax: (405) 946-8425
□ Indiv
idual/Sole Proprietor □ Corporation □ Partnership □ Limited Liability Company
□ Affiliate (Direct Billing Contact) □IAP
Name of Legal Entity or Party to be Invoiced:___________________________________________________________
Address:_________________________________________________________________________________________
State/Country:__________________________________ Postal Code:______________ Phone:__________________
Signature:________________________________________________________________________________________
Print Name:____________________________________ Date:______________________________________________
I hereby agree to adhere to, and abide by NRHA Rules and Regulations, and do guarantee payment of all prize monies to exhibitors within 45 days after
the completion of this event, as well as, agree to forward results to NRHA within 10 days after the completion of this event.
NRHA allows legal entities or individuals to be responsible for the payment of all show-related fees and/or fines owed to NRHA resulting from
an approved NRHA show. This form is used to document the legal entity or individual responsible for payment for the show or event noted on
this form. The legal entity or individual on this form is subject to suspension by NRHA for non-payment of all show related fees and/or show-
related fines owed to NRHA. An individual who signs on behalf of a legal entity, who is not legally authorized to do so, will be held
individually liable for all show-related fees and/or show related fines owed to NRHA.
We acknowledge that because these rules have been established on the basis of experience and fairness to all who are interested in the betterment of
reining horse competitions, the undersigned therefore agrees to indemnify and hold harmless NRHA for any injuries, damages, or claims, of whatever
nature, arising from the performances conducted under NRHA Rules and Regulations.
Legal Entity responsible for payment to NRHA and compliance with all NRHA Rules and Regulations: (must check box)
click to sign
signature
click to edit
EVENT MANAGEMENT:
Show Secretary:
Name:________________________________________________________NRHA ID #:_______________________
Address:_______________________________________________________________________________________
City, State:_____________________________________________________________________________________
Zip _____________________________________Country:_______________________________________________
Email:_________________________________________________________________________________________
Phone Number:_______________________________ Cell Phone Number:__________________________________
PAYMENT INFORMATION:
□ $30 Application Fee
Payments can be made by cash, check or credit card
Credit Card Information
VISA • MasterCard • American Express • Discover
___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
Expiration Date: ___ ___ / ___ ___
CVV/CVC code: ___ ___ ___
JUDGES:
Name: ________________________________________________ NRHA ID#:_________________________
Name: ________________________________________________ NRHA ID#:_________________________
RIDE & SLIDE SHOW CLASS INFORMATION:
Please Check
Class Name
Retainage
Entry Fee
Added Money
Judges Fee
Pattern
Open Level 1
%
$
__Jackpot__
$
Open Level 2
%
$
$
$
Non Pro Level 1
%
$
__Jackpot__
$
Non Pro Level 2
%
$
$
$
Youth Level 1
%
$
__Jackpot__
$
Youth Level 2
%
$
$
$
Total
$
ADDED MONEY TOTAL MAY NOT EXCEED $500
RIDER ELIGIBILITY:
Ride & Slide Open Level 1
$0 (Zero) NRHA Lifetime Earnings; 0 (Zero) NRHA Lifetime Youth Points (excluding 10 & Under)
Ride & Slide Non Pro Level 1
$0 (Zero) NRHA Lifetime Earnings; 0 (Zero) NRHA Lifetime Youth Points (excluding 10 & Under)
Ride & Slide Youth Level 1
$0 (Zero) NRHA Lifetime Earnings; 0 (Zero) NRHA Lifetime Youth Points (excluding 10 & Under)
Ride & Slide Open Level 2
$500 NRHA Lifetime Earnings; 50 NRHA Lifetime Youth Points (excluding 10 & Under)
Ride & Slide Non Pro Level 2
$500 NRHA Lifetime Earnings; 50 NRHA Lifetime Youth Points (excluding 10 & Under)
Ride & Slide Youth Level 2
$500 NRHA Lifetime Earnings; 50 NRHA Lifetime Youth Points (excluding 10 & Under)
NRHA SHOWS HELD INTERNATIONALLY ARE RESPONSIBLE TO PAY FOR THE SHIPPING,
DUTY AND TAXES OF ANY ORDERS.
Trophy Ship to Info: Name:_________________________________________________________________________
Attention: _____________________________________________________ NRHA ID #:___________________________
Address (NO P.O. Boxes): __________________________________________City:_______________________________
State: ________________________________Zip:____________________________Country:_______________________
Phone Number:__________________________________ Cell Phone:__________________________________________
US Trophy Cost
Trophy Type Trophy Cost Shipping Cost Total Cost Purse Deduction*
Pewter $115 $20 $135 $135
Plaque $47 $15 $62 $62
US Trophy Plates Only **
Trophy Type Trophy Cost Shipping Cost Total Cost Purse Deduction*
Pewter $15 $15 $30 $30
Plaque $15 $15 $30 $30
International Trophy Cost
Trophy Type Trophy Cost Shipping Cost Total Cost Purse Deduction*
Pewter $115 Actual Varies $135
Plaque $47 Actual Varies $62
International Trophy Plates Only **
Trophy Type Trophy Cost Shipping Cost Total Cost Purse Deduction*
Pewter $15 Actual Varies $30
Plaque $15 Actual Varies $30
**When ordering plates only, place $30 in the trophy fee for each class on the slate approval form.
TROPHY INFORMATION:
TROPHY INFORMATION:
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Rideslideform Ride & Slide Show Approval Form (National Reining Horse Association)

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Completed 2 June 2021

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