Collegiate Rider Entry Form

First Name

Last Name

University/College

ASHA # - Type Pending to Purchase

Phone

Horse Registered Name

Horse ASHA # - Type Pending to Purchase

DIVISION - All Four Classes ($170)

Select One

Non-Pro
Limited Non-Pro
Novice

Clinic - All Four Classes ($75)

Select One

# of T-Shirts ($25) - List size and number Requesting

Arrival Date

Departure Date

# of Stalls Requesting ($25 Per Night)

# of Tack Stalls Requesting ($25 Per Night)

# of Shavings Requesting ($10 Per Bag)

# of RV Hook -Up ($35 Per Night)

Memberships & Horse License may be purchased at the event.

Collegiate Membership ($15)
Adult Membership ($25)
Youth Membership ($15)
Life Membership ($250)
Horse Competition License (One Time Fee of $15)

Collegiate Division Eligibility

Check the Box to Certify that you meet ASHA Collegiate Division Eligibility Requirements

Assumption of Risk

Check the Box to Certify that I understand the risks involved in riding horses and/or cow work and voluntarily assume those risks. I agree that I will not hold the American Stock Horse Association, Nolan County Coliseum, nor any of their agents, officers, directors, volunteers, or horse show participants or spectators liable for any injury or property damage to me, my horse, or my property rising out of or caused by this horse competition held April 20-22, 2023. I understand the terms.

Collegiate Riders showing in the National Championship Classes will receive a reduced entry fee.
Please fill out a separate National Show Entry Form.

Exhibitor Signature

To accept this contract, type your name below

Date

Parent Signature (If under 18 years of age)

To accept this contract, type your name below

Date

Coach/Advisor Signature

To accept this contract, type your name below

Date

Collegiate Rider Entry Form

Thank you for submitting your form!