Entries Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.CGA State ID *CGA Membership is Required to Ride *YesNoYou must provide your CGA id card the first time you ride with District 35 or you will be required to pay CGA membership dues.Rider Name *FirstLastHorse/Pony Name *Street Address *Email *City *State *Zip *Date of Birth (17 and Under)Select Your Division *< Leadline< AAA +< FC 13 & Under< AAA< FC 14 & Over< AA< AEvents Set #1 Dates: 9/21, 11/23, 1/18, 3/15, 5/17. Please verify which events are being run at the show you are signing up for by going to www.losvaqueros.net Show Calendar link.Speed BarrelsFigure 8 FlagsBarrelsBig TPoles IBirangleKeyholeIf you are requesting setups they must be marked, this form completed, and must be called in to Show Secretary or President, and submitted 48 hours in advance.Events Set #2 Dates: 10/26, 12/14, 2/22, 4/12, 6/7 Please verify which events are being run at the show you are signing up for by going to www.losvaqueros.net Show Calendar link.QuadrangleFigure 8 StakesPoles IISingle StakeBarrelsSpeed BallHurry ScurryIf you are requesting setups they must be marked, this form completed, and must be called in to Show Secretary or President, and submitted 48 hours in advance. Presign. ID can Show Fees: Click all that apply *All 7 Regular Events $35.00 totalIndividual Regular Events x __ $5.00 eachSetups x __ $5.00 eachSchooling Runs x __ $3.00 eachLos Vaqueros Family Membership $35.00Los Vaqueros Individual Membership $30.000CGA Membership Family $60.00CGA Membership Individual $30.00CGA Membership Upgrade $30.00Additional Mount fee for Local Awards $20.00Mystery Jackpot $5.00Arena Fee $5.00 (mandatory)CGA Awards Please Select if you wish to pay with your entry.Select if ApplyingLevel 1 (CGA) $40.00Level 2 (CGA) $45.00Top Rating + Level 1 (CGA) $125.00Top Rating + Level 2 (CGA) $130.00Top Rating + Level 1 + 2 (CGA) $145.00ROC + Level 1 (CGA) $120.00ROC + Level 2 (CGA) $140.00Senior Elite (CGA) $120.00Please go to www.calgymkhana.com and print off forms to bring with you to the show if you are paying for CGA awards with your entry.Amount due from above selections: *Don’t forget the Arena fee is a $5.00 mandatory fee to ride with us and must be included in your total. Thank you!Credit Due:If you have a ‘Free Show’ coupon or other credit enter it here.Total Due to Pay at Show: *Please make sure you correctly add in everything you chose to do from above, including the arena fee!Certification of Release of Liability – You must sign a release of liability at the show before you can ride. In addition, you certify that you are either a family or individual member of California Gymkhana Association. You certify the below Release of Liability Statement and acknowledge this form must be submitted before NOON Friday for Presign. *Certification of Release of LiabilityThe California Gymkhana Association, INC and co-sponsoring organization, if any, will not be held responsible for any accident that may occur or be caused by any horse competing at the show, or for any article of any kind that may be lost or destroyed or in any way damaged. Each competitor will be responsible for any injury that may be occasioned to any person or animal or damage to any property while on the grounds by a horse owned, or in his or her custody, or control, and shall indemnify and hold harmless the California Gymkhana Association, its officials and directors individually and collectively, and co-sponsoring organizations, clubs and arena owner, if any, from and against all charges and expenses of every kind and nature whatsoever arising out of or which may be incurred by reason of any accident, injury or damage to person or property caused by the ownership, competition or custody or control of any animal competition. Presentation of first signed entry form and/or membership application shall be deemed acceptance of this release throughout the entire show season for any subsequent California Gymkhana Association, Inc sanctioned function in which you or your child/children may participate. In signing this release, please bear in mind that Gymkhana is a contest in speed, that there is a certain element of danger involved, and that you will be riding at your own risk. We suggest you wear a helmet for safety. All members under the age of 18 MUST WEAR A HELMET AT ALL TIMES WHEN ON A HORSE!! Sign Here at Show:Please leave above box blank and sign at the show.Show Secretary Signature:Please leave above box blank and sign at the show.Submit