All exhibitors, spectators, guests, riders, grooms, or other employees are subject to the rules and regulations
of NRCHA.
WARNING: Pursuant to Florida Statute 773.05, an equine activity sponsor or equine professional is not
liable for an injury to, or death of, a participant in equine activities resulting from the inherent risks of
equine activities.
For and in consideration of participating in equine activities, the Participant hereby does forever and finally
hold harmless, release, remise, acquit, satisfy and forever discharge the Gulf Coast Cow Horse Association,
the National Reined Cow Horse Association, Triple J Ranch, Meagan Ammons and (or)Tom Benbow , Show
Secretary (the “Equine Activity Sponsors”), and each of their owners, officers, directors, employees, agents
and guests of and from all manner of action, and actions, cause and causes of action, suit, debts, dues, sums
of money, bonds, billings, contracts, controversies, agreements, promises, damages, variances, judgments,
executions, claims and demands whatsoever, in law or in equity, which may arise or might in the future
arise or herein after may arise for or against the Equine Activity Sponsors. Furthermore, the Equine
Activities Sponsors (the Gulf Coast Cow Horse Association, the National Reined Cow Horse Association,
Triple J Ranch, and each of their owners, officers, directors, employees, agents and guests) will not be held
responsible for accidents or loss which may occur to an exhibitor, spectator, guest, rider, groom, other
person, animal, or equipment at the competition; nor will they be responsible for any article of any kind
or nature that may be lost, destroyed, stolen. The signature below confirms that I am aware of the warning
and waive any liability to/from the Gulf Coast Cow Horse Association, the National Reined Cow Horse
Association, Triple J Ranch, and each of their owners, officers, directors, employees, agents, guests and
volunteers for all equine activity in conjunction with this horse show.
I understand and agree to abide by the rules set forth by the Gulf Coast Cow Horse Association and the
National Reined Cow Horse Association. By signing this form I acknowledge the inherent risks of equine
activities, which may include accident, injury or even death by participating in this equine event.
Signature_________________________ Print Name:_________________________
Signature of Parent or legal Guardian if under 18: ___________________________Note: Entry form will not be
accepted without a signature above, nor will it be accepted without a signed check.
NOTE: AQHA 5.00 Fee Per Day Per Horse
Added
$
Pay Winnings to ______________ Email_____________________________ Phone # at show ___________________
Total
Responsible Party _______________________________________________
Video
Fee
AQHA# ________________ APHA#______________
Owner _______________________________NRCHA #_________________
AQHA# ________________ APHA#______________
NRCHA
Fee
Rider ________________________________NRCHA #_________________
65
25
50
15
15
8
8
10
10
10
10
10
5
5
15
15
15
15
15
0
0
35
35
35
35
35
0
0
8
8
8
8
8
8
8
7
7
7
7
7
0
7
140
100
125
90
90
21
28
250
50
100
0
0
0
0
NRCHA Youth Bridle 13 & Und
NRCHA Youth Limited
NRCHA Youth Lmt 13 & Under
NRCHA Non Pro Limited
NRCHA 5K Non Pro Limited
NRCHA Select Non Pro Limited
NRCHA 1K Non Pro Limited
GCCHA Green Youth
GCCHA Green 1
GCCHA Green 2
GCCHA Open Ranch Boxing
GCCHA Non Pro Ranch Boxing
GCCHA Youth Ranch Boxing
GCCHA Open Ranch Cow Horse
8
8
8
50
25
8
10
0
0
0
15
15
8
15
5
5
5
10
10
5
5
5
5
5
10
10
5
10
0
0
0
15
15
0
15
8
10
10
15
15
0
15
0
0
0
35
35
0
35
0
35
35
35
35
0
35
8
8
8
8
8
8
8
0
0
0
0
0
0
0
0
7
0
7
7
0
7
7
7
7
7
7
7
7
21
28
21
125
100
21
80
20
57
57
82
82
20
82
0
0
0
100
50
0
0
0
0
0
0
0
0
0
GCCHA Non Pro Ranch Cow Horse
GCCHA Youth Ranch Cow Horse
NRCHA Open Hackamore
NRCHA Limited Open Hackamore
NRCHA Non Pro Hackamore
NRCHA Open 2 Rein
NRCHA Non Pro 2 Rein
AQHA Open Working Cow Horse
AQHA Amt Working Cow Horse
AQHA Youth Working Cow Horse
15
8
65
25
25
25
25
0
0
0
10
5
10
10
10
10
10
5
5
5
15
0
15
15
15
15
15
8
8
8
35
0
35
35
35
35
35
35
35
35
0
0
8
8
8
8
8
0
0
0
7
7
7
7
7
7
7
7
7
7
82
20
140
100
100
100
100
55
55
55
0
0
250
50
50
50
50
0
0
0
AQHA Amateur Cow Horse Boxing
AQHA Youth Cow Horse Boxing
AQHA Open Ranch Riding
AQHA Amateur Ranch Riding
0
0
0
0
5
5
15
15
8
8
15
15
35
35
0
0
0
0
0
0
7
7
7
7
55
55
37
37
0
0
0
0
AQHA Youth Ranch Riding
0
15
15
0
0
7
37
0
NRCHA High School Rodeo
Morning
NRCHA High School Afternoon
15
0
0
0
35
0
57
0
15
0
0
0
35
0
57
0
Cattle
Fee
Back #_____
Horse ________________________________AQHA# ________________ APHA#______________
NRCHA Open Bridle
NRCHA Limited Open Bridle
NRCHA Non Pro Bridle
NRCHA Inter Non Pro Bridle
NRCHA Novice Non Pro Bridle
NRCHA Select Non Pro Bridle
NRCHA Youth Bridle
Judge
Fee
The Following documents must be on file with the show office; Horse’s registration papers,
current Coggins, owner’s and rider’s NRCHA, AQHA, and (or) APHA membership cards
where applicable. All riders must have a current GCCHA membership.
Office
Fee
Gulf Coast Cow Horse Association Entry Form-
NRCHA, AQHA &
APHA
Classes
Jack Pot
Sunday