ENTRY FORM Horse: NRHA Lic #: Name: [Name] [Address] [Address] [Address] [City/ST/Zip] [Cell #] [Tel #] [ ] [NRHA Memb #]

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1 [complete the yellow highlighted items as needed] ENTRY FORM Horse: NRHA Lic #: Name: Owner: NonPro Rider: Open Rider: Class Name Judges Fee Entry Fee Added $ Pattern * Prizes to th Place in these classes Trophy & Prizes XX Monday October 9th MAIN ARENA Paid $3/each ( min); Starting at :00AM XX Monday October 9th OUTDOOR COVERED Paid $2/each ( min); Starting at : TUESDAY OCTOBER th, 17 Tuesday Indoor Arena Start Time :00AM: 1 Novice Horse Non Pro Level 1 NRHA 2 Novice Horse Non Pro Level 1 ARC 3 Novice Horse Non Pro Level 2 NRHA 4 Novice Horse Non Pro Level 2 ARC 0 Open NRHA 12 0 Open ARC 7 Intermediate Open NRHA Intermediate Open ARC CHALLENGER PALLET & SUPPLY OPEN MATURITY 9 Open Maturity NRHA Tuesday Outdoor Arena Start Time 9:00AM: A Ladies "Shootout" Slate #1 GWRHA 11 B Gents "Shootout" Slate #1 GWRHA Rookie Level I NRHA Rookie of the Year Qualifier ARC 12 Rookie Level 2 NRHA Buckle/ 13 Rookie Level 2 ARC 14 Prime Time Rookie NRHA 1 Youth 13&U Non Pro Maturity NRHA Buckle/ 1 Youth 141 Non Pro Maturity NRHA Buckle/ 17 Non Pro Maturity Level 4 NRHA 1 Non Pro Maturity Level 3 NRHA 19 Non Pro Maturity Level 2 NRHA Non Pro Maturity Level 1 NRHA 21 Prime Time Non Pro Maturity NRHA WEDNESDAY OCTOBER 11th, 17 Wednesday Indoor Arena Start Time :00AM: DR RICK AND LEIGH LATHAM NON PRO MATURITY Wednesday Outdoor Arena Start Time 9:00AM: C Stallions GWRH#1 D Mares GWRH#1 E Geldings GWRH#1 Pattern CON = the class runs concurrent with the one prior Waive Judge's Fees: only the highest judge's fee will be charged for concurrent classes A $7 video fee will be added for each run in the indoor arena Office Fee: $2/horse Rider Name Call/text Stephanie Porath () for reservations Call/text Stephanie Porath () for reservations

2 Pattern Added $ Entry Fee Judges Fee Saddle/ 7 2 Rookie Pro ARC Limited Open NRHA 27 Limited Open ARC 2 2 * Prizes to th Place in these classes Class Name Trophy & Prizes THURSDAY OCTOBER 12th, 17 Thursday Indoor Arena Start Time :00AM: 22 Limited Non Pro NRHA 23 Limited Non Pro ARC 24 Rookie Pro NRHA Thursday Outdoor Arena Start Time 9:00AM: F Ladies "Shootout" Slate #2 GWRHA G Gents "Shootout" Slate #2 GWRHA FRIDAY OCTOBER 13th, 17 Friday Indoor Arena Start Time :00AM: 2 Novice Horse Open Level 1 NRHA 29 Novice Horse Open Level 1 ARC Novice Horse Open Level 2 NRHA 31 Novice Horse Open Level 2 ARC 0 32 Non Pro Futurity Level 4 NRHA 0 7 Saddle/ 33 Non Pro Futurity Level 3 NRHA 34 Non Pro Futurity Level 2 NRHA 3 Non Pro Futurity Level 1 NRHA 3 Open Derby Level 4 NRHA Open Derby Level 3 NRHA Open Derby Level 2 NRHA Open Derby Level 1 NRHA LIL JOE CASH NON PRO FUTUIRTY EQUINE OASIS OPEN DERBY Friday Outdoor Arena Start Time 9:00AM: H Stallions GWRH#2 I Mares GWRH#2 J Geldings GWRH#2 Special Trophy/ SATURDAY OCTOBER 14th, 17 Saturday Indoor Arena Start Time :00AM: Youth &U Short Stirrup NRHA Youth &U Short Stirrup ARC Buckle/ 43 Youth 13&U ARC 44 Youth 14 1 NRHA Buckle/ 4 Youth 14 1 ARC Special 42 Youth 13&U NRHA 4 "Pee Wee Reiner" 7 & Under WHIZKEY N DIAMONDS NON PRO DERBY 47 Non Pro Youth 1&U Derby NRHA Buckle/ 4 Non Pro Derby Level 4 NRHA Non Pro Derby Level 3 NRHA 00 2 Non Pro Derby Level 2 NRHA Non Pro Derby Level 1 NRHA 2 Non Pro Derby Prime Time NRHA 3 Open Futurity Level 4 NRHA 0 Saddle/ 4 Open Futurity Level 3 NRHA 0 0 Open Futurity Level 2 NRHA 0 7 Open Futurity Level 1 NRHA TAMARACK RANCH OPEN FUTURITY Saturday Outdoor Arena Start Time 9:00AM: K Prizes Ranch Riding See special entry form SUNDAY OCTOBER 1th, 17 Sunday Indoor Arena Start Time :00AM: Note: Cowboy Church 7:00 AM (Grand Stands/Arena Side) 7 Non Pro NRHA 0 Non Pro ARC 9 Intermediate Non Pro NRHA 0 Intermediate Non Pro ARC Prime Time Non Pro NRHA 2 Prime Time Non Pro ARC 3 Non Pro Masters (0+) NRHA Special Trophy/ 4 Green Reiner Level 1 NRHA Green Reiner Level 2 NRHA Sunday Outdoor Arena Start Time 9:00AM: L Ranch Versatility See special entry form Prizes Rider Name

3 200 Office Fee 700 NRHA Drug Fee (For horses enterred in NRHA Classes) 00 AQHA Drug Fee (Only for horses enterred in AQHA Versatility and/or Ranch Riding Classes) Video Fee: $7/run (indoor arena only no video in outdoor arena) Indoor Arena $7/each = HaulIn Fee (if not stalling at FIHP) $/horse Sale Horse Advertising RED BACK NUMBER $2/horse (includes free ad on ReinersWorldcom) GWRHA Membership [Single=$ Family=$ Youth=$] Note: Membership is NOT required to show in GWRHA classes Low Roller Sponsorship/Donation Friday Dinner Tickets Catered by Ford Idaho Horse Park (7PM) Dinner $17/each = Saturday Dinner Tickets Catered by Ford Idaho Horse Park (7PM) Dinner $/each = Late Fee (after Oct 1, 17) $2 Credit Card Fee AmEx/Visa/MC/Discover (add 3%) Total Payback checks to: SSN/Tax ID: Waiver: I understand and am aware of the inherent risks associated with equine activities I assume all risks associated with my participation in the event and herby release and hold harmless the Great Western Reining Horse Association,Inc, the arena, the City of Nampa, ID, and sponsors and suppliers for the event, their respective directors, officers, employees, agents, successors and assigns, from and against any and all claims, damages, liabilities, costs and expenses including reasonable attorney's fees arising out of participation in or attendance at the event, including without limitation, any personal injuries or damage to property I have the authority and hereby do, by making this entry, assume responsibility for and bind owner, rider and/or agent to the terms and conditions of this Release and Waiver of Liability SEE SHOW CONDITIONS ON WEB SITE FOR COMPLETE LISTING Signature: FUTURITY/DERBY/MATURITY CONDITIONS: Futurity horses may be shown either one handed or two handed in any legal bridle Derby and Maturity horses are to be shown one handed All Futurity/Derby/Maturity entries must enter up one level (eg L1 must also enter L2, L2 must also enter L3, L3 must also enter L4) ENTRIES: Submit show entries by :00PM on the evening before each show day (except for Futurity/Derby/NP Maturity classes which will be drawn at :00AM on the day shown) The office will close from approximately :00PM to :00PM each day to prepare the draws for the following day Class entries in all events will continue to be accepted until the start of classes however, once drawn, late additions will be the first to show STALL RESERVATIONS: Please make stall reservations online through the FIHP at wwwfordidahohorseparkcom/reservationsaspx Stalls are $17 (Monday checkin thru Sunday checkout); priority stalls available for additional fee There is a $ per day stall fee for early arrivals (anytime starting Saturday Oct 7th after am) or late checkouts (on Monday morning October 1th) Overnight or Singleday stall: $/night, shavings: $, pellets: $, hay: $132/bale RV hookups onsite $/night Haulin fee of $ per horse for the event for horses not stalled at FIHP HOTEL: Hampton Inn Suites at the Ford Idaho Center () Reserve by Sept 1th to receive discounted group rate, be sure to mention the GWRHA Low Roller Reining Classic event See web site for other hotel options JUDGES: Ed Bricker Evans City, PA Charlie Smith Beverly Hills, FL Carl McCuistion Wilson, OK Dori Schwartzenberger Longmont, CO NRHA Show Steward: Marlin Holroyd Montague, MI or to: entry@lowrollerreiningcom Mail Entry Forms to: Jana Day, 421 E N, Rigby, ID 3442 Phone: () 113 or Fax to: (3) 303

4 Horse: Name: RANCH RIDING ENTRY FORM AQHA Registration #: Owner: Youth/NonPro Rider: Open Rider: [AQHA Memb #] [AQHA Memb #] [AQHA Memb #] Class Name Trophy & Prizes Rider Name SATURDAY OCTOBER 14th, 17 EF/JF Saturday Outdoor Arena Start Time 9:00AM: K Ranch Riding AQHA/IQHA K1 Open Junior Ranch Riding AQHA/IQHA / K2 Open Senior Ranch Riding AQHA/IQHA / K3 Amateur Ranch Riding AQHA/IQHA / K4 Amateur Level 1 Ranch Riding AQHA/IQHA / K Amateur Select Ranch Riding AQHA/IQHA / K Youth Ranch Riding AQHA/IQHA / K7 Youth Level 1 Ranch Riding AQHA/IQHA / SUNDAY OCTOBER 1th, 17 Sunday Outdoor Arena Start Time 9:00AM: L Ranch Versatility AQHA/IQHA L1 VRH Ranch Riding AQHA/IQHA / L2 VRH Ranch Trail AQHA/IQHA / L3 VRH Ranch formation AQHA/IQHA / L4 VRH Ranch Reining AQHA/IQHA / Office Fee (Only one office fee/horse for entire show, reining & ranch riding) AQHA Drug Fee (Only for horses enterred in AQHA Versatility and/or AQHA Ranch Riding Classes) HaulIn Fee (if not stalling at FIHP) $/horse; Stalling available on a per night basis with the FIHP Sale Horse Advertising RED BACK NUMBER $2/horse (includes free ad on ReinersWorldcom) GWRHA Membership [Single=$ Family=$ Youth=$] Note: Membership is NOT required to show in GWRHA classes Low Roller Sponsorship/Donation Cowboy CIRCLE classes entered IQHA Membership [Single=$2 Family=$ Youth=$] Note: Membership IS required to show in IQHA classes Open Overall High Point Versatility Champion and Reserve Champion Awards in the Open, Amateur, and Youth Classes IQHA Horse 1 Time Nomination Fee (point keeping for IQHA year end awards & VRH Extravaganza Circuit) [$/horse] OPTIONAL Friday Dinner Tickets Catered by Ford Idaho Horse Park (7PM) Dinner $17/each = Saturday Dinner Tickets Catered by Ford Idaho Horse Park (7PM) Dinner $/each = Late Fee (after Oct 1, 17) $2 Credit Card Fee AmEx/Visa/MC/Discover (add 3%) Amateur Youth CIRCLE classes entered GWRHA Total NA RANCH RIDING & VERSATILITY RANCH HORSE ENTRY FORM Payback checks to: SSN/Tax ID: Waiver: I understand and am aware of the inherent risks associated with equine activities I assume all risks associated with my participation in the event and herby release and hold harmless the Great Western Reining Horse Association,Inc, the Idaho Quarter Horse Association, the arena, the City of Nampa, ID, and sponsors and suppliers for the event, their respective directors, officers, employees, agents, successors and assigns, from and against any and all claims, damages, liabilities, costs and expenses including reasonable attorney's fees arising out of participation in or attendance at the event, including without limitation, any personal injuries or damage to property I have the authority and hereby do, by making this entry, assume responsibility for and bind owner, rider and/or agent to the terms and conditions of this Release and Waiver of Liability SEE SHOW CONDITIONS ON WEB SITE FOR COMPLETE LISTING Signature: ENTRIES: Submit show entries by :00PM on the evening before each show day (except for Futurity/Derby/NP Maturity classes which will be drawn at :00AM on the day shown) The office will close from approximately :00PM to :00PM each day to prepare the draws for the following day Class entries in all events will continue to be accepted until the start of classes however, once drawn, late additions will be the first to show STALL RESERVATIONS: Please make stall reservations online through the FIHP at wwwfordidahohorseparkcom/reservationsaspx Stalls are $17 (Monday checkin thru Sunday checkout); priority stalls available for additional fee There is a $ per day stall fee for early arrivals (anytime starting Saturday Oct 7th after am) or late checkouts (on Monday morning October 1th) Overnight or Singleday stall: $/night, shavings: $, pellets: $, hay: $132/bale RV hookups onsite $/night Haulin fee of $ per horse for the event for horses not stalled at FIHP HOTEL: Hampton Inn Suites at the Ford Idaho Center () Reserve by Sept 1th to receive discounted group rate, be sure to mention the GWRHA Low Roller Reining Classic event See web site for other hotel options JUDGES: Ed Bricker Evans City, PA Charlie Smith Beverly Hills, FL Carl McCuistion Wilson, OK Dori Schwartzenberger Longmont, CO NRHA Show Steward: Marlin Holroyd Montague, MI or to: entry@lowrollerreiningcom Mail Entry Forms to: Jana Day, 421 E N, Rigby, ID 3442 Phone: () 113 or Fax to: (3) 303 RANCH RIDING & VERSATILITY RANCH HORSE ENTRY FORM

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