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VolRHA Salute Our Troops May 19-21, 2023 Agricenter Showplace Arena Cordova, TN
Horse Name
*
Breed
Age
Sex
Mare
Gelding
Stallion
Do you have a back number you would like to use?
*
Yes
No
Desired back number
*
Horse's AQHA/APHA #
Horse's Registration #
Horse's NRCHA#
Registration/Coggins-uploading will expedite check-in
Be sure to Call/Text Rodney Martin to reserve stalls/RV spots at
901-674-0758
1 night - $45
2 nights - $60
3 nights - $75
4 nights - $90
# of Stalls
*
Stall Nights
*
Thursday
Friday
Saturday
Sunday
Stall With
Number of Shavings. Pre-delivered shavings are $10/bag. Shavings bought weekend of the show are $11/bag. Minimum 2 bags of shavings, shavings
MUST
be purchased onsite.
*
2
3
4
5
6
7
8
9
10
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Do you want your shavings pre-delivered?
*
Yes
No
RV Hook Up @$35 per night
Thursday
Friday
Saturday
Sunday
VIP RV Hook Up @$55 per night
Thursday
Friday
Saturday
Sunday
Responsible Party
Is the Responsible Party the same as the Owner?
*
Yes
No
Credit card authorization below guarantees your entry and you must select "I agree to save my card for future transactions". Your card will not be charged at this time. You may pay with cash/check or different card at the show office.
Your entry will not be considered complete until payment method is on file.
Name on Card
*
Credit Card Type
*
Visa
MasterCard
American Express
Discover
Credit Card Number
*
Expiration Date (mm/yy)
*
Billing Zip Code
*
Security Code
*
Credit Card Authorization
*
I agree to save my card for future transactions.
Owner Information
Owner Name
*
Phone number
*
Email
*
Payee Information (This person will receive the win check)
Payee Name
*
Phone Number
*
Address
*
City
*
State
*
Zip Code
*
Email
Rider 1 Information
Rider 1 Name
*
Are you showing NRCHA classes?
*
Yes
No
NRCHA #
Are you showing in a Derby or Spectactular?
*
Derby
Spectacular
No
Derby Classes
*
Open Derby
Level 1 Open Derby
Non Pro Derby
Non Pro Boxing Derby
Spectaculars
*
Open Bridle Spectacular
Open Two Rein Spectacular
Non Pro Bridle Spectacular
Non Pro Two Rein Spectacular
Youth Cowhorse Spectacular
Non Pro Boxing Spectacular
Youth Boxing Spectacular
Non Pro Box Drive Spectacular
NRCHA Classes Friday/Saturday
24 Open Hackamore
25 Intermediate Open Hackamore
26 Limited Open Hackamore
27 Open Two Rein
28 Open Bridle
29 Intermediate Open Bridle
30 Limited Open Bridle
31 Non Pro Hackamore
32 Non Pro Two Rein
36 Non Pro Bridle
37 Intermediate Non Pro Bridle
38 Limited Non Pro Bridle
40 Youth Cowhorse
41 Youth Cowhorse 13 & Under
44 Youth Boxing
45 Youth 13 & Under Boxing
50 Non Pro Boxing
51 Intermediate Non Pro Boxing
52 Limited Non Pro Boxing
57 Non Pro Box Drive
NRCHA Classes Sunday
131 Youth Cowhorse
132 Youth Cowhorse 13 & Under
133 Youth Boxing
134 Youth 13 & Under Boxing
135 Non Pro Hackamore
136 Non Pro Two Rein
137 Non Pro Bridle
138 Intermediate Non Pro Bridle
139 Limited Non Pro Bridle
140 Non Pro Boxing
141 Intermediate Non Pro Boxing
142 Limited Non Pro Boxing
143 Non Pro Box Drive
144 Open Hackamore
145 Intermediate Open Hackamore
146 Limited Open Hackamore
147 Open Two Rein
148 Open Bridle
149 Intermediate Open Bridle
150 Limited Open Bridle
Are you showing AQHA VRH Classes?
*
Yes
No
AQHA #
What division are you showing in?
Open
Amateur
Amateur Limited
Amateur Rookie
Youth
Youth Limited
Youth Rookie
AQHA Open VRH Classes
1 Open AQHA VRH Cutting
58 Open AQHA VRH Trail
59 Open AQHA VRH Ranch Riding
100 Open AQHA VRH Ranch Reining
101 Open AQHA VRH Ranch Cow Work
124 Open VRH Conformation
AQHA Amateur VRH Classes
3 Amateur AQHA VRH Cutting
61 Amateur AQHA VRH Trail
62 Amateur AQHA VRH Ranch Riding
108 Amateur AQHA VRH Ranch Reining
109 Amateur AQHA VRH Ranch Cow Work
125 Amateur AQHA VRH Ranch Conformation
AQHA Amateur Limited VRH Classes
5 Amateur Limited AQHA VRH Cutting
64 Amateur Limited AQHA VRH Trail
65 Amateur Limited AQHA VRH Ranch Riding
111 Amateur Limited AQHA VRH Ranch Reining
112 Amateur Limited AQHA VRH Ranch Cow Work
126 Amateur Limited AQHA VRH Ranch Conformation
AQHA Amateur Rookie VRH Classes
6 Amateur Rookie AQHA VRH Cutting
66 Amateur Rookie AQHA VRH Trail
67 Amateur Rookie AQHA VRH Ranch Riding
114 Amateur Rookie AQHA VRH Ranch Reining
115 Amateur Rookie AQHA VRH Ranch Cow Work
127 Amateur Rookie AQHA VRH Ranch Conformation
AQHA Youth VRH Classes
7 Youth AQHA VRH Cutting
68 Youth AQHA VRH Trail
69 Youth AQHA VRH Ranch Riding
116 Youth AQHA VRH Ranch Reining
117 Youth AQHA VRH Ranch Cow Work
128 Youth AQHA VRH Ranch Conformation
AQHA Youth Limited VRH Classes
9 Youth Limited VRH Cutting
71 Youth Limited VRH Trail
72 Youth Limited VRH Ranch Riding
119 Youth Limited VRH Ranch Reining
120 Youth Limited VRH Ranch Cow Work
129 Youth Limited VRH Ranch Conformation
AQHA Youth Rookie VRH Classes
10 Youth Rookie AQHA VRH Cutting
73 Youth Rookie AQHA VRH Trail
74 Youth Rookie AQHA VRH Ranch Riding
122 Youth Rookie AQHA VRH Ranch Reining
123 Youth Rookie AQHA VRH Ranch Cow Work
130 Youth Rookie AQHA VRH Ranch Conformation
Are you showing AQHA Classes?
*
Yes
No
AQHA #
What division are you showing in?
Open
Amateur
Youth
AQHA Open Classes
Open AQHA Working Western Rail
Open AQHA Ranch Riding
Open AQHA Working Cowhorse - Friday
Open AQHA Working Cowhorse - Sunday
AQHA Amateur Classes
Amateur AQHA Working Western Rail
Amateur AQHA Ranch Riding
Amateur AQHA Working Cowhorse - Friday
Amateur AQHA Boxing - Friday
Amateur AQHA Working Cowhorse - Sunday
Amateur AQHA Boxing - Sunday
AQHA Youth Classes
Youth AQHA Working Western Rail
Youth AQHA Ranch Riding
Youth AQHA Working Cowhorse - Friday
Youth AQHA Boxing - Friday
Youth AQHA Working Cowhorse - Sunday
Youth AQHA Boxing - Sunday
APHA #
Is your horse a Solid Bred Paint?
Yes
No
What division are you showing?
Open
Amateur
Youth
APHA Open Classes
12 Open APHA Ranch Cutting
22 Open APHA Working Cow Horse
88 Open APHA Trail
89 Open APHA Ranch Riding
153 Open APHA Ranch Rail Pleasure
177 Open APHA Ranch Conformation
188 Open APHA Ranch Reining
APHA Amateur Classes
15 Amateur APHA Ranch Cutting
34 Amateur APHA Working Cow Horse
47 Amateur APHA Limited WCH
92 Amateur APHA Trail
93 Amateur APHA Ranch Riding
156 Amateur APHA Ranch Rail Pleasure
178 Amateur APHA Ranch Conformation
184 Amateur APHA Ranch Reining
APHA Youth Classes
18 Youth APHA Ranch Cutting
43 Youth APHA Limited WCH 18&U
55 Youth APHA Ranch Cow Work
96 Youth APHA Trail
97 Youth APHA Ranch Riding
159 Youth APHA Ranch Rail Pleasure
179 Youth APHA Ranch Conformation
181 Youth APHA Ranch Reining
APHA Solid Bred Paint Open Classes
13 APHA Open SBP Ranch Cutting
23 APHA Open SBP Working Cow Horse
90 APHA Open SBP Trail
91 APHA Open SBP Ranch Riding
154 APHA Open SBP Ranch Rail Pleasure
177 APHA Open Ranch Conformation
189 APHA Open SBP Ranch Reining
APHA Solid Bred Paint Amateur Classes
16 APHA Amateur SBP Ranch Cutting
35 APHA Amateur SBP Working Cow Horse
48 APHA Amateur SBP Limited WCH
94 APHA Amateur SBP Trail
95 APHA Amateur SBP Ranch Riding
157 APHA Amateur SBP Ranch Rail Pleasure
178 APHA Amateur Ranch Conformation
185 APHA Amateur SBP Ranch Reining
APHA Solid Bred Paint Youth Classes
19 APHA Youth SBP Ranch Cutting
56 APHA Youth SBP Ranch Cow Work
98 APHA Youth SBP Trail
99 APHA Youth SBP Ranch Riding
160 APHA Youth SBP Ranch Rail Pleasure
179 APHA Youth Ranch Conformation
182 APHA Youth SBP Ranch Reining
Are you showing VolRHA Classes?
*
Yes
No
Which division are you showing?
Open
Amateur
Youth
19&O Walk/Trot
18&U Walk/Trot
VolRHA Open Classes
11 VolRHA Open Herd Work
21 VolRHA Open Working Cowhorse
75 VolRHA Open Trail
76 VolRHA Open Ranch Riding
87 In-Hand Trail
151 Warm-Up Flat On the Rail
152 Open Ranch Rail Pleasure
165 VolRHA Open Showmanship
176 VolRHA Open Conformation
187 VolRHA Open Ranch Reining
VolRHA Amateur/Amateur Select Classes
14 VolRHA Amateur Herd Work
20 VolRHA Amateur Select Herd Work
33 VolRHA Amateur Working Cowhorse
46 VolRHA Amateur Boxing (COW ONLY)
49 VolRHA Amateur Select Boxing (COW ONLY)
53 VolRHA Amateur Box-Drive-Box (COW ONLY)
77 VolRHA Amateur Trail
78 VolRHA Amateur Ranch Riding
85 VolRHA Amateur Select Trail
86 VolRHA Amateur Select Ranch Riding
155 VolRHA Amateur Ranch Rail Pleasure
161 VolRHA Amateur Select Ranch Rail Pleasure
166 VolRHA Amateur Showmanship
167 VolRHA Amateur Select Showmanship
170 VolRHA Amateur Conformation
183 VolRHA Amateur Ranch Reining
186 VolRHA Amateur Select Ranch Reining
VolRHA Youth Classes
17 VolRHA Youth Herd Work
17.5 VolRHA Youth 13&U Herd Work
39 VolRHA Youth Working Cowhorse
42 VolRHA Youth Boxing (COW ONLY)
42.5 VolRHA Youth 13&U Boxing (COW ONLY)
54 VolRHA Youth Box-Drive-Box (COW ONLY)
79 VolRHA Youth Trail
79.5 VolRHA Youth 13&U Trail
80 VolRHA Youth Ranch Riding
80.5 VolRHA Youth 13&U Ranch Riding
158 VolRHA Youth Ranch Rail Pleasure
158.5 VolRHA Youth 13&U Ranch Rail Pleasure
164 Lead Line
168 VolRHA Youth Showmanship
168.5 VolRHA Youth 13&U Showmanship
169 VolRHA Youth Conformation
172 VolRHA Youth 13&U Conformation
180 VolRHA Youth Ranch Reining
180.5 VolRHA Youth 13&U Ranch Reining
VolRHA 19&O Walk/Trot Classes
83 VolRHA Walk Trot 19&O Trail
84 VolRHA Walk Trot 19&O Ranch Riding
163 VolRHA Walk Trot 19&O Ranch Rail Pleasure
VolRHA 18&U Walk/Trot Classes
81 VolRHA Walk Trot 18&U Trail
82 VolRHA Walk Trot 18&U Ranch Riding
162 VolRHA Walk Trot 18&U Ranch Rail Pleasure
Is there a second rider for this horse?
*
Yes
No
Rider 2 Information
Rider 2 Name
Are you showing NRCHA classes?
*
Yes
No
NRCHA #
NRCHA Classes Saturday
24 Open Hackamore
25 Intermediate Open Hackamore
26 Limited Open Hackamore
27 Open Two Rein
28 Open Bridle
29 Intermediate Open Bridle
30 Limited Open Bridle
31 Non Pro Hackamore
32 Non Pro Two Rein
36 Non Pro Bridle
37 Intermediate Non Pro Bridle
38 Limited Non Pro Bridle
40 Youth Cowhorse
41 Youth Cowhorse 13 & Under
44 Youth Boxing
45 Youth 13 & Under Boxing
50 Non Pro Boxing
51 Intermediate Non Pro Boxing
52 Limited Non Pro Boxing
57 Non Pro Box Drive
NRCHA Classes Sunday
131 Youth Cowhorse
132 Youth Cowhorse 13 & Under
133 Youth Boxing
134 Youth 13 & Under Boxing
135 Non Pro Hackamore
136 Non Pro Two Rein
137 Non Pro Bridle
138 Intermediate Non Pro Bridle
139 Limited Non Pro Bridle
140 Non Pro Boxing
141 Intermediate Non Pro Boxing
142 Limited Non Pro Boxing
143 Non Pro Box Drive
144 Open Hackamore
145 Intermediate Open Hackamore
146 Limited Open Hackamore
147 Open Two Rein
148 Open Bridle
149 Intermediate Open Bridle
150 Limited Open Bridle
Are you showing AQHA VRH Classes?
*
Yes
No
AQHA #
What division are you showing in?
Open
Amateur
Amateur Limited
Amateur Rookie
Youth
Youth Limited
Youth Rookie
AQHA Open VRH Classes
1 Open AQHA VRH Cutting
58 Open AQHA VRH Trail
59 Open AQHA VRH Ranch Riding
100 Open AQHA VRH Ranch Reining
101 Open AQHA VRH Ranch Cow Work
124 Open AQHA VRH Conformation
AQHA Amateur VRH Classes
3 Amateur AQHA VRH Cutting
61 Amateur AQHA VRH Trail
62 Amateur AQHA VRH Ranch Riding
108 Amateur AQHA VRH Ranch Reining
109 Amateur AQHA VRH Ranch Cow Work
125 Amateur AQHA VRH Ranch Conformation
AQHA Amateur Limited VRH Classes
5 Amateur Limited AQHA VRH Cutting
64 Amateur Limited AQHA VRH Trail
65 Amateur Limited AQHA VRH Ranch Riding
111 Amateur Limited AQHA VRH Ranch Reining
112 Amateur Limited AQHA VRH Ranch Cow Work
126 Amateur Limited AQHA VRH Ranch Conformation
AQHA Amateur Rookie VRH Classes
6 Amateur Rookie AQHA VRH Cutting
66 Amateur Rookie AQHA VRH Trail
67 Amateur Rookie AQHA VRH Ranch Riding
114 Amateur Rookie AQHA VRH Ranch Reining
115 Amateur Rookie AQHA VRH Ranch Cow Work
127 Amateur Rookie AQHA VRH Ranch Conformation
AQHA Youth VRH Classes
7 Youth AQHA VRH Cutting
68 Youth AQHA VRH Trail
69 Youth AQHA VRH Ranch Riding
116 Youth AQHA VRH Ranch Reining
117 Youth AQHA VRH Ranch Cow Work
128 Youth AQHA VRH Ranch Conformation
AQHA Youth Limited VRH Classes
9 Youth Limited VRH Cutting
71 Youth Limited VRH Trail
72 Youth Limited VRH Ranch Riding
119 Youth Limited VRH Ranch Reining
120 Youth Limited VRH Ranch Cow Work
129 Youth Limited VRH Ranch Conformation
AQHA Youth Rookie VRH Classes
10 Youth Rookie AQHA VRH Cutting
73 Youth Rookie AQHA VRH Trail
74 Youth Rookie AQHA VRH Ranch Riding
122 Youth Rookie AQHA VRH Ranch Reining
123 Youth Rookie AQHA VRH Ranch Cow Work
130 Youth Rookie AQHA VRH Ranch Conformation
Are you showing AQHA Classes?
*
Yes
No
AQHA #
What division are you showing in?
Open
Amateur
Youth
AQHA Open Classes
Open AQHA Working Western Rail
Open AQHA Ranch Riding
Open AQHA Working Cowhorse - Friday
Open AQHA Working Cowhorse - Sunday
AQHA Amateur Classes
Amateur AQHA Working Western Rail
Amateur AQHA Ranch Riding
Amateur AQHA Working Cowhorse - Friday
Amateur AQHA Boxing - Friday
Amateur AQHA Working Cowhorse - Sunday
Amateur AQHA Boxing - Sunday
AQHA Youth Classes
Youth AQHA Working Western Rail
Youth AQHA Ranch Riding
Youth AQHA Cowhorse - Friday
Youth AQHA Boxing - Friday
Youth AQHA Cowhorse - Sunday
Youth AQHA Boxing - Sunday
APHA #
Is your horse a Solid Bred Paint?
Yes
No
What division are you showing?
Open
Amateur
Youth
APHA Open Classes
12 Open APHA Ranch Cutting
22 Open APHA Working Cow Horse
88 Open APHA Trail
89 Open APHA Ranch Riding
153 Open APHA Ranch Rail Pleasure
177 Open APHA Ranch Conformation
188 Open APHA Ranch Reining
APHA Amateur Classes
15 Amateur APHA Ranch Cutting
34 Amateur APHA Working Cow Horse
47 Amateur APHA Limited WCH
92 Amateur APHA Trail
93 Amateur APHA Ranch Riding
156 Amateur APHA Ranch Rail Pleasure
178 Amateur APHA Ranch Conformation
184 Amateur APHA Ranch Reining
APHA Youth Classes
18 Youth APHA Ranch Cutting
43 Youth APHA Limited WCH 18&U
55 Youth APHA Ranch Cow Work
96 Youth APHA Trail
97 Youth APHA Ranch Riding
159 Youth APHA Ranch Rail Pleasure
179 Youth APHA Ranch Conformation
181 Youth APHA Ranch Reining
APHA Solid Bred Paint Open Classes
13 APHA Open SBP Ranch Cutting
23 APHA Open SBP Working Cow Horse
90 APHA Open SBP Trail
91 APHA Open SBP Ranch Riding
154 APHA Open SBP Ranch Rail Pleasure
177 APHA Open Ranch Conformation
189 APHA Open SBP Ranch Reining
APHA Solid Bred Paint Amateur Classes
16 APHA Amateur SBP Ranch Cutting
35 APHA Amateur SBP Working Cow Horse
48 APHA Amateur SBP Limited WCH
94 APHA Amateur SBP Trail
95 APHA Amateur SBP Ranch Riding
157 APHA Amateur SBP Ranch Rail Pleasure
178 APHA Amateur Ranch Conformation
185 APHA Amateur SBP Ranch Reining
APHA Solid Bred Paint Youth Classes
19 APHA Youth SBP Ranch Cutting
56 APHA Youth SBP Ranch Cow Work
98 APHA Youth SBP Trail
99 APHA Youth SBP Ranch Riding
160 APHA Youth SBP Ranch Rail Pleasure
179 APHA Youth Ranch Conformation
182 APHA Youth SBP Ranch Reining
Are you showing VolRHA Classes?
*
Yes
No
Which division are you showing?
Open
Amateur
Youth
19&O Walk/Trot
18&U Walk/Trot
VolRHA Open Classes
11 VolRHA Open Herd Work
21 VolRHA Open Working Cowhorse
75 VolRHA Open Trail
76 VolRHA Open Ranch Riding
87 In-Hand Trail
151 Warm-Up Flat On the Rail
152 Open Ranch Rail Pleasure
165 VolRHA Open Showmanship
176 VolRHA Stallions Conformation
187 VolRHA Open Ranch Reining
VolRHA Amateur/Amateur Select Classes
14 VolRHA Amateur Herd Work
20 VolRHA Amateur Select Herd Work
33 VolRHA Amateur Working Cowhorse
46 VolRHA Amateur Boxing (COW ONLY)
49 VolRHA Amateur Select Boxing (COW ONLY)
53 VolRHA Amateur Box-Drive-Box (COW ONLY)
77 VolRHA Amateur Trail
78 VolRHA Amateur Ranch Riding
85 VolRHA Amateur Select Trail
86 VolRHA Amateur Select Ranch Riding
155 VolRHA Amateur Ranch Rail Pleasure
161 VolRHA Amateur Select Ranch Rail Pleasure
166 VolRHA Amateur Showmanship
167 VolRHA Amateur Select Showmanship
175 VolRHA Amateur Conformation
183 VolRHA Amateur Ranch Reining
186 VolRHA Amateur Select Ranch Reining
VolRHA Youth Classes
17 VolRHA Youth Herd Work
17.5 VolRHA Youth 13&U Herd Work
39 VolRHA Youth Working Cowhorse
42 VolRHA Youth Boxing (COW ONLY)
42.5 VolRHA Youth 13&U Boxing (COW ONLY)
79 VolRHA Youth Trail
79.5 VolRHA Youth 13&U Trail
80 VolRHA Youth Ranch Riding
80 VolRHA Youth 13&U Ranch Riding
158 VolRHA Youth Ranch Rail Pleasure
158 VolRHA Youth 13&U Ranch Rail Pleasure
164 Lead Line
168 VolRHA Youth Showmanship
168 VolRHA Youth 13&U Showmanship
172 VolRHA Youth Conformation
180 VolRHA Youth Ranch Reining
180 VolRHA Youth 13&U Ranch Reining
VolRHA 19&O Walk/Trot Classes
83 VolRHA Walk Trot 19&O Trail
84 VolRHA Walk Trot 19&O Ranch Riding
163 VolRHA Walk Trot 19&O Ranch Rail Pleasure
VolRHA 18&U Walk/Trot Classes
81 VolRHA Walk Trot 18&U Trail
82 VolRHA Walk Trot 18&U Ranch Riding
162 VolRHA Walk Trot 18&U Ranch Rail Pleasure
By my signature below I hereby acknowledge that I meet the criteria for eligibility to compete in the classes entered according to the guidelines set forth in the AQHA/NRCHA/APHA rulebook. I understand the risks involved in riding horses and/or cow work and voluntarily assume those risks. I also acknowledge that Under Tennessee Law (TN Code ยง 44-20-103), an equine professional is not liable for injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities. I agree that I will not hold AQHA, NRCHA, APHA, VolRHA, Agricenter ShowPlace Arena or any of the directors, officers, employees, volunteers, clients or participants liable for any injury or property damage risking out of or caused by this horse show. I have read this release and understand it's terms.
Signature
*
clear
Date
*
+
Would you like to donate to the Youth Scholarship Fund? (This is tax deductible!)
*
$5
$10
$20
Other Amount - Let Us Know at Check-In
No
Would you like to Sponsor VolRHA? (This is tax deductible!)
*
Added Money - $50
Class - $100
Other Amount - Let Us Know at Check-In
No