EmailMe Form -

Rider Name *
First Last
CGA # *
Horse/Pony Name *
Date of Birth (17 & Under)
Email *
Preferred contact *
Call
Text
Email
If we need to get ahold of you for any reason, how would you like us to contact you?
Phone # *
### - ### - ####
Division: *
< Leadline
< A
< FC 13 & Under
< AA
< FC 14 & Over
< AAA
< AAA+
Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region
Date: 2/21/26
BIG T
QUADRANGLE
KEY HOLE
POLES 1
FIGURE 8 FLAGS
SINGLE STAKE
Speed Ball
If 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.
Show Fees: Click all that apply *
All 7 Regular Events $35 total
Individual Regular Events x __ $5 each
Schooling Runs x __ $5 each
Los Vaqueros Family Membership $35
Los Vaqueros Individual Membership $30
CGA Membership Family $60
CGA Membership Individual $30
CGA Membership Upgrade $30
Additional Mount fee for Local Awards $25
JACKPOT $5
ARENA FEE $10
Los Vaqueros and/or CGA Membership form must accompany the entry if paying membership(s) with your entry. Forms may be found at www.losvaqueros.net
Amount due from above selections: *
$ Dollars
Don't forget the Arena fee is a $10 mandatory fee to ride with us and must be included in your total. Thank you!
Credit Due:
$ Dollars
Total Due to Pay at Show: *
$ Dollars
Please make sure you correctly add in everything you chose to do from above, including the arena fee!
Release of Liability:
In addition, I certify that I am family or the individual. The 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!!
I certify that I have read, understand and agree to the above. *
Sign Here at Show:
Please leave above box blank and sign at the show.
Show Secretary Signature:
Show Secretary Sign Above

EMF Online Form

Report Abuse