STARTING IN 2020 A 10-DAY GRACE PERIOD WILL NO LONGER BE PROVIDED
Mailing Address: 260 Bailey Ave Fort Worth, TX 76107
Phone: 817-244-6188 | Fax: 817-244-2015 | Email: firstname.lastname@example.org
Premium checks will be made to registered owner of the horse.
(Combination entries ride to the herd one time, score counts for each level entered. NCHA fee applied only once to cobination entries)
*PAC Fee included: Under Texas Election Code, Chapter 253, the Political Action Committee (PAC) fee is a voluntary contribution. Funding the PAC is important to be able to maintain state funding at the NCHA Triple Crown
events. Your contribution will provide critical assistance to the NCHA with this effort. To opt out of the PAC fee, submit your payment without the amount indicated as the PAC fee for your class.
Late Entries in all Events requires a penalty. Entries not accepted without payment.
Photocopy of registration certificate or colored application for unregistered horses must accompany this application. Due with postmark by June 1, 2020.
RELEASE FROM LIABILITY AND WAIVER OF RESPONSIBILITY: As a condition to participate in this event, the NCHA, the directors, officers, employees, members, agents and representatives are hereby released from all claims, demands, or causes of action of any kind or nature whatsoever; whether now existing or to hereafter accrue, on account of any damage, cost or expense (I) As a result of any bodily injury, loss or damage to any animals, equipment or other personal property, from any cause whatsoever including, but not limited to, the sole or concurrent negligence of NCHA, its directors, officers, employees, agents or representatives; or (ii) as a result of the interpretation or enforcement of the NCHA constitution, bylaws, rules or regulations and the risk of any such damage, cost or expense which may occur by reason of forgoing is hereby assumed and accepted. This waiver is binding on the undersigned as well as all riders, grooms and other helpers associated with the participation of the horse (s) described herein in this event and the undersigned indemnifies the NCHA from all claims, demands, or causes of action based on any of the foregoing.
Both owner and rider of any horse entered in an NCHA produced event, by said entry, consents to the implementation of any action allowed by Standing Rule 35.a, Zero Tolerance by either show management or judge.
* Includes a $50 NCHA fee, $25 Drug Fee and voluntary PAC Fee. # Includes a voluntary PAC Fee.
(PAC Fee = $100 for Open, $75 for Non-Pro, $20 for Limited Non-Pro, $20 for Amateur, $20 for Unlimited Amateur)
Funding the PAC is important to be able to maintain state funding at the NCHA Triple Crown.
Select this option to opt out of PAC Fee. Additional PAC Fee Contribution
If "YES" is not selected then this application will not be accepted.