CONTESTANT ENTRY FORM ENTRY #RECEIPT #CONTESTANT NAME* First Last CONTESTANT BIRTHDATE*Please enter the Contestant's of birth. You will only be shown events in the Contestant's age group. Month Day Year GENDER* Male Female HiddenCUTOFF DATEJanuary 1, 2022 MM DD YYYY HiddenCALCULATED AGEAge as of 1/1/2022MAILING ADDRESS* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code EMAIL* PHONE*EVENTS YOU'RE INTERESTED IN*Please select all event Divisions that you're interested in competing in. Junior Division - Track Junior Division - Arena Halter Horse Division EVENTS YOU'RE INTERESTED IN*Please select all event Divisions that you're interested in competing in. Senior Division - Track Senior Division - Arena Rough Stock Division Halter Horse Division ELIGIBILITY AFFIDAVIT*I am an eligible contestant and meet the eligibility requirements as stated in Local Rule #1 on Page 2 of the 2022 Exhibitor's Handbook. If correspondence concerning eligibility is not answered & in the hands of this Association by date and time specified in Exhibitor's Handbook, Local Rule #1, the contestant will be disqualified. The same rules apply to any trainer or jockey riding for an exhibitor. I affirm that any horse entered is owned by a person eligible to be a contestant. I agree to the ELIGIBILITY AFFIDAVITRELEASE AND WAIVER OF LIABILITY AGREEMENT*The exhibitor agrees to defend, indemnify and hold harmless the San Benito County Saddle Horse Association, the County of San Benito, 33rd District Agricultural Association and the State of California from and against any liability, claim, loss or expense ( including reasonable attorneys' fees) arising out of any injury or damage which is caused by, arises from or is any way connected with participation in this program or event, excepting only that caused by the sole negligence of the San Benito County Saddle Horse Association. The Association management shall not be responsible for accidents or losses that may occur to any of the exhibitors or exhibits at the show. The exhibitor (or parent or guardian of a minor) is responsible for any injury or damage resulting from the exhibitor's participation in the program or event. This includes any injury to others or to the exhibitor or to the exhibitor's property. I agree to the RELEASE AND WAIVER OF LIABILITY AGREEMENTCONTESTANT SIGNATURE**If you area having trouble with this feature, we can have you sign it in-person at a later date.PARENT/GUARDIAN NAME* First Last PARENT/GUARDIAN SIGNATURE**If you area having trouble with this feature, we can have you sign it in-person at a later date. JUNIOR DIVISIONS - TRACKAll Junior Divisions are 15 Years & Under, and are grouped by Contestant Age as of January 1, 2022.CLASS #101 - JUNIOR BEST GIRL'S WORKING OUTFITNO ENTRY FEE CLASS # 101 4-7 AGE GROUP CLASS # 101 8-11 AGE GROUP CLASS # 101 12-15 AGE GROUP CLASS #101 - JUNIOR BEST GIRL'S WORKING OUTFIT TOTAL FEE: CLASS #102 - JUNIOR BEST BOY'S WORKING OUTFITNO ENTRY FEE CLASS # 102 4-7 AGE GROUP CLASS # 102 8-11 AGE GROUP CLASS # 102 12-15 AGE GROUP CLASS #102 - JUNIOR BEST BOY'S WORKING OUTFIT TOTAL FEE: CLASS #103 - JUNIOR WESTERN HORSEMANSHIP$10.00 ENTRY FEE CLASS # 103 6-11 AGE GROUP CLASS # 103 12-15 AGE GROUP HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. CLASS #103 - JUNIOR WESTERN HORSEMANSHIP TOTAL FEE: CLASS #104 - JUNIOR REINED STOCK HORSE$10.00 ENTRY FEE CLASS # 104 6-11 AGE GROUP CLASS # 104 12-15 AGE GROUP HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. CLASS #104 - JUNIOR REINED STOCK HORSE TOTAL FEE: CLASS #105 - JUNIOR COW HORSE$40.00 ENTRY FEE CLASS # 105 6-15 AGE GROUP HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. CLASS #105 - JUNIOR COW HORSE TOTAL FEE: JUNIOR DIVISIONS - ARENAAll Junior Divisions are 15 Years & Under, and are grouped by Contestant Age as of January 1, 2022.CLASS #106 - JUNIOR KEY HOLE RACE$10.00 ENTRY FEE CLASS # 106 6-11 AGE GROUP CLASS # 106 12-15 AGE GROUP CLASS #106 - JUNIOR KEY HOLE RACE TOTAL FEE: CLASS #107 - JUNIOR BARREL RACE$10.00 ENTRY FEE CLASS # 107 6-11 AGE GROUP CLASS # 107 12-15 AGE GROUP CLASS #107 - JUNIOR BARREL RACE TOTAL FEE: CLASS #108 - JUNIOR SINGLE STEER STOPPING$20.00 ENTRY FEE CLASS # 108 8-15 AGE GROUP CLASS #108 - JUNIOR SINGLE STEER STOPPING TOTAL FEE: CLASS #109 - JUNIOR RIBBON RACE$10.00 ENTRY FEE CLASS # 109 6-11 AGE GROUP CLASS # 109 12-15 AGE GROUP PARTNER NAME* CLASS #109 - JUNIOR RIBBON RACE TOTAL FEE: CLASS #110 - MUTTON BUSTING$30.00 ENTRY FEE 60 POUND WEIGHT LIMIT. CLASS # 110 6 YEARS & UNDER CLASS #110 - MUTTON BUSTING TOTAL FEE: CLASS #111 - JUNIOR BREAKAWAY ROPING$40.00 ENTRY FEE CLASS # 111 8-15 AGE GROUP CLASS #111 - JUNIOR BREAKAWAY ROPING TOTAL FEE: SENIOR DIVISION - TRACKAll Senior Divisions are 16 Years & Over as of January 1, 2022.CLASS #200 - BEST APPEARING COWHORSE WITHOUT SADDLE$20.00 ENTRY FEE Judged Saturday morning at Halter Horse. Finals held on Sunday. CLASS #200 CLASS #200 - BEST APPEARING COWHORSE WITHOUT SADDLE TOTAL FEE: CLASS #201 - LADIES WESTERN HORSEMANSHIP$20.00 ENTRY FEE Eliminations held Friday morning. CLASS #201 CLASS #201 - LADIES WESTERN HORSEMANSHIP TOTAL FEE: CLASS #202 - FIGURE 8 ROPING$50.00 ENTRY FEE CLASS #202 CLASS #202 - FIGURE 8 ROPING TOTAL FEE: CLASS #203 - CATTLE SORTING$50.00 ENTRY FEE CLASS #203 PARTNER #1* PARTNER #2* CLASS #203 - CATTLE SORTING TOTAL FEE: CLASS #204 - OPEN STOCK HORSE$100.00 ENTRY FEE CLASS #204 HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. RIDER NAME*The name of the person riding the horse in this Class. CLASS #204 - OPEN STOCK HORSE TOTAL FEE: CLASS #205 - HACKAMORE HORSE$100.00 ENTRY FEE CLASS #205 HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. RIDER NAME*The name of the person riding the horse in this Class. CLASS #205 - HACKAMORE HORSE TOTAL FEE: CLASS #206 - NON-PRO STOCK HORSE$100.00 ENTRY FEE CLASS #206 HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. RIDER NAME*The name of the person riding the horse in this Class. CLASS #206 - NON-PRO STOCK HORSE TOTAL FEE: CLASS #207 - NOVICE STOCK HORSE$100.00 ENTRY FEE CLASS #207 HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. RIDER NAME*The name of the person riding the horse in this Class. CLASS #207 - NOVICE STOCK HORSE TOTAL FEE: CLASS #208 - TWO REIN STOCK HORSE$100.00 ENTRY FEE CLASS #208 HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. RIDER NAME*The name of the person riding the horse in this Class. CLASS #208 - TWO REIN STOCK HORSE TOTAL FEE: CLASS #209 - REINED STOCK HORSE$50.00 ENTRY FEE CLASS #209 HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. RIDER NAME*The name of the person riding the horse in this Class. CLASS #209 - REINED STOCK HORSE TOTAL FEE: CLASS #210 - NON-PRO REINED STOCK HORSE$50.00 ENTRY FEE CLASS #210 HORSE NAME*Horses must be owned by someone who is eligible to be a Contestant. RIDER NAME*The name of the person riding the horse in this Class. CLASS #210 - NON-PRO REINED STOCK HORSE TOTAL FEE: SENIOR DIVISIONS - ARENAAll Senior Divisions are 16 Years & Over as of January 1, 2022.CLASS #211 - SENIOR BARREL RACE$30.00 ENTRY FEE CLASS #211 CLASS #211 - SENIOR BARREL RACE TOTAL FEE: CLASS #212 - LADIES BREAKAWAY ROPING$50.00 ENTRY FEE CLASS #212 CLASS #212 - LADIES BREAKAWAY ROPING TOTAL FEE: CLASS #213 - DALLY TEAM ROPING$45.00 ENTRY FEE CLASS #213 PARTNER NAME* CLASS #213 - DALLY TEAM ROPING TOTAL FEE: CLASS #214 - FAMILY DALLY TEAM ROPING$45.00 ENTRY FEE CLASS #214 PARTNER NAME* CLASS #214 - FAMILY DALLY TEAM ROPING TOTAL FEE: CLASS #215 - MIXED RIBBON ROPING$40.00 ENTRY FEE CLASS #215 PARTNER NAME* CLASS #215 - MIXED RIBBON ROPING TOTAL FEE: CLASS #216 - TIE-DOWN ROPING$50.00 ENTRY FEE CLASS #216 CLASS #216 - TIE-DOWN ROPING TOTAL FEE: CLASS #217 - STEER WRESTLING$35.00 ENTRY FEE CLASS #217 CLASS #217 - STEER WRESTLING TOTAL FEE: ROUGH STOCK - ARENAAll Rough Stock Classes are 16 Years & Over as of January 1, 2022.CLASS #300 - BULL RIDING$100.00 ENTRY FEE CLASS #300 CLASS #300 - BULL RIDING TOTAL FEE: CLASS #301 - SADDLE BRONC RIDING$100.00 ENTRY FEE CLASS #301 CLASS #301 - SADDLE BRONC RIDING TOTAL FEE: CLASS #302 - WILD HORSE RACE$100.00 ENTRY FEE CLASS #302 PARTNER #1* PARTNER #2* CLASS #302 - WILD HORSE RACE TOTAL FEE: HALTER HORSE DIVISIONThe Halter Horse Division is open to all age groups.HALTER HORSE DIVISION$20.00 ENTRY FEE PER CLASS CLASS #1 MARES 3 YEARS & OVER CLASS #2 MARES 2 YEARS & UNDER CLASS #3 GELDINGS 3 YEARS & OVER CLASS #4 GELDINGS 2 YEARS & UNDER CLASS #1 HORSE NAME* CLASS #1 HORSE REGISTRATION #* CLASS #2 HORSE NAME* CLASS #2 HORSE REGISTRATION #* CLASS #3 HORSE NAME* CLASS #3 HORSE REGISTRATION #* CLASS #4 HORSE NAME* CLASS #4 HORSE REGISTRATION #* CLASS #1 - MARES 3 YEARS & OVER TOTAL FEE: CLASS #2 - MARES 2 YEARS & UNDER TOTAL FEE: CLASS #3 - GELDINGS 3 YEARS & OVER TOTAL FEE: CLASS #4 - GELDINGS 2 YEARS & UNDER TOTAL FEE: ALL OTHER REGISTERED BREEDS$20.00 ENTRY FEE PER CLASS CLASS #11 MARES 3 YEARS & OVER CLASS #12 MARES 2 YEARS & UNDER CLASS #13 GELDINGS 3 YEARS & OVER CLASS #14 GELDINGS 2 YEARS & UNDER CLASS #11 HORSE NAME* CLASS #11 HORSE REGISTRATION #* CLASS #12 HORSE NAME* CLASS #12 HORSE REGISTRATION #* CLASS #13 HORSE NAME* CLASS #13 HORSE REGISTRATION #* CLASS #14 HORSE NAME* CLASS #14 HORSE REGISTRATION #* CLASS #11 - MARES 3 YEARS & OVER TOTAL FEE: CLASS #12 - MARES 2 YEARS & UNDER TOTAL FEE: CLASS #13 - GELDINGS 3 YEARS & OVER TOTAL FEE: CLASS #14 - GELDINGS 2 YEARS & UNDER TOTAL FEE: QUARTER HORSES - GRADE AND REGISTERED$20.00 ENTRY FEE PER CLASS CLASS #21 MARES 3 YEARS & OVER CLASS #22 MARES 2 YEARS & UNDER CLASS #23 GELDINGS 3 YEARS & OVER CLASS #24 GELDINGS 2 YEARS & UNDER CLASS #21 HORSE NAME* CLASS #21 HORSE REGISTRATION #* CLASS #22 HORSE NAME* CLASS #22 HORSE REGISTRATION #* CLASS #23 HORSE NAME* CLASS #23 HORSE REGISTRATION #* CLASS #24 HORSE NAME* CLASS #24 HORSE REGISTRATION #* CLASS #21 - MARES 3 YEARS & OVER TOTAL FEE: CLASS #22 - MARES 2 YEARS & UNDER TOTAL FEE: CLASS #23 - GELDINGS 3 YEARS & OVER TOTAL FEE: CLASS #24 - GELDINGS 2 YEARS & UNDER TOTAL FEE: ALL OTHER BREEDS - GRADE AND REGISTERED$20.00 ENTRY FEE PER CLASS CLASS #31 MARES 3 YEARS & OVER CLASS #32 MARES 2 YEARS & UNDER CLASS #33 GELDINGS 3 YEARS & OVER CLASS #34 GELDINGS 2 YEARS & UNDER CLASS #31 HORSE NAME* CLASS #31 HORSE REGISTRATION #* CLASS #32 HORSE NAME* CLASS #32 HORSE REGISTRATION #* CLASS #33 HORSE NAME* CLASS #33 HORSE REGISTRATION #* CLASS #34 HORSE NAME* CLASS #34 HORSE REGISTRATION #* CLASS #31 - MARES 3 YEARS & OVER TOTAL FEE: CLASS #32 - MARES 2 YEARS & UNDER TOTAL FEE: CLASS #33 - GELDINGS 3 YEARS & OVER TOTAL FEE: CLASS #34 - GELDINGS 2 YEARS & UNDER TOTAL FEE: TOTAL NUMBER OF HORSES$8.00 PER HORSE The State of California requires each horse brought onto the grounds be drug tested. Please enter the total number of horses that you will be bringing with you to the event. If you are not bringing a horse to the rodeo grounds, please enter "0". TOTAL FEE: $8.00 Quantity: TOTAL NUMBER OF COVERED PENS*$30.00 PER STALL Please let us know how many covered pens you will need. If you do not need a covered pen, please enter "0". TOTAL FEE: $30.00 Quantity: TOTAL NUMBER OF BOX STALLS*$50.00 PER STALL Please let us know how many box stalls you will need. If you do not need a box stall, please enter "0". TOTAL FEE: $50.00 Quantity: PROCESSING FEE TOTAL FEE: $0.00 PROCESSING FEE TOTAL FEE: $0.00 OFFICE FEE TOTAL FEE: TOTAL DUE NameThis field is for validation purposes and should be left unchanged.