Entry Form - ERQ Rodeo Finals Gymkhana 2025

Formulaire d'inscription - ERQ Rodeo Finals (Inverness) Gymkhana 2025

Jeudi 28 août à Dimanche 31 aoút 2025 | 19h30 chaque jour
Sélectionner le statut d'adhésion*
*Les adhésions ne sont pas traitées le jour même et prennent généralement 3 à 5 jours ouvrables. Vous pouvez vous inscrire sans adhésion, mais vous devrez en avoir une avant de concourir. Un permis de 50 $ est disponible, mais les points ne compteront pas pour le classement.
Numéro de membre -> G0#### or C0####*
Contestant First Name*
Prénom
Contestant Last Name*
Nom de famille
Email*
example@example.com
Town
State
Address*

Street Address

Street Address Line 2

CityProvince/State

Postal Code/Zip CodeCountry
Numéro de téléphone*
I choose to receive any prize money won by:*

e-transfer / bank deposit (quickest method)cheque by mail
Confirm email for e-transfer:*
Upload an image of a Void Cheque for electronic deposits:*

Browse Files
A void cheque allows for the IPRA Canada Bank (Desjardins) to make direct deposits into your account, when e-transfer limits are reached. Cancelof
Release
You must read the following release and waiver (scroll to bottom) before you will be able to check the box. *
Competitor's Signature*

Clear
Date of Birth of Competitor*

MonthDayYear
Date
Today's Date

MonthDayYear
Date
Age
Name of Parent or Legal Guardian*

First NameLast Name
Phone Number of Parent or Legal Guardian*
You must read the following release and waiver (scroll to bottom) before you will be able to check the box. *
Signature or Parent or Legal Guardian*

Clear
*The applicant is a minor based on date of birth. As required for all applicants under 18 years of age, the minor's release must be signed and notarized by a notary public in the presence of the minor's parent(s)/guardian(s). Print off the permit form that is available for download below, or from the Membership section of the website, and complete the minor's release as required. Remit the completed copy of the notarized form to the IPRA Canada secretary once complete, prior to the event. THE PERMIT ENTRY WILL NOT BE VALID IF THE NOTARY IS NOT RECEIVED and entry fees will not be returned.

Completed forms MUST be submitted to the IPRA Office before the event through email at ipracanadarodeo@gmail.com.

2025 IPRA Canadian Permit | Permis IPRA Canada 2025
Acknowledgement of Minor's Release*

I have read the above Minor's Release requirements and acknowledge that failure to complete the above will result in the inability for the minor to compete.
Informations d'inscription de l'équipe Gymkhana | Gymkhana Team Entry Information

Les 16 premiers du classement ERQ se qualifient | Le premier Go aura lieu jeudi et samedi. Le second Go aura lieu vendredi et dimanche. Inscrivez-vous jeudi/vendredi ou samedi/dimanche.
Gymkhana Event - 1st Entry*

Pickup RaceExchange Race
Registered Name of Horse*
Name of Rider*

First NameLast Name
Name of Jumper*

First NameLast Name
Round Preference #1*
Performance preference is not guaranteed. Please check callbacks.
Round Preference #2*
Performance preference is not guaranteed. Please check callbacks.
Enter another horse?*

YesNo
Gymkhana Event - 2nd Entry*

Pickup RaceExchange Race
Registered Name of Horse 2*
Name of Rider 2*

First NameLast Name
Name of Jumper 2*

First NameLast Name
Round Preference #1*
Performance preference is not guaranteed. Please check callbacks.
Round Preference #2*
Performance preference is not guaranteed. Please check callbacks.
Enter another horse?*

YesNo
Gymkhana Event - 3rd Entry*

Pickup RaceExchange Race
Registered Name of Horse 3*
Name of Rider 3*

First NameLast Name
Name of Jumper 3*

First NameLast Name
Round Preference #1*
Performance preference is not guaranteed. Please check callbacks.
Round Preference #2*
Performance preference is not guaranteed. Please check callbacks.
Enter another horse?*

YesNo
Gymkhana Event - 4th Entry*

Pickup RaceExchange Race
Registered Name of Horse 4*
Name of Rider 4*

First NameLast Name
Name of Jumper 4*

First NameLast Name
Round Preference #1*
Performance preference is not guaranteed. Please check callbacks.
Round Preference #2*
Performance preference is not guaranteed. Please check callbacks.
Notes d'inscription | Entry Notes
*Sharing a horse, travelling partners, etc.
Frais totaux à payer | Total Fees Payable
Total Fees:
*This is the total cost of entry fees and STK/CES fees per horse.
Total including service fees

Total amount to be charged:*

CADTotal fees include entry fees, CES/STK fees and processing fees.

Credit Card Information

Should be Empty:

Formulaire d'inscription - ERQ Rodeo Finals (Inverness) Gymkhana 2025

Release

Informations d'inscription de l'équipe Gymkhana | Gymkhana Team Entry Information

Frais totaux à payer | Total Fees Payable

Credit Card Information