MRVHA Summer Bingo 2026 Form-Pay online with Credit Card

MRVHA SUMMER BINGO Entry Form- Pay Online with Credit Card

Enjoy MRVHA SUMMER BINGO during the entire month of AUGUST! $20 entry fee
( * Indicates Mandatory Entry Field )

ONLINE PRE-ENTRY

--Please fill out one entry form per Exhibitor/Horse combination.
Horse Information
Horse's Name
Exhibitor's Information:
Exhibitor's Name

First NameLast Name
EXHIBITOR Date of Birth (Used for age verification and parental authorization)

MonthDayYear
(ex . 04-21-2003 or use date selector icon )
Exhibitor Address

Street Address

Street Address Line 2

CityState

Postal Zip Code
Exhibitor Phone Number
Format: 000-000-0000.
Email -- CONFIRMATION WILL BE SENT TO THIS EMAIL ADDRESS
example@example.com
Name of Parent/Guardian:
(If Exhibitor is 17 years old or under )
Every entry at a Mojave River Valley Horsemen’s Association (MRVHA) Event shall constitute an agreement and affirmation that the person making it, along with the owner, lessee, trainer, agent, coach, driver, rider, and the horse, or any of their agents or representatives acknowledge that they participate voluntarily in the competition fully aware that horse sports and related competition involve inherent dangerous risks. By participating they expressly assume any and all risks. They release and hold harmless employees, volunteers, and members for any injury and/or loss they may incur. They release MRVHA, their officers, board of directors, officials, employees, volunteers, MRVHA members, participants, and spectators from any liability for any injury or loss resulted directly or indirectly, from negligent acts or omissions. All exhibitors 17 and under are always required to wear a helmet.
Entering your typed name and the date constitutes a written signature and date, agreeing to the above paragraph.
(Parent or guardian must sign for exhibitor 17 & under.)
Date

MonthDayYear
Thank you, for registering for our MRVHA BINGO....... After pressing the 'Submit' button below, you must close the form in your browser to return to the main MRVHA screen. A copy of your entry form will be emailed to your above-listed email address.
Now it's time to enjoy MRVHA SUMMER BINGO! Pay your $20 entry fee below and then load 'YOUR' photos on the 'MRVHA SUMMER BINGO' Facebook page. Join MRVHA members and non-members for the daily tasks the entire month of August.

Please Select from the following:

MRVHA BINGO FUN$20.00

Total $0.00

Credit Card

Should be Empty:

MRVHA SUMMER BINGO Entry Form- Pay Online with Credit Card

Horse Information

Exhibitor's Information:

Please Select from the following:

Credit Card