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YOUTH CLINIC
SPONSORED BY:
Applications have CLOSED!
Please fill out the form below to be
added to the WAITLIST
to participate in the
NRCHA Youth Clinic
held during the Kimes Ranch NRCHA Derby in
Scottsdale, Arizona
on
June 4, 2025
. Spaces are limited. Youth Rider participants are
free thanks to the NRCHA Foundation
. Applicants will be notified of acceptance May 7, 2025.
Youth Rider's First Name
*
Youth Rider's Last Name
*
Youth Rider Email
Only complete this field if this is the youth rider's email. There is a place below for the parent/guardian email.
Youth Rider Phone Number
Only complete this field if this is the youth rider's phone #. There is a place below for the parent/guardian email.
Youth Rider's Birth Date
*
Month
/
Day
/
Year
Youth Shirt Size
Please Select
Youth Small
Youth Medium
Youth Large
Youth X Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult 2XL
Is the youth rider currently an NRCHA member?
*
Yes
No
What equestrian youth associations are you a part of?
(4-H, National High School Rodeo Association, National Junior High School Rodeo Association, AQHA, etc.)
Does the youth rider own their own horse?
*
Yes
No
Rate the youth rider's level of Reined Cow Horse Riding Experience by checking
all boxes that apply.
*
is comfortable walking, trotting, and loping a horse.
has done all the reining maneuvers several times including sliding stops, lead changes, and spins.
has shown a horse in a reining competition.
has worked a flag on a horse.
has boxed live cattle on a horse.
has made several fence turns on a horse.
has circled a cow on a horse.
has shown a horse in a cow horse competition.
Would the youth rider prefer to ride in the clinic or audit the clinic?
*
Ride
Audit
What does the youth rider hope to gain from this clinic?
*
Is there any additional information clinicians should know?
____________
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Parent/Guardian Email
*
Parent/Guardian Phone Number
*
Parent/Guardian Relationship
*
Please Select
Mother
Father
Grandparent
Aunt/Uncle
Sibling
Other
NOTE:
Parent or Guardian must attend the clinic with youth.
Submit