4D 

LUCK OF THE IRISH 
$
2,500.00 ADDED
Rain
Date
|
PRE - ENTRY FORM Name:
_______________________________________ SS #_____________________ |
|
Horse: ______________________________________ Total Exhibition:______________________________ |
@$25 = _____________ @$ 3 =
_____________ |
|
|||||
|
If Postmarked after February 28th add
$10.00 Late Fee Office Charge one time fee $25.00
returned check fee |
=$ _____________ =$ ____10.00_____ |
|
|||||
|
Mail entries before February 28th
to avoid $10 late fee. |
Event
Schedule: |
|||||
|
Contact
Information: |
|
|
||||
|
I agree as a
contestant, parent/guardian to release Circle C Riding Club, any sponsors of
any and all liability of responsibility for injury or accident, theft or loss
of equipment by the contestant or any one associated with a contestant. I
elect to participate at my own risk. If participant is a minor, entry must be
signed by parent or guardian. Signature_____________________________________________ Date_____________________Print
Name_____________________________________________ By
signing, I acknowledge that I have read, understand, and accept the above
statement. FILL OUT COMPLETELY AND SIGN OR ENTRY WILL BE RETURNED. |
SHOW RULES:

Circle C Arena is located between