| Entry Form Saddle Up! Performance Show & Clinic Saturday, October 5, 2013 Location: 14068 Beskeen Road, Herald, CA 95638 (Directions on website: www.horsyme.com/directions) Entry Fee $30.00 per person ____________________ X $30.00 = _____________________ Number of people Total Paypal (horsyme@yahoo.com), Checks or Money Order Accepted. Mail to: Kathy Williams, 14068 Beskeen Road, Herald, CA 95638 by October 1st. You must sign this release form in order to attend this event: Release of Liability Waiver With full knowledge, comprehension and understanding I voluntarily accept and assume all risks and responsibility involved in the participation in this event. In consideration of the acceptance of my participation, I hold harmless and release and forever discharge the showholder (Kathy Williams) and anyone connected with this informal activity, from all liabilities for injuries and damages whatsoever. You must be a competent adult to sign this form. By signing this form I am accepting the terms and conditions of this agreement. Signature: ____________________________________________________________ Name: ______________________________________________________________ Address: _____________________________________________________________ Phone #: ___________________________Email: ____________________________ |
