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:  ______________________