| Entry Form Saddle Up! OF Performance Show Sunday, August 10, 2014 Location: 9889 Kost Road, Galt, CA 95632 Number of entrants Cost Sum ________________ X $30.00 = _____________ minus $10.00 ( Less $10 discount if entering Big Valley Custom Show also) TOTAL: ______________ Paypal (horsyme@yahoo.com), Checks or Money Order Accepted. Mail to: Kathy Williams, 14068 Beskeen Road, Herald, CA 95638 by August 3, 2014 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: ____________________________ |