ST. VALENTINE'S DAY LIVE
ENTRY FORM

Mail entry with check or money order to:
Suzanne Francis
1170 River Drive
Norco, CA   92860
951-218-6569
seahorsecastles@yahoo.com

NAME________________________________________________________________

ADDRESS______________________________________________________________

CITY, STATE, ZIP________________________________________________________

PHONE_________________________________________________________________

E-MAIL_________________________________________________________________

Entry Fee  $50.00 includes lunch for 1 person
Extra lunches   $5.00 each
Extra table  $10
(Divisions sponsored by the Peter Stone Company)


A signed release from each entrant (or parent/guardian if you are under 18) is required.
You will not be allowed to show without the signed release on file.

I hereby release the event coordinators, judges and helpers for the St. Valentine's Day Live
and Foothill Terrace Mobil Home Park of any liability for any personal injury, property
damage or loss that may occur during the course of this one-day event.  I further understand
that all judge' decisions are final, and I agree not to hold any judge or member of the event
staff liable for any decision or judgment that is made in the course of the event.  I have read
and understood the rules and agree to abide by these rules.  I understand that if these rules
are violated, I may be asked to leave the class or event at any time with no refund of fees.

Signature:______________________________________ Date:___________________

Parent/Guardian:_________________________________ Date:___________________