Los Vallecitos Riders
Dressage Schooling Show Series
Show Dates: |
ENTRY FEES: | Members | $25.00 | |
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Nov 23
|
Judge: TBA | Non-members | $35.00 | |
| MAKE CHECKS PAYABLE TO: LVR | ||||
| MAIL PAYMENT TO: Pam Bowman | ||||
| PO Box 208 , Bonsall, California 92003 | ||||
| pamb@socalequine.com | ||||
|
One horse per entry (Show numbers will be assigned to
the horse).
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| HORSE NAME: | ||
| OWNER NAME: | ||
| CLASS | RIDER Check if JR Rider [ ] | FEE |
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DRUG FEE
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$5.00
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PARK FEE
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$5.00
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Total Enclosed
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$_________
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I agree to indemnify and hold harmless Los Vallecitos Riders and the Directors, Officers, members, employees and agents thereof, from and against any and all loss, costs, or expense, or any claim thereof, of whatever nature, arising or to arise, for and on account, or by reason of the entries hereby made, or made for on behalf of an exhibitor under the age of 21. If the exhibitor is under 21, I am one of the parents of such minor or the duly appointed legal guardian of such minor, and as such entitled to make this entry for and on behalf of such minor. Signature of parent or guardian___________________________________________________________ Signature of rider______________________________________________________________________
Address:_____________________________City: _______________State:__________Zip:___________ Phone#'s:____________________________________________________________________________ Email Address: _______________________________________________________________________ |
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