Los Vallecitos Riders
April 2, July 30, August 13, September 10, October 22, 2006
Walnut Grove Park, San Marcos
 
2006 LVR Gymkhana Entry Form
 
ENTRY NUMBER(                 )
CHECK NUMBER (              )
CASH(         ) OPEN(         )
PAID (              )
AMT (              )
 
Show Manager: Scott Martins at 760.518.1319 or sarandsco@netzero.net
Time: Show start 9:00 am
Entry Fees: $4.99 per class for members & non-members.
Grounds Fee: $5.00.
 

CLASS

NAME OF HORSE

RIDER

NAME OF OWNER

FEE

         
         
          
         
         
         
         
         
         
         
 
GROUNDS FEE
$5.00
   
TOTAL
 
In consideration of the acceptance of the foregoing entry, it is understood and agreed that I/we are aware of the risks and exposures to personal injury involved through horsemanship activities, and I hereby release the Los Vallecitos Riders, and the officers and members thereof, and each of them, from all and every claim for damages which may accrue to me or horse at any time hereafter, in favor of myself, my heirs, representatives of dependents, against said Association, it's officers and members, or any of them, by reason of any injury, loss or damage which may be suffered by me or them because of any matter, thing, or condition, negligence, or default whatsoever, and I hereby assume and accept the full risk and danger of any hurt , injury or damage which may occur through or by reason of any matter, thing, condition, negligence, or default, and/or any person or persons whatsoever, in the exhibitions, sports, contests and parades, or any of them, held or given by or under the direction of said Association. 
 
 
________________________________________ __________________
Signature of Rider, Parent/Guardian Date
 

ENTRY BLANK OF MINORS MUST BE SIGNED BY PARENT OF GUARDIAN

All fees must accompany entry.

 


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