Horses Registerd Name for Equistat

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Presentation transcript:

Horses Registerd Name for Equistat Address: ______________________ City: ______________ State: _____ Zip Code: _____ Phone: __________ BBR#: __________WPRA#:_________ SS#: __________________(for tax purposes) PLEASE WRITE LEGIBLY! THX  2018 Entry Form December 1st Horses Registerd Name for Equistat $45 Open $35 Youth $20 Adult $20 Senior $45 Derby 5D Open 4D Youth 18 and Under Office Fee Included 80% Payback 3D Adult 19 - 49 3D Senior 49 and Over Carry Over Incentives Only 80% Payback 2D Derby (See Rules) BUYBACKS AVAILABLE FOR ANY REASON ALL RUNS COUNT Saturday Add Columns for Saturday Add columns Entries Saturday 10:30___ 11___ 11:30___ 12___ 12:30___ =_____+ Exh’s Saturday $5 Exhibitions Stalls $25 daily x __= ___ RV $35 nightly x __=___ Total _____ Other _____ Stalls/RV’s & Other Fees Total ______________________________________ __________________ Signature (Guardian if under 18 yrs Date Under Texas Law, (Chapter 87, Civil Practice and Liberties Code), an equine professional is not liable for injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities. In submitting my entry, I herby release the show coordinators, or agent of the same, form any claim or right for damages, which may occur to me or my horse at this show or transit.