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NorthWestern Riding & Driving Club - Gymkhana Entry Form for 2009 - 10 AM |
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Please check back after March 1, 2009 for games and dates |
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Please send all
Pre-Registrations to:
Tracy Webb
2069 Highgate Road
St. Albans, VT 05478 |
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Fees for EACH Date:
Members: $25 (Pre-register $20)
Non-Members: $30 (Pre-register $25)
Family Discounts for Members only:
Family of 3: $50 / Four or More: $60 |
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| Coggins papers to be checked upon arriving on the day of the game. Coggins OK?___________________ |
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Entering for ALL Games on ALL Dates! ___________ |
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Division: __________________________________________
Rider's Name: ______________________________________
Horse's Name: _____________________________________
Signature of Guardian: _______________________________ |
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All entries are accepted with the understanding that NWRDC will not be held resposible for any loss, damage or injury to any horse exhibited or any article of any kind. All horses shall be under the control and direction of the Gymkhana Committee, but solely at the risk of the rider, who shall be responsible for any loss, damage or injury to any person, animal or property occasioned by them, their agent or employees or by any animal owned or exhibited by them, shall identify the NWRDC Committee against any or all loss, damage and liability thereof. The submission of any entry form to the Gymkhana shall constitute an acceptance by each person signing same, of the provisions herein set forth.
Please Complete the following, in full:
Signature of Rider: ________________________________
Address: ________________________________________
Phone #: ________________________________________
Emergency Contact: _______________________________
Note : $1.00 of the entry fee will go toward club maintenance. |
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Please print out form. (Click "OFF" the Yahoo ads on the right side of the page, before printing!)
Fill in ALL information and mail to the requested address.
Please do not send money. Pay at the Games. |
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Gymkhana Page |
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Home Page |
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