| Print out and fill in all information! |
| Mail form to: NWRDC PeeWee Gymkhana c/o Sandy Hatin 8 Stable Road Fairfax, VT 05454 802-524-3261 |
| Games and Dates May 19: Keyhole Lost Animals Barrel Race Egg Drop Pole Bending June 9: Barrel Race Scooby Doo Key Hole Balls In Bucket Pole Bending June 30: Pole Bending Teddy Bear Drop Flag Race Pony Express Key Hole |
| August 11: Key Hole Lost Animals Barrel Race Teddy Bear Drop Pole Bending Sept 15: Keyhole Balls In Bucket Barrel Race Flag Race Hoof & Hop Parents Surprise |
| Peewee Gymkhana Entry Form for 2007 #____________ Date_____/_____/_____ Classes entered: 1._________________________________4._______________________________ 2._________________________________5._______________________________ 3._________________________________6._______________________________ Rider's Name:_______________________________ Horse's Name:_______________________________ Division: Leadline ___ Non Leadline ___ Signature of Parent or Guardian:___________________________________ Signature of Horse Owner:________________________________________ Address of Rider:________________________________________________ ______________________________________________________________ Phone # of Rider:________________________________________________ Starting time is at 8:30 am. 2007 Negative Coggins is required. Pre enter a week before the gymkhana is strongly encouraged. MEMBERS: $3 per class Non Members: $4 per class. Post entry fee of $5 will be charged for the day. There will be a $1 fee per rider for club maintanence. Send form to or call: Sandy Hatin 8 Stable Road, Apt 201, Fairfax, VT 05455 or (802)542-3261. All entries are accepted with the understanding the NWRDC will not be held responsible for any loss, damage or injury to any horse or article of any kind. All horses shall be underthe 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 occassioned by them, their agents or employees or by any animal owned or exhibited by them shall identify the the NWRDC committee against any and 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. |