Professional Documents
Culture Documents
2013 Challenge Entry
2013 Challenge Entry
Horse __________________________________ Rider __________________________________ Address ________________________________ City ______________ State ___ Zip ______ Phone _________________________________ Emergency Contact _______________________ Division for Trail Challenge { } Greenhorn(Horse 4 & Under or Rider) { } Tenderfoot (17 yrs and younger) { } Saddle Bags (18 50 yrs of age) { } Over-The-Hill (51 101 yrs of age) { } Open
* * * * ENTRY FEES * * * * Member / Non Member Office fee $3 / $5 $____ Per Division $15 / $20 x___ $____ Cowboy Race $25 $____ In-Hand $10 $____ Open Course $5 for 15 minutes $____ $20 for unlimited $____ TOTAL AMOUNT DUE $____
RELEASE OF LIABILITY: Every entry at a recognized show shall constitute an agreement and affirmation that the person making it lessee, trainer, manager, agent, coach, driver, rider and horse:(1) shall be subject to the constitution and rules of the association and the local rules of the show: (2) that every horse, rider, and/or driver is eligible as entered: (3) that the owner and any representative are bound by the constitution and rules of the KSC and the show and will accept as final the decision of the hearing committee on any question arising under said rules and agree to hold the show, their officials., directors and the employee harmless for any action taken: (4) that the owner, rider/driver and any of their agents or representatives acknowledge that they participate voluntarily in the show fully aware that horse sports and the show involve inherent dangerous risks, and by participating they assume any and all risks of injury or loss, and they agree to hold the show and their officials, directors, employees or agents harmless for any injury or loss suffered during or in connection with the competition, Whether or not such injury or loss resulted, directly, or indirectly, from the negligent acts or omissions of said officials, directors, employees or agents of the show. The construction of applications of KSC rules is governed by the laws of the State of Washington. The undersigned releases the Kitsap Saddle Club and all others working in connection with this show from all liabilities of any kind or character for loss, damaged or injury to horses of riders and/or handlers or other said owners may have on the grounds. No Refunds: $35 fee for NSF checks. Office fees for pre-entries are non-refundable for no shows. All outstanding fees must be paid in full to participate at club functions and events. RIDER/HANDLER NAME/SIGNATURE: __________________________________________________ DATE: _________________ HORSE OWNER NAME/SIGNATURE: ___________________________________________________ DATE: _________________ PARENT/GUARDIAN NAME/SIGNATURE: _______________________________________________ DATE: _________________ WHERE DID YOU HEAR ABOUT THIS EVENT? (Please circle) Facebook? KSC? Friend? Other? ___________