Entry Form  Looking Glass Farm Schooling Jumper Show
Please print and bring with you. Fill out a separate entry for each horse and rider combination. Pre-entry is not required. 

Date of Show

  Horse's Name*
Rider's Name*
Rider's Age*  if under 18 
Rider's Address
Rider's City, State, Zip
Rider's Phone
Rider's E-mail
Owner's Name
Farm Name*
Trainer's Name*

Classes Entered
# Reg Classes

@ $12.00
# Stake Classes

@ $17.00
$350 Stake Classes

@ $35.00
Total Entry Fee

* Required information for Year End Award consideration

RELEASE: I understand that this is a high risk sport and am participating at my own risk. I hereby assume this risk and further do hereby release and hold harmless, Looking Glass Farm, Inc., the judges, officials, employees, volunteers and owner's of any property on which the show is to be held, from all liability for negligence resulting in accidents, damage, injury or illness to myself and to my property, including the horse or horses which I will compete at this show.

Rider's Signature:
PARENT OR GUARDIAN MUST SIGN IF COMPETITOR IS UNDER 18.

 

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