ENTRY FORM
Spring Flowers/Britannia Farm
NUMBER (office use only)
Checks payable to : June 2-3, 2018 Britannia Farm Entries received after 6pm Thursday will pay $25 late fee. 2501 South Mason Road, #100 Mail or fax to 281-578-6651 before 6pm Thursday or Katy, TX 77450 Email entries to : moentries@yahoo.com NAME OF HORSE OWNER
Hunter Day $15 Discount (includes stall, office fee & 1 division) Hunter Weekend $15 Discount (includes stall, office fee, 1 div ea day) Overnight Hunter $15 Discount (includes stall, office fee, I division) Jumper Day $15 Discount (includes stall, office fee & 1 division) Jumper Weekend $15 Discount (includes stall, office fee, 1 div ea day) Overnight Jumper $15 Discount (includes stall, office fee, I division)
Name
Address COGGINS Acc # City, State, Zip DATE
LAB GHHJA #
Phone
Horse GHHJA # Email
RIDER 1
Name
Age
RIDER 2
Name
Address
Address
City, State, Zip
City, State, Zip
GHHJA #
Phone#
SAT SUN
GHHJA #
Age
DAY STALLS @ $45/day _____ STALLS @ $70 DAY STALLS @ $45/day NON-SHOWING FEE @$40/day ______GROUND FEE @$45/day CAMPER FEE @$45/day OFFICE FEE @$15 per entry/per day GHHJA N/M FEE @$12 CLASS FEES LATE FEE @$25 after Thursday Notice: Stalls will not be held unless check accompanies entr TOTAL Print Trainers name
Phone#
Email MARK DIVISIONS ENTERED FOR EACH DAY walk Pre Grn GSEC Limit PrGrn Jr/Ad trot Beg Beg Grass Nov Hntr Pony Hntr Hntr Hntr
ENTRY FEES
$15
Trainer's Signature
Where a minor exhibitor has no trainer, parent, or guardian must sign and assume responsibility
Trainer's GHHJA #
PLEASE STABLE WITH:
Exhibitor Signature : (Must be signed by exhibitor, owner, or his agent)
Low N Pro Open Sch Jr/Ad Sch GSEC Open ItyBty L/S Hntr Hntr Hntr Hntr Jmpr Jmpr Jmpr Jmpr Jmpr Stirrup
Warm Up Classes
EQ CLASSES
THIS ENTRY IS AN AGREEMENT THAT THE PERSON ENTERED, ALONG WITH THE OWNER, LESSEES, TRAINER, MANAGER, COACH AND HORSE: (1) THAT EVERY HORSE AND RIDER IS ELIGIBLE AS ENTERED: (2) THAT THE ENTERED AND ANY OF HIS/HER REPRESENTATIVES WILL AGREE TO THE FINAL DECISIONS MADE BY THE MANAGEMENT AND HOLD THE COMPETITION OF THE GHHJA, PAULINE COOK, ROB MOYAR, GREAT SOUTHWEST EQUESTRIAN CENTER L.P., THEIR OFFICIALS, THE MANAGEMENT EMPLOYEES AND AGENTS HARMLESS FOR ANY INJURY OR LOSS SUFFERED DURING OR IN CONJUNCTION WITH THE COMP. WHETHER OR NOT SUCH INJURY OR LOSS RESULTS IN THEM DIRECTLY OR INDIRECTLY, FROM THE NEGLIGENT ACTS OR OMISSIONS OF SAID OFFICIALS, EMPLOYEES, AGENTS, THE MANAGEMENT, GHHJA, GREAT SOUTHWEST EQUESTRIAN CENTER L.P., PAULINE COOK, ROB MOYAR. WARNING, UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTIVE AND REMEDIES CODE) A FARM ANIMAL, PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN FARM ANIMAL ACTIVITIES RESULTING FROM THE INHERENT RISKS OF FARM ANIMAL ACTIVITIES. PERMISSION FOR MINOR TO SHOW:MUST be signed if rider is under 18 years of age. Numbers will not be issued until this form is signed! I hereby consent to the entry of my child___________________________________________________in this show and certify that I have read the foregoing representations and statement, and that I hereby agree and accept responsibility there under for the participation of said minor. Signature of Parent/Guardian/Trainer (Rider 1)
Signature of Parent/Guardian/Trainer (Rider 2)
EMERGENCY CONTACT/PHONE#