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ENTRY FORM
Show Date:___________________________
Horses Name:_________________________
Rider:________________________________
Address:________________________________________________________________________
Phone:______________________________
Email:_______________________________
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Class # |
Class Description |
Fee |
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Stabling |
Bedding included, stall available starting at 2pm on Fridays |
$50 |
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Haul-in |
Fee for all non-stabled horses |
$15 |
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Office Fee |
Required for each horse/rider combination |
$15 |
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EMT Fee |
Required for each horse/rider combination |
$5 |
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Non showing |
Fee for a non-competing horse |
$25 |
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Late Fee |
Per class if entering after closing date |
$15 |
Total Fees_____________________
COPY OF NEGATIVE COGGINS TEST REQUIRED WITH ENTRY
MICHIGAN LIABILITY
I understand that entering this show, coming on the
grounds, and participating in this show are equine activities under the
Michigan Equine Activity Liability Act. Under the Michigan Equine
Activity Liability Act, an equine professional is not liable for an injury to
or the death of a participant in an equine activity resulting from an inherent
risk of the equine activity.
SHOW WAIVER AND ASSUMPTION OF
RISK
I understand that by signing this entry I agree to
assume all risks of injury or property damage that may occur at this
show. I understand that entering this show, coming on the grounds, and
participating in this show are equine activities under the Michigan Equine
Limited Liability Act. I agree to waive all claims against the farm
(Willowbrooke Farm), its owners , the show management (Sherry Nelson and S.
Nelson Dressage), and its employees and volunteers for any injury to myself,
attendants, or horses that arise from participating at this show. I
further agree to waive all claims for property damage that arise from
participating at this show. I agree to be bound by the rules under which
these shows are conducted.
BY SIGNING BELOW, I AGREE to be bound by all terms and
provisions of this entry:
Rider/Handler (mandatory)
Signature:________________________
Print Name:________________________
Owner/Agent (mandatory)
Signature:________________________
Print Name:________________________
Trainer (mandatory)
Signature:________________________
Print Name:________________________
Parent/Guardian (required if rider/handler is a
minor-under 18 yrs old)
Signature:________________________
Print Name:________________________
Emergency Contact Person___________________Phone:
_________________________
Send entries to:: Sherry Nelson, PO
Box 26, Bridgewater, MI 48115
***Make Checks payable to Sherry Nelson, not SNelson Dressage***
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Show Forms
