Entry Form - MC Equestrian

Transcription

Entry Form - MC Equestrian
Teesdale Stables, MC Equestrian, Paramount Equestrian
Novice Rider’s Development Circuit
MC Equestrian Centre Tournament
June 27, 2015
Riders Name: __________________________________________________________________________
Address: __________________________________________________City/Town:__________________
Postal Code:_____________________________ Phone Number: ________________________________
Email: __________________________________ Horse Name: __________________________________
Name of Riding Stable: _________________________ Trainer Name: ___________________________
Please circle classes entered (Maximum 5 classes, One Division only per rider)
Division A 10 years & Under Division
9:00am
1
X - Rail Hunter
2
X - Rail Hunter
3
Walk / Trot Equitation 10 year & under
or (one Equitation Class only)
4
5
6
Division B
7
8
9
10
11
Division C
12
13
14
15
16
Division D
17
18
19
20
21
Division E
22
23
24
25
26
Walk / Trot / Canter Equitation 10 & under
18" Hunter
18" Hunter
X-Rail and 18” Open Division (all ages)
X - Rail Hunter
X - Rail Hunter
18" Hunter
18" Hunter
Walk / Trot / Canter Equitation
18” and 2’0” Open Division (all ages)
18" Hunter
18" Hunter
2’0” Hunter
2’0” Hunter
Walk / Trot / Canter Equitation
2’0” and 2’3” Open Division (all ages)
2’0" Hunter
2’0" Hunter
2'3" Hunter
2'3" Hunter
Walk / Trot / Canter Equitation
2’3” and 2’6” Open Division (all ages)
2’3" Hunter
2’3" Hunter
2'6" Hunter
2'6" Hunter
Walk / Trot / Canter Equitation
Prizes and Tournament Features:
A $20 Equi-Products gift certificate will be awarded to a
participant of each over-fences class. The winner will be
drawn from all participants in that class.
Prizes will be awarded to 8th place in each flat class.
No. of Classes__________ x $20.00 = $ ________
Administration Fee $ 20.00
Paramedic Fee
$ 20.00
G.S.T.@ 5%
$ ________
TOTAL
$ ________
Please charge my VISA MASTERCARD card (circle one)
Name of Cardholder_______________________________
Card #_______________________________
Exp. Date ___________
Faxed entry accepted with Credit Card
Fax # (403) 851-1397
or Cheque Payable to: MC Equestrian Centre.
For further information contact:
Hannah Friedenberg, 403 932 3341
Email: [email protected]
I hereby certify that neither MC Equestrian Centre(a div. of CKR Farms Ltd.), nor the organizing committee, or owners of MC Equestrian Centre(a div. of CKR Farms
Ltd.), nor any of their staff or agents shall be in any way liable for any accident, injury, damage, loss or for any other matter that may happen from any cause or
circumstance whatsoever, to exhibitors, competitors or members or their agents or to anyone on the tournament grounds or to any animal or article exhibited or to any
property brought on the tournament grounds or for any other loss, claim, matter, circumstance or event whatever in connection with or arising out of, or attributable to their
tournament or any journey to or from the tournament. It is to be understood and agreed that under no circumstances shall MC Equestrian Centre(a div. of CKR Farms
Ltd.), its owners, agents, or employees negligence, and you agree to indemnify and save harmless MC Equestrian Centre(a div. of CKR Farms Ltd.), its owners, agents
and employees from and against any and all liability arising out of such loss, damages, claims or costs.
Date: _____________________ Signature:__________________________
if rider is under the age of 18 years, this form must be signed by a parent or legal guardian
(Trainer signature is not valid)