Number of classes x $7.00 = $__________(+ Post Entry fee if applicable)=$_____________
Please print clearly:
Horses
Name:____________________ Rider Name:_________________Age:___
Owner's Name: ___________________ Town:___________________________
Please Read before signing:
I fully understand the inherent dangers to
myself, my minor child, my horse and my possessions while engaged in any equine activity. I further agree to hold harmless:
the White Mountain Riding Club, The WMRC Horse Show Committee, The Lancaster Fair Association, their Directors, Officials,
Sponsors, Members and Volunteers while attending or competting in this horse show; in the event of injury, damage, loss or
death to myself, my minor child, my horse and my possesions. I agree that I have entered the above with a thorough understanding
of the rules of this show. My signature of this form is proof of my acceptance of the rules and regulations of this show and
the understanding of the above.
Signature of Competitor, Parent or Legal Guardian:
________________________________________________
Send
Entries to: Penelope A.W.Noyes 14 Summer Street Apt.1B Lancaster,N.H. 03584
Checks made payable
to WMRC
To avoid post entry fee of $5.00 per horse, your entries must be postmarked by June 11th,2011
no later.
Entry fees need not accompany entry form, however a signed blank check must be left with the secretary
prior to recieving your show numbers also copies of Rabies shots and Coggins test for out of state horse.ponies,or minis
must be mailed in with entries or brought to the show if post entering..
