Number of classes x $7.00 = $__________Class # 38 =$10.00_____(+ Post Entry fee if applicable)=$_____________
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: Valarie Pederson 21 Grange Road 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
9th,2010 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..
