Pass Creek Fall Fair and Horse Show - Sept 22nd and 23rd 2007

Entry Form for Light Horse Classes

PASS CREEK FALL FAIR – SEPTEMBER 19th, 20th, 21st 2008

Please print clearly:
Rider _______________________________ Horse _______________________________
Address _________________________________________________________________
Postal Code __________________________Phone _______________________________
Age (as of Jan 1, 2008)________________ (Child)______________ (Junior)_______________
HCBC Number_____________
Dressage, Flat, Jumper, Hunter, Western Games - $5 per class
Stake Classes - $15 per class
Stall Fee - $6 per night
Stall Deposit - $25 (Separate cheques please)
Administration Fee - $5 per horse
Stall Required: Friday ________ Saturday ________ Sunday ________

Classes Entered

Stall Fee:              $__________
Class Fee:             $__________
Administration Fee $__________
Insurance Fee:       $__________  (If not a HCBC Member include $40 senior, $30 child or junior)
Total                    $__________

WAVER: I hereby agree that the Pass Creek Exhibition Society will not be held responsible for any damages, injury, loss, or accident which may occur during these activities. I make this entry at my own risk and subject to the rules of this show, and I agree to be bound thereby.

Signature of Rider…………………………………………………………………………………………………………………………………………

Signature of parent (if rider is under 18 years of age)………………………………………………………………………………

Date Signed…………………………………………………

Office use only: Received: $…………………………