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Name of Horse or Pony |
Class Numbers |
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Owner Information |
Rider Information |
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Name |
Name |
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Address |
Address |
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City |
City |
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State & Zip |
State & Zip |
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Trainer |
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FEES: Make checks payable to WTHJA |
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Email address (if you would like to receive |
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DIVISION |
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$40.00 |
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prize lists and other announcements): |
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INDIVIDUAL CLASS |
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$15.00 |
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SCHOOLING FEE (PER HORSE) |
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$15.00 |
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NON-SHOWING HORSE FEE - $10.00 |
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MEDIC FEE (PER RIDER) - $5.00 |
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GROUNDS FEE (NON-STABLED) - $25.00 |
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FOR MORE INFORMATION & STALL RESERVATIONS: |
#________STALLS @ $60.00 |
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ANN FORD UPSHAW (901) 497-9874 |
#________TACK STALLS @ $60.00 |
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OR EMAIL:AFU@BELLSOUTH.NET |
#________SHAVINGS @ $6.00 |
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#________T-SHIRTS @ $15.00 |
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Warning: Under Tennessee Law, an equine
professional is not liable for an injury to or the death of a
participant in equine activities resulting from |
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the inherent risks of equine activities, pursuant to TCA, Title 33,
Chapter 20. |
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Signing and presenting this form shall be deemed acceptance of the above
terms and agreement to comply with the rules and regulations listed in |
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the prize list and on this entry form. |
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Signature of
Exhibitor/Guardian:
Date: |
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