4D |
|
Barrel Race |
LUCK
OF THE IRISH CLASSIC |
PRE - ENTRY FORM |
Name: _______________________________________ SS #_____________________ |
Horse:______________________________________ |
@$25 = _____________ |
If Postmarked after February 27th
add $10.00 Late Fee |
=$ _____________ |
Mail entries before February 27th
to avoid $10 late fee. Make check payable to: "Circle “C” Riding Club" Mail to: Circle “C” Riding Club 2650 Fairview Road SW Camden, AR 71701 |
Event Schedule: Books Open 9:00 am Exhibition Starts 10:00 am Exhibition limited to first 100 entries Barrel run starts at 12:30 pm Books will close 1:30 pm |
Contact Information:
Jeff Edmonson –-870-786-5151 days Mary McNeely – (870) 725-3169 nights |
SPONSORED
BY: |
I agree as a contestant, parent/guardian
to release Circle C Riding Club, any sponsors of any and all liability of
responsibility for injury or accident, theft or loss of equipment by the
contestant or any one associated with a contestant. I elect to participate
at my own risk. If participant is a minor, entry must be signed by parent
or guardian.
Signature_________________________________________ Date_______________ |