MWVHSC 2009 Entry Form
Show Date ____________________________
Use ONE form per Horse/Pony PER Show  --  Use one box PER CLASS
Horse                                Rider                                        Age
               
               
               
               
Every entry at this show shall constitute an agreement and affirmation
that all participants (which include without limitation, the owner, lessee,
trainer, manager, agent, coach, driver, rider, handler and the horse)
agree that they participate voluntarily in the competition fully aware that
horse sports and the competitiion involve inherent dangerous risk of
serious injury or death, and by participating they expressly assume any
and all risks of injury or loss, and they agree to indemnify and hold the
Lancaster  Fair Association, The Mt. Washington Valley Horse Show
Circuit, their Officials, Directors, Employees, Vendors and Agents
harmless from and against all claims including for any injury or loss
suffeered during or in connection with the competition, whether or not
such claim, injury or loss resulted, directly or indirectly, from the
negligent acts or omissions of said Officials, Directors, Employees,
Vendors or Agents of the Lancaster Fair Association or the Mt.
Washington Valley Horse Show.  By signing this entry form I further agree
that I have read the rules and specifications; that I have represented
every hore, rider, driver and handler as eligible as entered.
The person signing for a minor exhibitor hereby consents to the entry of
the child in this horse show and and agrees to the applicable terms,
conditions, waivers and consent as set forth herein, and accepts
responsibility hereunder for the participation of said minor child.
Exhibitors are responsible for all returned check fees and bank fees.
Regular $7.00  Championships $10.00
__________________________________________________
Exhibitor Signature      (Adult must sign for minor child)

__________________________________________________
Print Name  of Exhibitor (Rider)

__________________________________________________
Mailing Address

__________________________________________________
Email                                                Telephone
Send Entry Form and Entry Fees to
MWVHSC
27 Lancaster Rd.
Gorham, NH 03581
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Exhibitors  DO NOT FILL IN THIS
SECTION!

Trophy Fund                                      $        2.00
Post Entry Fee                                   $        8.00

Pre-entered Total                             $________

Pre-Paid                                             $________

Balance                                              $________

Added Classes                                  $________

Balance                                              $________

Scratched Classes*  (
See Rules)      $________

Balance                                              $________

How Paid    Check# ______  Cash ______

Day Stall (September 4th)  
$10.00 per stall       ____stall(s)        $_______
Stall fees must be paid when
submitting the entries for the
September 4th show.
Returned check fee:  $30.00 + bank fees