HOC Driving Fun Show Entry Form
RIDER’S NAME__________________________________________________
ADDRESS_______________________________________________________
CITY________________________________ ZIPCODE________________
PHONE_____________________
4-H CLUB________________________
4-H PERM.
#___________ HORSE’S
NAME__________________________
LEVEL:
Junior Intermediate Senior Open
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Classes_____ X$2.00=_______
Haul-In Fee $10.00
KC Leader’s Fee $5.00
TOTAL
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I have read and agreed to follow the rules for 4-H
Performance Horse and this show and I confirm that all information provided
on this form is accurate. RELEASE: Neither the show committee nor the leaders,
officers or members of Horses of Courses 4-H Club or Double B Farms shall
be held liable for any accident, injury or loss of any kind to any
exhibitor, spectator, animal or property. Presentation of this entry is
considered acceptance of these rules.
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_______________________________________ Rider’s Signature
Parent or Guardian’s Signature
Mail/Phone Entries to:
Suzette Stewart
(360)825-0769
19125 SE 400th St
Enumclaw, WA 98022