Bluegrass Live Original Finish Model Horse Show Entry Form

 

 

NAME:   ______________________________________________________________________________________

 

ADDRESS:   ___________________________________________________________________________________

 

CITY: __________________________________________________ STATE: _______ ZIP: _______________

 

PHONE:   _____________________________________________________________________________________

 

EMAIL: _____________________________________________________________________________________

 

INITIALS TO BE USED IN THE RESULTS: _________

 

Best Way To Contact You:   ______________________________________________

 

1 Extra Chair Needed: Yes _____ No ______   (Each entry will get 1 chair with their table)

 

Donation Fee $40.00 (to enter show and offset cost of ribbons and food) $______________

 

Raffle Tickets (Optional - See show packet):

   $1.00 each $__________

   $5.00 for 6 tickets $________________

   $10.00 for 12 tickets $_______________

   $15.00 for 18 tickets $_______________

   $20.00 for 24 tickets $_______________

 

Voluntary Monetary donation to Old Friends   $_________________________

******     No money to be exchanged hands on the day of the show or on the library's premises.       ******

Entries can be mailed (and check made out if applicable) to:

Brenda Suiter, 168 Lois Lane, Nicholasville, KY   40356

PayPal: brenda_g1959@yahoo.com (friends & family only please so fees are not taken out)

 

Total Amount Sent: $______________

 

Release of Liability: I am entering this show voluntarily. By entering   Bluegrass Live Original Finish Model Horse Show, I understand that I release the show holder, the show hall and any show officials from liability for any losses, stolen or damaged property or personal injury that occurs in conjunction with this event.

Code Of Conduct: By entering Bluegrass Live Original Finish Model Horse Show, I understand that I am agreeing to adhere to the code of conduct. I agree to follow all show rules, follow instructions of the show holder and the judges, and to hold responsibility for any and all of my actions and the actions of any guests I choose to bring with me. I have read the show packet and agree to all rules within.

 

Signature of Shower: ______________________________________________

 

Date: ________________________________

 

Please Seat Me Next To (if possible):   ____________________________________________________

 

If entrant is under 18, parent or legal guardian must sign here: _______________________________________________