Thursday Morning Horse Show 2003

BUCKS COUNTY HORSE PARK Fall Jumper Classic October 5, 2008 # NAME OF HORSE bREED COLOR AGE SE X

NAME OF RIDER BCHP Number Rider BIRTH DATE ______/______/______ADDRESS CITY STATE ZIP CODE

PHONE E-MAIL

classes

Divisions and Prix entered

Release: I understand that horse sports may be hazardous and dangerous, even leading to permanent injury TOTAL $ ______or death, and I assume any and all risk of loss or injury to myself, my animals and equipment, other animals or persons. and agree to release from liabilityand to hold harmless, regardless of negligent acts or omissions, the Paid Cash ______Bucks County Horse Park, its Trustees and Officers, the landowners, organizers, show committee, all horse Paid check ______bchpshow personnel, and volunteers.

Signature of competitor ______# ______Signature of parent/guardian ______Blank Check ______

(if competitor is under 18) Name ______Coggins ______

Bucks county horse park Fall Jumper Classic October 5, 2008 # NAME OF HORSE bREED COLOR AGE SE X

NAME OF RIDER BCHP Number Rider BIRTH DATE ______/______/______ADDRESS CITY STATE ZIP CODE

PHONE E-MAIL

classes

Divisions and Prix entered

Release: I understand that horse sports may be hazardous and dangerous, even leading to permanent injury TOTAL $ ______or death, and I assume any and all risk of loss or injury to myself, my animals and equipment,other animals or persons. and agree to release from liability and to hold harmless, regardless of negligent acts or omissions, the Paid Cash ______Bucks County Horse Park, its Trustees and Officers, the landowners, organizers, show committee, all horse Paid check ______bchpshow personnel, and volunteers.

Signature of competitor ______# ______Signature of parent/guardian ______Blank Check ______

(if competitor is under 18) Name ______Coggins ______