OPEN GYMKHANAS El Equestrian Center 4449 Carbon Canyon Rd, Brea 92823 CA 2013 Official Entry Form

Dates: Last Saturdays of the month: May 25th, June 29th, July 27th, Aug 31st, Sept 28th, Oct 26th ~ 9:00 AM

ENTRY NO. Age as of 04/01/13: _____ NO. CLASS DIVISION ENTER 1 OPEN RIDER’S NAME: ______2 Barrel Racing PEEWEE (3-6) ADDRESS: ______3 Barrel Racing JUNIORS (7-12) 4 Barrel Racing SENIORS (13-17) CITY: ______State: ____ ZIP: ______5 Barrel Racing MASTERS (18+)

PHONE: ______EMAIL: ______6 OPEN 7 Pole Bending PEEWEE (3-6) ’S NAME: ______AGE: _____ 8 Pole Bending JUNIORS (7-12) OWNER: ______TRAINER: ______9 Pole Bending SENIORS (13-17) 10 Pole Bending MASTERS (18+) RELEASE & HOLD HARMLESS STATEMENT The undersigned agrees to hereby release, hold harmless and forever 11 Big T OPEN discharge El Rodeo Equestrian Center, the County of Orange, the City of 12 Big T PEEWEE (3-6) Brea and their respective volunteers, employees, officials, officers, members, and associates (collectively “Releasees”) from any and all 13 Big T JUNIORS (7-12) claims, damages, causes of action, liability, injuries to persons, animals or property, loss or accident of any kind whatsoever arising from or 14 Big T SENIORS (13-17) related to the Show Event. By signing below the undersigned 15 Big T MASTERS (18+) acknowledges that horseback riding is an inherently dangerous activity

and that the Releasees make no representations or warranties whatsoever concerning the safety or security of the Show Event. Riders 16 Hurry Scurry OPEN will participate in the Show Event at their own risk. All riders are 17 Hurry Scurry PEEWEE (3-6) responsible for their own personal safety and the safety of their animals, property and belongings. Riders are urged to use caution when entering, 18 Hurry Scurry JUNIORS (7-12) participating in and exiting the Show Event 19 Hurry Scurry SENIORS (13-17) ______20 Hurry Scurry MASTERS (18+)

Signature of Rider or Parent/Legal Guardian 21 Key Hole OPEN 22 Key Hole PEEWEE (3-6) ______23 Key Hole JUNIORS (7-12) Date Minor’s Date of Birth 24 Key Hole SENIORS (13-17) SHOW FEES 25 Key Hole MASTERS (18+)

$10/Class including Warm-Up X = ______26 Mystery* OPEN ($7.50/Class Pre-Entry) 27 Mystery* PEEWEE (3-6) $50/All Classes or $45 with Pre-Entry 28 Mystery* JUNIORS (7-12)

Membership Fee (or proof of Membership) ______29 Mystery* SENIORS (13-17) ($35/year/individual) 30 Mystery* MASTERS (18+)

TOTAL SHOW COST: $ 2013 Show Judge: Kathy Page & Announcer: Bob Kelly Event Coordinator: Mary Rose Anderson (714) 721-2220 Show Secretary: Katie Stricklin (714) 904-9410 Daily High Point and Reserve High Point Prizes Check #: ______Cash: ______Rules: A helmet is required for riders under the age of 18 years; riders must be a member and attend 4 out of 6 shows to qualify towards Year Please make Checks payable to: Brooke’s Enterprises End Awards. *ALL CLASSES EXCEPT MYSERTY COURSE COUNT Mail to: El Rodeo Equestrian Center TOWARDS YEAR END AWARDS. *Mystery Course will count towards Daily High Point and will be used for daily tie breakers. *Mystery Course 4449 Carbon Canyon Rd, Brea CA 92823 may be one of any of the following: Speed Barrels, Pole Bending 1, Returned check results in a $25 charge and loss of points until repaid. If not repaid within 10 days of notification your Single Stake, Skill Barrels, Figure 8 Stake, , and Scramble Barrels. points will not count for that show. NO EXCEPTIONS. “Cash Only” if any check is returned by your bank.