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Proof of Current Negative Coggins Is Required

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Proof of Current Negative Coggins Is Required ENTRY FORM AND CLASS SHEET 9th ANNUAL SOUTHWEST RANCHES HOLIDAY FUN HORSE SHOW Sunshine Ranches Equestrian Park 5840 Volunteer Road, Southwest Ranches, Florida 33330 (954) 434-0008 SATURDAY, DECEMBER 7, 2019 Registration at 8:00 am; show begins at 9:00 am Must be 18 years of age or younger. Classes may be canceled if less than 2 entries. Neat schooling attire or show clothes acceptable. PLEASE SECURE LONG HAIR FOR VISIBILITY OF SHOW NUMBERS! Safety helmets required for all riders. CIRCLE CLASSES YOU ARE ENTERING* (LIMIT 15 PER CLASS) ENGLISH CLASSES 1. English / Hunter Mares & Geldings Halter **30-MINUTE LUNCH BREAK** 10 and under Walk/Trot Division 2. 10 and under, Walk/Trot Equitation On the Flat LEAD LINE CLASS 3. 10 and under, Walk/Trot Hunter On the Flat 23. Leadline Walk (open to English and Western riders) 4. 10 and under, Walk/Trot Over a Pole WESTERN CLASSES 11 and under CROSS RAILS Division (6” X-RAILS) 24. Western / Stock Type Mares & Geldings Halter 5. 11 and under, Walk/Trot Equitation On the Flat 25. 11 and under, Western Pleasure 6. 11 and under, Walk/Trot Hunter On the Flat 26. 11 and under, Western Equitation 7. 11 and under, Cross Rails Equitation Over Fences 27. 12 and over, Western Pleasure 8. 11 and under, Cross Rails Hunter Over Fences 28. 12 and over, Western Equitation 12 and over CROSS RAILS Division (6” X-RAILS) JUST FOR FUN 9. 12 and over, Walk/Trot Equitation On the Flat 29. Judges’ Choice 10. 12 and over, Walk/Trot Hunter On the Flat 11. 12 and over, Cross Rails Equitation Over Fences SPEED CLASSES 12. 12 and over, Cross Rails Hunter Over Fences 30. 11 and under, Barrel Race 31. 12 and over, Barrel Race 11 and under - SHORT STIRRUPS Division (1' fences) 32. 11 and under, Potato Race 13. 11 and under, Short Stirrups Equitation On the Flat 33. 12 and over, Potato Race 14. 11 and under, Short Stirrups Hunter On the Flat 34. 11 and under, Pole Bending 15. 11 and under, Short Stirrups Equitation Over Fences 35. 12 and over, Pole Bending 16. 11 and under, Short Stirrups Hunter Over Fences 12 and over - SHORT STIRRUPS Division (1' fences) 17. 12 and over, Short Stirrups Equitation On the Flat 18. 12 and over, Short Stirrups Hunter On the Flat 19. 12 and over, Short Stirrups Equitation Over Fences 20. 12 and over, Short Stirrups Hunter Over Fences OPEN HUNTER Division (2' fences) 21. Open Hunter On the Flat 22. Open Hunter Over Fences (2’ fences) Name: _____________________________________________ Trainer: ___________________________ Age: __________________________________________________________________________________ Horse’s Name: _________________________________ Show Number: ____________________________ PROOF OF CURRENT NEGATIVE COGGINS IS REQUIRED. 9TH ANNUAL SOUTHWEST RANCHES HOLIDAY FUN HORSE SHOW Sunshine Ranches Equestrian Park 5840 Volunteer Road, Southwest Ranches, Florida 33330 (954) 434 - 0008 SATURDAY, DECEMBER 7, 2019 SAFETY HELMETS REQUIRED FOR ALL RIDERS. In consideration of allowing me/my child to participate in this event, and for other good and valuable consideration, the sufficiency of which is hereby acknowledged, I hereby remise, release, acquit, satisfy and forever discharge the Town of Southwest Ranches, including any of its officers, employees, agents, or volunteers, of and from any and all manner of action and actions, cause and causes of action arising out of any occurrence wherein I/my child, or my property is harmed, proximately or otherwise, from or in connection with my/my child's participation in this event. I agree that any liability of Town for personal injury that I/my child may afflict by my gross negligence or intentional action onto others, or others' property, shall be borne solely by me. I also agree that I shall be solely responsible for all liability for injury or damage to the Town property or any other property when such injury or damage shall result from, arise out of, or be attributable to my/my child's gross negligence, or intentional action. I have read this release and wavier of liability form and fully understand its terms. I further understand that I have signed this form freely and without any inducement or assurance of any nature, and intend it to be a release of liability to the greatest extent permitted by law and agree that if any portion of this release and waiver is held to be invalid, the balance shall continue in full legal force and effect. This release and wavier of liability shall extend to any rider of any horse participating of which I am the Owner/Exhibitor and to any person injured by such horse or rider. All activities will be conducted in a safe manner; and any animal or rider deemed to be unsafe, in the sole opinion of the event management, may be barred from participation in any class or from the show. **** WARNING **** Under Florida law, an equine activity sponsor or equine professional is not liable for an injury or the death of a participant in equine activities resulting exclusively from the inherent risks of equine activities. Chapter 773, Florida Statues. Signed: _____________________________________________________ Date: ____________ (Signature of Parent or Legal Guardian of minors under 18 years of age is REQUIRED) Rider Name: ___________________________________________________ Rider No: ________ Address: _______________________________________________________________________ City:___________________________________________________________________________ State: __________________________________________________ Zip: __________________ Phone: ___________________________________ Email Address: _______________________ Horse's Name(s): _______________________Proof of negative coggins: ___________________ .
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