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GYMKHANA SHOW May 16th, 2008 NAME:__________________________________________________________DIVISION:____________ ADDRESS:_____________________________________________________________________________ EMAIL:________________________________________PHONE:________________________________
HORSE’S
NAME:__________________________________ EVENTS: ( MARK EACH EVENT
YOU ARE ENTERING) Hurry Scurry__________ Quadrangle___________
Single Stake ___________ Barrels____________ Reverse Big T _____________ Fun Event/Free if you ride in
“3” of the “4” paid events MEMBER EVENT’S
ENTERED____________X $ 6.50___________(OR) $ 25.00 ALL DAY _________ LEADLINE EVENT’S ENTERED____________X $
4.50_________ (OR) $ 15.00 ALLDAY__________ NON-MEMBER EVENT’S
ENTERED___________X $ 7.50________(OR) $ 30.00 ALLDAY_________ CASH___________ (OR)
CHECK NUMBER _____________ Disclaimer of Liability: I hereby agree to release and hold harmless
Nevada Bandits, Dan and Rae Lynn Rinaldo, and the Rinaldo family, Spring Creek Association, Board Members of the Nevada Bandits and all
organizers, assistants, instructors, agents, volunteers, sponsors,
bystanders, and animals involved in the equestrian event. Equestrian events have inherent dangers and
risks that can result in serious injury or death. All responsibilities for injuries, risks of
injuries or damage are assumed by the participants, their parents and/or
guardians. By my voluntary signature below,
I acknowledge that I have read this document and have full knowledge of the
document’s content. Additionally, I
acknowledge that the release document will be used against the signing party
to prevent recovery against persons or entities released. SIGNED:___________________________________________________________DATE_______________ If participant is under 18
years of age, this release will be signed by a parent or legal guardian. I agree to the above release and unconditionally give my
permission for the applicant named herein to complete the Nevada Bandits
Gymkhana show. SIGNED:___________________________________________________________DATE______________ |