AZqualityHorses.com

Rider Name/Age:____________________________________NUMBER:__________

Address_________________________________________________

Phone Number:__________________________________________

EMAIL ADDRESS__________________________________________

Horse Name__________________________________________

Additional Horses______________________________________________________

Classes You Wish To Enter:(Additional Classes can be added on side)Circle to Audit
1.______________________________5_________________________

2_______________________________6_________________________

3.______________________________7._________________________

4.______________________________8__________________________

Entry Fees Due:

$15 Arena Fee Pre-Entry/$20 on show day

$55--ALL DAY PASS!! ALL CLASSES EXCEPT JACKPOT

$7/ Per class

$10 Jackpot Classes

$20 Extreme Trail Class--Winner gets Cash Prize

$4 Per Audit Class

Make Checks Payable To WEST VALLEY HORSE SHOW.

SEND ENTRY FORM AND PAYMENT TO:

2523 N 192ND AVE

BUCKEYE, AZ 85326

TOTAL DUE _____________________________Check #____________________ CASH

PAYPAL AND CREDIT CARDS CAN BE ACCEPTED FOR PRE-ENTRIES BY CALLING 623-628-7663 OR EMAILING CCARL52@HOTMAIL.COM

This Entry Constitutes an agreement of the following:

Under Arizona Law, a participant in equine activities assumes the risk of any injury, harm, damage, or death and any legal responsibility that may occur to participant resulting from the inherent risks associated with equine activities.  Pursuant to Arizona  Revised Statute, ARS 12-553, equine professionals are not liable for damages resulting from inherent risks of equine activities. 

I understand the inherent danger of Equine Activities and helmet wear is highly recommended for all riders. 

Signed:__________________________________________________Date_____________

Parent/Legal Guardian_____________________________________________________