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Email: HORSE: Comp: License#:

Owner Details

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EXHIBITOR Details

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DOB : (Youth, Prime Time)

RELEASE OF LIABILTY: I AGREE BY THE ACT OF FILLING OUT THIS ENTRY FORM WHETHER SIGNED OR NOT TO BE RESPONSIBLE FOR ANY DAMAGE CAUSED BY MY ENTRIES AT THE SHOW AND THAT AS CONDITION OF MY ENTRY, I WAIVE ANY CLAIM FOR DAMAGES AGAINST SHOW MANAGEMENT OR THE SHOW FACILITY AND/OR ITS EMPLOEES FOR INJURY OR DEATH TO PERSONS OR ANIMALS OR FOR LOSS, DAMAGE OR DESTRUCTION OF PERSONAL PROPERTY.

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