Horse Name:

Pony Size Coggins

Rider #1 Name: DOB Rider #1 Email Address:

X Rider #1 Signature-I have read/agree to Ridgefield Show Release below Rider #1 Address City/State/Zip Circle One

CHILD / ADULT Home Phone: Cell Phone:

Rider #1 Classes by Number

Rider #2 Name: DOB Rider #2 Email Address:

X Rider #2 Signature-I have read and agree to Ridgefield Show Release below Rider #2 Address City/State/Zip Circle One

CHILD / ADULT Home Phone: Cell Phone:

Rider #2 Classes by Number

Primary Owner Name: Owner Email Address:

X Owner Signature-I have read/agree to Ridgefield Show Release below Owner Address City/State/Zip

Circle One

CHILD / ADULT Home Phone: Cell Phone:

Trainer: Barn Cell # Email Address:

Address: City/State/Zip X Trainer Signature

Entries may be emailed to ridgefieldshowoffice@gmail.com or mailed to 919 Sheffield Forest Ct. Ballwin, MO 63021

Entries received by Wednesday before the show will receive a VIP prize at check in In the office.

Show Fees: Qty Amount

Show Office Fee 1 $25 Grounds Fee (no stall) $25 Stall inside $75, Outside $65, Temp $45 -must be prereserved by phone Extra shavings @ $10/bag Payment method Ck __ CC__ Cash _ Payment Information # $

Ridgefield Show Release, Assumption of Risk, Waiver, and Indemnification I agree that Ridgefield may use my rider's / horse's photo for advertising or web purposes. By signing this document, I agree to hold Ridgefield Arena ,Ridgefield Shows, Ridgefield Riding Academy, Steve & Tracey Ryan, Rich and Karen Gentry, employees & show management harmless to lost, stolen or destroyed property and for any injury to horses, exhibitors and spectators before, during & after the show. Warning: Under Missouri law, an equine professional is not liable for any injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities pursuant to the Revised Statutes of Missouri.

RIDE FOR A REASON! Thanks for supporting our shows! To date: Ridgefield Shows has raised over $30,000 for local charities !

Adult/Child 2015 RIDGEFIELD SHOW May 30, 31 2015

Pre-entries received by Thursday 5/28 will receive a VIP prize at office

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benefitting Eureka Mounted Search and Rescue