Classes entered: ______ ______ _____ _____ ______ _____ ______
I enclose $__________ for the aforementioned entry. I understand that this is a high risk sport and I am participating at my own risk. I assume this risk and further do hearby release, hold harmless and indemnify the organizer, organizing committee, judges, officials, volunteers, officers, agents, employees, hosts, and their agents of this competition and the owners of the property where the event is being held from all liability and/or negligence resulting in an accident, damage, injury, or illness to myself and/or my agents, to my property including the horse or horses at this event.
If the participant is under the age of 18 the registration must be signed by a parent or guardian. All checks need to be made out to Dawn Dascomb-GAS Event Series
Mail Registration Form, Payment and a photocopy of 2015 Neg. Coggins to: