WINE COUNTRY CLASSIC MODEL HORSE SHOW
APRIL 25, 2015
EVERY ENTRANT MUST HAVE A SEPARATE ENTRY FORM!!
RESULTS WILL BE SENT OUT VIA EMAIL. 1st AND 2nd PLACE ONLY.
NO PAYPAL, PLEASE.
PLEASE MAIL ENTRY FORM AND CHECK PAYMENT TO:
Tonia Ruebsamen
3128 S. Olympia St
Kennewick, WA 99337
NAME _____________________________________
ADDRESS__________________________________
EMAIL______________________________________
MY REGION 1 TAG SAVER # IS ________________
I'D LIKE MY TABLE NEAR______________________
PLEASE BRING A LIST OF MODELS THAT YOU ARE SHOWING, IN ASCENDING ORDER, WITH YOU ON THE
DAY OF THE SHOW. LISTS MUST INCLUDE - YOUR NAME, MODEL'S NAMES, BREED, FINISH AND NUMBER.
UNLIMITED ENTRY (entries postmarked before 4/11/15) $50 __________
LATE FEE (entries postmarked after 4/11/15) Add $10 _____________
PROXY ENTRY $20______________
EXTRA TABLE $20_______________
SPONORSHIPS ________________
$1/CLASS
$5/CHAMP/RES
$10/DIVISION
TOTAL
ENCLOSED: __________________
I, THE UNDERSIGNED, ON BEHALF OF MYSELF OR A MINOR UNDER THE AGE OF 18, WAIVE AND RELEASE THE WINE COUNTRY CLASSIC SHOWHOLDER AND COLUMBIA BASIN COLLEGE, FROM ANY CLAIM OR CAUSE OF ACTION FOR ANY INJURY, LOSS, DAMAGE, OR ACCIDENT THAT MAY OCCUR WHILE
PARTICIPATING.
SIGNATURE OF ENTRANT OR PARENT/GUARDIAN ______________________________________________
DATE _________________________________________________
- PRINTABLE ENTRY FORM HERE
APRIL 25, 2015
EVERY ENTRANT MUST HAVE A SEPARATE ENTRY FORM!!
RESULTS WILL BE SENT OUT VIA EMAIL. 1st AND 2nd PLACE ONLY.
NO PAYPAL, PLEASE.
PLEASE MAIL ENTRY FORM AND CHECK PAYMENT TO:
Tonia Ruebsamen
3128 S. Olympia St
Kennewick, WA 99337
NAME _____________________________________
ADDRESS__________________________________
EMAIL______________________________________
MY REGION 1 TAG SAVER # IS ________________
I'D LIKE MY TABLE NEAR______________________
PLEASE BRING A LIST OF MODELS THAT YOU ARE SHOWING, IN ASCENDING ORDER, WITH YOU ON THE
DAY OF THE SHOW. LISTS MUST INCLUDE - YOUR NAME, MODEL'S NAMES, BREED, FINISH AND NUMBER.
UNLIMITED ENTRY (entries postmarked before 4/11/15) $50 __________
LATE FEE (entries postmarked after 4/11/15) Add $10 _____________
PROXY ENTRY $20______________
EXTRA TABLE $20_______________
SPONORSHIPS ________________
$1/CLASS
$5/CHAMP/RES
$10/DIVISION
TOTAL
ENCLOSED: __________________
I, THE UNDERSIGNED, ON BEHALF OF MYSELF OR A MINOR UNDER THE AGE OF 18, WAIVE AND RELEASE THE WINE COUNTRY CLASSIC SHOWHOLDER AND COLUMBIA BASIN COLLEGE, FROM ANY CLAIM OR CAUSE OF ACTION FOR ANY INJURY, LOSS, DAMAGE, OR ACCIDENT THAT MAY OCCUR WHILE
PARTICIPATING.
SIGNATURE OF ENTRANT OR PARENT/GUARDIAN ______________________________________________
DATE _________________________________________________
- PRINTABLE ENTRY FORM HERE