UNITED PLEASURE WALKING HORSE ASSOCIATION

HORSE SHOW 2008

PLEASE ENTER ONLY ONE HORSE PER SHEET  Breed:____________  reg.#_____________

RELEASE AND WAIVER OF LIABILITY:  I UNDERSTAND THAT NEITHER THE COUNTY OF JACKSON, CITY OF OAK GROVE, THE PONY EXPRESS HORSE SHOW CIRCUIT, MISSOURI HORSE SHOW ASSOCIATION, FOSH, NOR THE United Pleasure Walking Horse Association, THEIR OFFICERS AND BOARD OF DIRECTORS, AND THE ORGANIZING COMMITTEE ACCEPT ANY RESPONSIBILITY FOR ACCIDENTS, DAMAGE, INJURY OR ILLNESS TO THE HORSES, OWNERS, EXHIBITORS, EMPLOYEES, SPECTATORS OR ANY OTHER PERSON OR PROPERTY IN CONNECTION WITH THIS EVENT.  I THEREBY AGREE FOR MYSELF AND MY REPRESENTATIVES TO BE BOUND BY THE RULES OF THIS COMPETITION AND MAKE THESE ENTRIES AT MY OWN RISK.  IN CONSIDERATION OF MY ADMISSION, I WAIVE ANY CLAIM OF LIABILITY WHATSOEVER.  THE United Pleasure Walking Horse Association RESERVES THE RIGHT TO REFUSE ANY ENTRY.

ENTRY FEES  (classes/ $10 each)  (class # 5 = $5)   $__________                    COGGINS TEST NUMBER

 DQP FEES                                                                          $__________                          _______________________              

                                                                   TOTAL FEES  $__________                          (Must present negative coggins papers to office)  

MAKE CHECKS PAYABLE TO UPWHA:

Signature:_____________________________________________                                THIS FORM MUST BE SIGNED!

Address: ______________________________________________

City, St, Zip:  _______________________________________________________