2008 Entry Form
ENTRY CLOSING DATE Aug. 8, 2008 for Aug shows- entries postmarked after this date will be considered post entries and charged as such.
ONLY ONE HORSE/OWNER/HANDLER COMBINATION PER ENTRY BLANK--PLEASE PRINT-
OFFICIAL ENTRY BLANK
WSH PERMANENT SHOW NUMBER________________________
OFFICE NO.__________________________
NAME OF HORSE ____________________________________REG #____________ Breed______FOAL YR_____
OWNER NAME______________________________ApHC#___________
PEAC Member _________WSH NO._________
ADDRESS____________________________________________________________
PHONE#___________________
CITY_________________________________________ STATE___________
ZIP______________
Exhibitor_______________________________________________
ApHC #_____________ PEAC Member ___
WSH N0._______________ Birthdate______________
Email________________________________________
Address________________________________________________________________
PHONE#_________________
Classes entered - number only ( one horse/rider combination per entry blank)
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ApHC OPEN ENTRY FEES ___x $19.00 _____________ ApHC POST ENTRY FEE $3.00 per horse__________
ApHC YOUTH/NON PRO ENTRIES___x $15.00____________ (No Post Entry Fees if Pre-entered in 4 classes)
JACKPOT FEE: ____X $40.00 _____________
WSH/NEZ ENTRY____x $15.00 ____________ WSH/NEZ POST ENTRIES____ x 16.00 ____________ Non Member Fee for WSH Classes $6.00 per exhibitor _____________(Required for WSH classes)
PEAC membership: Individual $15.00 __________ Family $20.00 _________ see website for year end awards
Class Sponsorship: $25.00 __________ Please see the Website for details. WWW. peacappaloosa.com
HORSE STALL$45.00 for weekend ____________ $30.00 for 24 hours or less ______________
TACK STALL $35.00 for weekend ____________ $17.00 for 24 hours or less______________
Stall Reservation call: Sharon West 509-244-2638 email:bluewillowappys@aol.com
OVERNIGHT CAMPING FEE number of nights (full hookup) ________ x $26.00 ____________
number of nights (no hookup) ________ x $19.00 ____________
TOTAL FEES___________________ Make checks payable to PEAC
Mail entries to: Sharon West 11710 W. Deno Rd. Spokane, WA 99224
Failure to sign this entry will constitute a fine of $50.00.
The Palouse Empire Appaloosa Club, The Appaloosa Horse Club, Inc., Moscow, Id, The Spokane County Fairgrounds, Spokane County, their officials, associates, membership, and/or directors Shall not be held responsible for any accident that may occur or be caused to or by any horse exhibited at this show, or for any article of any kind or nature that may be lost or in any way damaged. Each exhibitor will be responsible for any injury that may be occasioned to any person or animal or damage to any property while on the grounds by any horse owned, exhibited or in his custody or control and shall indemnify and hold harmless the above named organizations, their officials and directors individually and collectively from and against all claims, demands, causes of action, costs, charges and expenses of every kind and nature whatsoever arising out of which may be incurred by reason of any accident, injury or damage to person or property caused by the ownership, exhibition, custody or control of any animal exhibited. The owner, rider/driver and any of their agents or representatives acknowledge that they participate voluntarily in the competition, fully aware that horse sports and competitions involve inherently dangerous risk, and by participating they expressly assume any and all risks of injury or loss, and they agree to hold harmless the competition and its officials, directors, employees and agents for any injury or loss suffered during or in connection with the competition, whether or not such injury or loss resulted, directly or indirectly from the negligent acts or omissions of said officials, directors, employees or agents. All horses exhibited will be at the owner’s risk.
I also agree to the following:
I AGREE in consideration for my participation in this Competition (Fist Full of Silver Open/Appaloosa Horse Show) to the following:
I AGREE that I choose to participate voluntarily in the competition with my horse as a rider, driver, handler, lessee, owner, agent, coach/trainer, or as parent or guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the Competition involve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries, trauma, pain, suffering, or death ("Harm").
I AGREE to release Washington State Horsemen and the competition from all claims for money damages or otherwise for any Harm to me or my horse and for any Harm caused by me or my horse to others, even if the Harm caused by me or my horse to others, resulted, directly or indirectly, from the negligence of Washington State Horsemen or the Competition.
I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of Washington State Horsemen or the Competition.
I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) Washington State Horsemen and the Competition and to hold them harmless with respect to claims for Harm to me or my horse, and for claims made by others for any Harm caused by me or my horse at the Competition.
I have read the Washington State Horsemen rules about protective equipment, and I understand that I am entitled to wear protective equipment without penalty, and I acknowledge that Washington State Horsemen strongly encourages me to do so while WARNING that protective equipment cannot guard against all injuries.
If I am a parent or guardian of a junior exhibitor, I consent to the child's participation and AGREE to all of the above provisions and AGREE to assume all of the obligations of this release on the child's behalf.
I AGREE that Washington State Horsemen and “Competition” as used above includes all of their officials, officers, directors, employees, agents, personnel, volunteers, and affiliated organizations. The construction or application of WSH rules is governed by the laws of the State of Washington (RCW 4.4).
Rider/Driver/Handler (mandatory)
Signature__________________________________________________________
Print Name________________________________________________________
Parent/Guardian (required if rider/driver/handler is a minor)
Signature__________________________________________________________
Print Parent/Guardian Name___________________________________________
Owner/Agent (mandatory)
Signature__________________________________________________________
Print Name________________________________________________________
Palouse Empire Appaloosa Club’s Fist Full of Silver Open/Appaloosa Horse Show is operated in accordance with the current rules of WASHINGTON STATE HORSEMEN Horse Show Division and the Appaloosa Horse Club current rule book.
Of which body it is a _B_System Show
Every person who participates in the show is responsible for knowledge of and is subject to the Association Rules. Members receive a copy of The Canter, a monthly publication, and are entitled to participate in the Annual High Score Award competition, if horse is recorded and participation fees are paid for the current year. No POINTS WILL BE COUNTED TOWARD THE ANNUAL HIGH SCORE AWARDS before membership dues are paid, horses have been recorded with WSH, and all fees paid. THE STEWARD OF THIS SHOW WILL HAVE FORMS FOR RECORDING AND PARTICIPATION.
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