Working Ranch Horse Entry

Oct 7,2017 Check in 9:00am Start at 10:00am

www.willitsfrontierdays.com

Entry Fee $60.00

Office Fee $10.00

Entries must be postmarked by October 1,2017..

No phone entries please. Limited to the first 12 teams.

Entries accepted first come, first serve, with all entry fees included.

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Participant Name:______

Horses Name: ______

Address: ______

City: ______State: ______Zip Code: ______

Phone Number: ( ) _____-______

TOTAL FEE PAID:______

Willits Frontier Days INC. Release of Liability

All contestants must sign this liability waiver and if under 18, (age is considered as of January 1, 2015 a parent or guardian must also sign). Any form not properly signed will be rejected. Any team event will be considered as one contestant but each member must sign the waiver & if applicable, signed by a parent or guardian.

I acknowledge that horseback riding is a sport which carries inherent risk of injury and damage to me, my horse and property. I hereby enter the Willits Frontier Days Ranch Rodeo at my own risk and subject to all rules and regulations of the rodeo. I further agree that if any damage be occasion by, or loss, or damage occur from any cause to the horse or myself, I will make no claims thereof. I further agree to indemnify Willits Frontier Days, INC and the City of Willits against any legal proceeding for personal injuries or property or property damage arising out of my participation in this event. I agree to the conditions set forth.

I the undersigned parent or guardian of ______

In consideration of my child’s participation in the event, agree that the terms & conditions of the release of liability shall be binding as to damage or injury to my child, his/her animal & property, arising out of his/her participation in the event.

I acknowledge that I have read the release of liability and know & understand its contents.

Contestants Signature:______Date:______

Mail entries to: Willits Frontier Days, Po Box 800, Willits Ca. 95490. Make checks payable to: Willits Frontier Days INC. A $25 fee will be charged on all non-sufficient fund (NSF) checks.

Drawing out: After entry deadline, entry fees will only be refunded upon receipt of a medical statement due to injury or illness and only to member of team affected.

For more information please contact Willits Frontier Days @ 707-459-6330 or Robbie Burgess @ 707-489-0476, or Marcy Barry @707-272-5395..