All Pre-entries close at midnight 2 days

prior to date of show.

Each rider must have separate

entry form.

 COUNTRY COMFORT FARM WINTER SHOW

Jan 21, 2012    SERIES  PRIZE LIST &  SCHEDULE      Mar 17, 2012

       Feb18, 2012       www.countrycomfortfarm.com        Mar 31, 2012        

 E-mail entries: horseshowjudge@countrycomfortfarm.com

Mail entries: PO Box 705 St. Michaels, MD 21663

Show Number

Name of Horse (please print)

Stall & Shavings Fee

Height

Flu/Rhino Date

 Coggins #     Date

Horse       Pony (circle)

Horse       Small  Med  Large (circle)

Name of Rider (please print)

Age

Classes Entered

pre-entry $10.00           post-entry $15.00

Class Fees

Sm, Med

Large

Horse

E mail address_____________________________________

The owner and/or exhibitor and his/her representatives, including the agent and/or trainer signing the entry form below, do hereby agree to hold Country Comfort Farm, The Horse Show, it’s officials, officers, directors, agents and employees harmless from and against any and all damage or loss that may occur to the horses exhibited or to any vehicle or property sent with such horse and agree not to make any claim therefore against any of them, whether directly or indirectly.  Each signatory for himself/herself and all persons who might claim through them or are in any way connected with them does further agree to indemnify and hold directors, agents and employees from and against any and all claims, loss, liability, damages, costs or expenses, including counsel fees and expenses occasioned by claims or actions for property damage and/or personal injury, including death resulting there from, arising out of or in any way connected with the Country Comfort Farm, whether caused by the act or failure to act, whether willful or negligent, of themselves or anyone in their employ or subject to their control, or caused by any horse, vehicle or other article exhibited by them, or whether caused by the negligence, gross negligence or willful act of any other person, horse, rider or animal which is present at the show, whether as an exhibitor, spectator or otherwise, or whether the result of any cause, including the actual or alleged negligence of the Horse Show, its officials, officers, directors, agents or employees. Each signatory agrees that all judges’ decisions are final.

Total Entry Fee

Stall

Fee $25

Shavings

Fee $7/bag

Grounds 

Office

Fee

$____

$____

$____

 $10.00

*It is the responsibility of Trainers/Exhibitors to properly complete all areas of this entry form. No  points will be added in the case of incomplete entries. Minors may not sign.

Total Due

                  Owner

Trainer

Rider

Name:

Amt. Paid

Address:

Check #

City/State/Zip:

Cash Paid

Telephone:

Please make checks payable to Country Comfort Farm. Return ck fee is $25

Signature: