o
OPEN CHECK
DATE OF COGGINS
HORSE'S NAME
BREED_
EXHIBITOR'S NAME
PHONE #_
EXHIBITOR'S ADDRESS
EMAIL
OWNER'S NAME
PHONE
TRAINER'S NAME
CLASSES ENTERED #
#_
PAID
#_
o WALK TROT CLASSES
LOPING/CANTERING CLASSES
o OVER-ALL HIGH POINT
#_
o
o
o
o
o
NUMBER OF CLASSES
@ $10.00 EACH
OFFICE FEE
@ $5.00 PER HORSE $
GROUNDS FEE
@ $10.00 PER HORSE $
$_
#_
OWNER'S ADDRESS
EMAIL
_PHONE
#_
TRAINER'S ADDRESS
_EMAIL
You Must Enter a Halter Class if you are going for High Point.
#_
#
#_
_#
#_
#_
#_
#_
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HIGH POINT LEVEL DIVISION (CHECK BELOW) HIGH POINT AGE CATEGORY(CHECK BELOW)
You must select an age if you are going for
high-point.
PRIME TIME (40 & OVER)
18 & OVER
14-17
10- 13
9 & under
Note: OVER-ALL HIGH POINT CAN BE applied IN CONJUNCTION WITH OTHER DIVISIONS.
For Example: You can go for high-point walk trot and also go for Over-all High Point.
FOR OFFICE USE ONLY
DATE
CK. #
CASH
CLERK INITIAL_
EXHIBITOR ACKNOWLEDGES THAT HE/SHE HAS READ AND UNDERSTANDS, AND COMPLIES WITH THE WARNING ABOVE
SIGNED BY EXHIBITOR (PARENT OR LEGAL GUARDIAN IF UNDER AG OF 18 YRS.) _______________________________DATE_________
COGGINS ACC #
Chapter 87 Civil Practice & Remedies Code. Exhibitors on their own behalf and on behalf of any person or entry claiming by, through or under
Exhibitor, does hereby release and forever discharge Winterhaven Ranch and each of their respective agents, employees, owners, and their
successors and resign from any and all claims, demands, and course of action of whatever kind and character (whether such claims arise in contract
or tort, and whether such claims are founded upon statutory or common law, including, but not limited to breach of contract, negligence, breach of
any duty of good faith and fair dealing or any other cause of action whatsoever) whether such claims are known or unknown , at law or in equity,
arising out of, or in any way related to this horse show, including any activity in connection with or arising there from .
ONE ENTRY FORM PER HORSE/RIDER
WARNING: Under Texas Law, a farm animal professional is not liable for any injury or death of a participant in animal activities pursuant to
2013 WINTERHAVEN HORSE SHOW
ENTRY FORM
BACK NUMBER
LAB