SOUTH SHORE EXHIBITION 2014
EXHIBITORS #
Box 20083 RPO, BRIDGEWATER, N.S. B4V 3W3
Phone: 902 543 3341
Fax: 902 527 1890
LIGHT HORSE ENTRY FORM
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ENTRIES WILL NOT BE PROCESSED UNTIL THEY ARE PAID IN FULL
NSF CHEQUES WILL VOID ENTRY AND PROOF OF INSURANCE MUST BE ATTACHED
PLEASE FILL IN ALL INFORMATION IN ITS ENTIRETY
Entries close: June 20 2014 at 4:30 p.m.
Exhibitors Name: ______________________________________________________________________________
Address: _____________________________________________________________________________________
Postal Code: _________________________ Phone: ________________________ Cell: ______________________
Owner’s Name: _______________________________________________________________________________
Date of Birth for YOUTH RIDERS ________________________________________________________________
Insurance Policy Info _____________________________ or NSEF #_____________________________
Name of Horse: ____________________________________________________
Date of Birth: _______________________________________
Mare
(please circle)
Gelding
Stallion
Please make Prize Cheques Payable to: ______________________________________________________
_____________ TOTAL of CLASS FEES
_____________ ENTRY FEE HORSES or PONY ($5.00)
_____________ BOX STALL... (Please mark your request) $60.00
[ ] Inside Barn [ ] Outside Light Horse Barn [ ] Outside Draft Horse Barn [ ] Outside Show Horse Barn
_____________ STRAIGHT STALL $10.00
_____________ TIMER FEE - OPEN GYMKHANA $15.00 Youth Division if not in Open $5.00
$ ___________ TOTAL LIGHT HORSE FEES
( ) Check if 4-H Light Horse Project
(Transfer this total to Cover Form)
Do you require a trailer park space? (Please circle)
If yes, Please provide the following information.
YES
NO
$60.00 per week, includes electricity & water
Transfer this amount to Cover Form
Length of trailer: ____________________________
Same spot as last year? (Please circle): YES
NO Lot Number: _________
Information on vehicle that will be parked in the Trailer Park
Year, Make & Model: ____________________________Color_________ License plate number______________________
Are you requesting Livestock Exhibitor Parking? (Please circle) YES NO
Vehicle Information:
Year, Make & Model _________________________________________________
(behind the barns) $15.00 per week
Transfer this amount to Cover Form
Color: ____________License Plate Number# ______________________________
NOTEALL STOCK TRAILERS ARE TO BE KEPT BELOW THE HILL, THERE WILL BE NO STOCK TRAILERS PERMITTED TO PARK BEHIND THE BARNS
Method of Payment: [ ] Cash
[ ] Cheque
[ ] Debit
[ ] Visa
[ ] MasterCard
Cardholder Name_________________________________
Card Number: _______ ________ ________ ________ Expiry Date: ________ ________
I WILL NOT HOLD THE SOUTH SHORE EXHIBITION RESPONSIBLE FOR ANY LOSS DAMAGE AND/OR INJURIES DURING THE COURSE OF THE EXHIBITION
SIGNATURE: _______________________________________________________________ DATE: ____________________________
Parent/guardian signature required for all youth entries and/or youth riders