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(FOR OFFICE USE: FEE PAID ______________ NUMBER ASSIGNED ________________)
The Sandwich Fair
GYMKHANA ENTRY FORM
Return to Chairman: Julie Lawrence, PO Box 1616, Center Harbor, NH 03226
ENTRY FEE $8.00 per class. Stake Classes $10.00
Entries not received before October 1st - $9.00
Please make checks payable to SANDWICH FAIR Gymkhana.
CURRENT COGGINS AND RABIES NEEDED TO COMPETE
NAME OF RIDER:_____________________________________________________________AGE:_______
(PLEASE PRINT ALL)
MAILING ADDRESS_______________________________________________________________________
CITY___________________________________________STATE___________________ZIP______________
PHONE__________________________________NAME OF HORSE________________________________
(Incomplete entry forms will forfeit premium payments)
$5.00 OFFICE FEE____________
CIRCLE ALL CLASSES ENTERED:
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Adult Classes
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Youth Classes
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4.
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Flag Race
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3
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Flag Race
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8.
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Speed Barrels
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7.
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Speed Barrels
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11
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Barrel Race
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10
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Barrel Race
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16
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Pole Bending
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15
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Pole Bending
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Open Classes
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Pairs Classes
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1.
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Key Hole Race
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5.
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Flag Race Pairs
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2
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Dash Race
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9
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Ribbon Race
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6
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Hairpin Race
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13
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Fox and Hound Barrels
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14
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Figure Eight Race
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18
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Rescue Race
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$100 Stake Classes*
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*12
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$100 Barrel Race
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*17
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$100 Pole Bending
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* Must enter at least four other classes to enter the $100 stakes classes.
ATTENTION
Under New Hampshire Law, a participant in equine activities assumes the risk of any injury, harm, damage, or death and any legal responsibility that may occur to participant resulting from the inherent risks associated with equine activities. Pursuant to R.S.A. 508:19, equine professionals are not liable for damages resulting from inherent risks of equine activities.
NOTE: The State of New Hampshire will be randomly appearing and selecting animals to test.
I understand that riding horses can be a dangerous activity. Therefore, I agree to hold blameless for any accidents that may occur at this activity the organizers and sponsors of the activity, including but not limited to the Sandwich Fair Association, and the Sandwich Fair Gymkhana Committee. I further agree to abide by the rules for the show and by all policies and decisions of the Sandwich Fair Gymkhana Committee.
EXHIBITOR SIGNATURE_________________________________________ DATE________________________
PARENT OR GUARDIAN ________________________________________ DATE________________________
POST ENTRY FEE______________TOTAL FEE____________
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