Office Use B-C Mello Arena Trail Challenge & Extreme Ranch Horse Versatility Entry Form Back # ___________ Paid: $ __________ One form per Horse/Rider/Division please check #_____ or cash Horse may be ridden in multiple divisions/classes Date____________ Rider Name YOUTH Riders Age as of January 1st, 2015 Horse Name Phone Address E Mail Mark classes: $X Trail Challenge Extreme Ranch Horse Versatility: circle division YOUTH OPEN - NOVICE $18 Trail $20 Trail $15 Youth $13 Ranch Trail $35 Ranch Trail $30 Open $18 1 Man Sorting $35 1 Man Sorring $30 Novice $18 Reining $20 Reining $15 Ranch $18 Pleasure $20 Pleasure $15 Gamblers Choice 50% payback $18 In Hand Trail YOUTH - 17 and under as of January 1st, 2015 All Extreme Classes All Extreme Classes and one Trail Challenge class YOUTH All Extreme Classes YOUTH All Extreme Classes and one Trail Challenge class or add up individual class choices Dry camping $10/night - circle nights: Fri - Sat - Sun Overnight Pens $10/night - circle nights: Fri - Sat - Sun Office Fee: Total Due $120 $135 $100 $110 $_____ $_____ $_____ $10 Pre enty deadline for Extreme Ranch Versatilty Competition is July 8th for July 25/26 show and August 12th for August 29/30 show. Post entry accepted depending on cattle availibility TOTAL PAID $_____________ $_____________ PLEASE MAKE CHECK PAYABLE TO CINDY MELLO. Questions call 509-250-0726 or email [email protected] 176 Horseshoe Bend. Rd. Goldendale, WA 98620 or fax to 509-773-3768. For info call 509-250-0726 I am entering the above horse at my own risk & agree to abide by B-C Mello Arena rules. I acknowledge that horse back riding and competition is a sport which carries inherent risks to myself and all those handling and exhibiting my Horse. I knowingly assume all risks. In consideration of my indemnity, I hold B-C Mello Arena, its owner, operators, officers and employees harmless against all claims, demands and causes of action, including court costs and damage proceedings. This includes any lawsuit brought on, by, or prosecuted for my benefit. My signature acknowledges that I have read this liability release and agree to all conditions herein. Signature of Rider Signature of Guardian if under 18 Helmet required for anyone 17 and under - NO LOOSE DOGS ALLOWED ON THE GROUNDS!