Montana Gold Futurity Entry

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Montana Gold Futurity Entry Form
October 6, 2007
Circle L Arena, 4350 Spain Bridge Road, Belgrade, MT
9:00 am
Mail to:  Maria Jerome, MGF Secretary
455 Bluegrass Dr.Belgrade, MT 59714 
Exhibitors Name_________________________________________________________
Owners Name_______________________________________________________
Owners Address__________________________________City__________________
State____________________Zip____________________Phone_____________________ 
Please send a copy of card and horses registration, or reg. application and work order # for weanlings only, with entry. Use one form per horse. Horses Registered Name______________________________________________________________ Registration #____________________ Year foaled_________ Sex   Mare     Gelding    Stallion Sire_____________________________________Dam____________________________________ 
Circle Class numbers to be entered:  
1   2   3   4   6   7   8   9   11   20   29   31    


 

Make additional copies of entry form for each horse. Make Checks payable to Montana Gold Futurity, LLC $40.00/class X #__________classes =                                                                  ___________$50.00/class late fee (after 9-15-2007 through 9-30-2007) X #__________classes = ___________Stall (panel $15.00 or boxstall $20.00)                                                                  ___________Office Charge                                                                                                      _ _$10.00___ Total                                                                                                     $          ____________                                   


 

Waiver: In consideration of my participation in the above event, I, my heirs, executors and administrators, hereby release the Montana Gold Futurity, Circle L Arena and any sponsors from any responsibility for injury to me, my stock, or my equipment during any participation or arising out of my participation in the above event and from every collecting damages for the above risks or actions taken in connection with the above eventSignature______________________________________________________________Date______________ 

Guardian Signature if under 18______________________________________________