Montana Gold Futurity Entry

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Montana Gold Futurity Entry Form
October 3, 2009
Circle L Arena, 4350 Spain Bridge Road, Belgrade, MT
8:00 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    12    22    31    33


 

Make additional copies of entry form for each horse. Make Checks payable to Montana Gold Futurity, LLC 
$40.00/class X ___________ = __________                                                              
$50.00/class late fee (after 9-18-2009 through 9-30-2009) X #__________classes = ______
Stall (panel $20.00, panel with cover $25.00 or boxstall $30.00) 
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______________________________________________

Montana Gold APHA Show Entry Form October 3, 2009, Circle L Arena, Bozeman, MT  8:00 am
Mail to Maria Jerome, 455 Bluegrass Dr., Belgrade, MT 59714 
Exhibitors Name_________________________________________________
Owners Name___________________________________________________
Owners Address_________________________________________City_________________________
State__________________Zip________Phone_________________________
Amateur Card #_________________ Novice Am. Card #____________________Youth Card _________________________ 
Date of Birth for youth__________________________ Please send a copy of card and horses registration papers with entry. 
Horses Registered Name______________________________________________________________ 
Registration #____________________ Year foaled_________ Solid   Overo   Tobiano   ToveroSex   Mare     Gelding    Stallion
Circle Class numbers to be entered.
5    10    11   13   14   15   16    17    18    19    2    21    23    24    25   26   27   28   29   30   32   34   35   36   37   38   39   40   41
42   43   44   45   46   47   48   49   50   51   52   53   54   55   56   57   58   59   60   61   62   63   64   65   66   67   68   69   70
71   72   73   74   75   76   77 
Class Fee: Solid Paint Bred $ 6.00/class   Youth  $7.00/class    Open and Amateur $11.00/class     Walk Trot 5-9  $6.00/class  APHA fees: One time fee of $ 2.00/horse  Office Charge $10.00/horse (if the horse was entered in the futurity do not pay again) Stalls: Weekend $20.00/night-day for panels$25.00/night-day covered panels, and $30.00/night-day for boxstalls
Make additional copies of entry form for each horseMake Checks payable to Rod Cline 
Class fees     ____________
APHA Fee   __$_2.00____
Stall Fees     ___________
Office Charge __$10.00____
$10 Late fee after 10/1/09  ____________
Total                       ____________     Office Use Only Check #________Paid _______________
Waiver: In consideration of my particpation in the above event, I, my heirs, executors and administrators, hereby release the Montana Gold Futurity LLC, 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 ever collecting damages for the above risks or actions taken in connection with the above event Signature __________________________________________Date _______________ Guardian Signature if under 18 __________________________________________