CIRCLE GYMKHANA DIVISION TO ENTER:
| Leadline | Walk/Trot | Novice | 12 & Under | 13 to 17 | 18 & Over |
CIRCLE GYMKHANA EVENT(S) TO ENTER:
| 1. Cloverleaf Barrels | 2. Big "O" | 3. Big "T" | 4. Poles |
HOW MANY BARREL TIME ONLY'S? (BARREL PRACTICE) ____________
TOTAL GYMKHANA EVENTS ______ @ $5.00 EACH = _____________
TOTAL TIME ONLY'S ______ @ $2.00 EACH (or 3 for $5.00) = _____________ NON-MEMBER FEE (TEMPORARY MEMBERSHIP FEE) @ $5.00 = _____________ TOTAL FEES* $ ______________ PAID: CASH _______ or CHECK # _______THIS MUST BE SIGNED IN ORDER TO RIDE!
I have read the rules and agree to abide by them or be disqualified. I agree that the Bear River Riders; the officers, board members, volunteers, property owners, horse owners, and sponsors will not be held responsible for any injury or accident to me, my family, my livestock, or my possessions.
I HAVE READ THE ABOVE; AGREE AND UNDERSTAND IT FULLY.
SIGNATURE _____________________________________ DATE_________ *All returned checks are subject to a $25 fee.
(Parent or Guardian if under 18)