Transcript
THE OLIVER AGRICULTURAL SOCIETY PRESENTS:
MURILLO FAIR 2017 Saturday, August 19, 2017 and Sunday, August 20, 2017 Horse Events Entry Form Please fill in one entry form per horse and rider combination. Any points earned toward prizes or otherwise during the event will carry with the combination, not the horse. Horse Information Name of Horse: Colour:
Sex:
Breed:
Age:
Owner Information Name: Address: Prov:
City: PC:
Phone:
Rider Information Name: Address: Prov:
City: PC:
Something interesting about you/your horse:
Phone: Email:
ASSUMPTION OF RISK In consideration of the undersigned being permitted to participate in any of the events put on by the Oliver Agricultural Society, the undersigned shall save harmless and keep indemnified the Oliver Agricultural Society and the Murillo Fair, its officers, agents, officials, organizers and representatives against all claims, actions, demands, and expenses whatsoever concerning death, injury, loss or damage to the undersigned by virtue of his/her participation in said events. The Oliver Agricultural Society will not be responsible for any accident, injury, damage, loss of or for any other matter that may occur from any cause or circumstance whatsoever, to exhibitors, competitors, members of their families or their agents or to any property brought to the fairgrounds in connection with or arising out of or attributable to the event or any journey to or from the event. It is hereby recognized that all equestrian sports involve inherent risks and that the use of a helmet or protective equipment can protect against all foreseeable injury. I hereby accept this risk and hold harmless the Oliver Agricultural Society and its representatives. ______________________________
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Signature of Participant
Signature of Parent/Guardian (if <18)
Date
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THE OLIVER AGRICULTURAL SOCIETY PRESENTS:
MURILLO FAIR 2017 Saturday, August 19, 2017 and Sunday, August 20, 2017 Horse Events Entry Form (Continued) Please fill out the rest of the form and check off the events you are participating in. Note that entries will be capped for goat tying and jackpot barrels so make sure you get your entries in early if you plan on going in these events.
EVENTS
Saturday (x)
Extreme Cowboy Challenge – fun division Extreme Cowboy Challenge – competitive div. Gymkhana – leadline division (all ages) Gymkhana – junior division (18 and under) Gymkhana – senior division (19 and over) Jackpot Barrels (during ranch rodeo) ALL AGES Goat Tying – junior division (18 and under) Goat Tying – ladies’ division (19 and over)
Sunday (x) N/A N/A
N/A N/A N/A
Cost
Number
Total
$20 $50 $10 $15 $20 $50/day By donation at office By donation at office
Other Fees: OAS membership (MANDATORY) $10 Box stall – reserve ahead, limited quantity (weekend price) $20 NOTE - $10 refund per stall if cleaned by end of stay and checked by OAS We ask that stalls be cleaned out – to keep fees reasonably priced. Thank you. Camping – Exhibitors Only (NO ELECT. HOOKUPS AVAILABLE) N/C Environment/admin fee per horse (MANDATORY) $5 /
N/C $5
OFFICE USE ONLY
Subtotal (sum of total column) HST (subtotal x 13%) +
Amount Rec’d Receipt # Amount Owing
Grand Total
PLEASE RETURN ENTRIES TO: Tammy Paquette at
[email protected] or drop off at 268 Nicholetts Road, Murillo ON P0T 2G0. Cheques are payable to OLIVER AGRICULTURAL SOCIETY. Call Tammy if you have any other questions at (807) 628-3138. ___________________________ Signature of Participant
________________ Date
___________ Officer Initials
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THE OLIVER AGRICULTURAL SOCIETY PRESENTS:
MURILLO FAIR 2017 Saturday, August 19, 2017 and Sunday, August 20, 2017
RULES AND REGULATIONS FOR PARTICIPATION IN HORSE EVENTS: Please read and follow the rules as set out by the Oliver Agricultural Society. Failure to read and understand the rules is not an excuse for unacceptable behaviour. 1. Always think safety first. 2. Waivers releasing the OAS of all liabilities/responsibilities must be signed before anyone should be mounted on a horse at any time on the Fairgrounds. Parents or legal guardians must sign for youth. These waivers will be filled out in the office upon arrival at the event. 3. Competitors and/or horse owners must be members of the OAS to participate. 4. Youth 17 years of age or under must be accompanied by an adult while on the Fairgrounds. Parents or legal guardians are responsible for the safety of their children. 5. All competitors under the age of 19 are required to wear an ASTM/SEI or BSI approved helmet in good working condition. We strongly suggest that helmets be worn in all events by all competitors. 6. Only Western or English (with breakaway stirrups) saddles may be used. 7. Any horse crossing the finish line before completing the pattern will be disqualified with a broken pattern. 8. A five (5) second penalty will be added for each pole or barrel knocked over. A rider may not reach out to prevent a pole from falling. 9. Clothing must be conservative and consist of boots with a heel, long pants and long or short-sleeved western shirts or blouses. Tank tops or shirts without sleeves are NOT permitted. 10. Clean and well-fitted tack is mandatory. 11. No form of abuse to animals or people will be tolerated; this includes all officials, volunteers, competitors and horses. We want to foster a fun environment and would like all our competitors to have fun! 12. Any horse considered to be unwell, unhealthy or injured (as determined by officials of the event) may be excused at any time. The official’s word is final. 13. The same horse may be entered twice, provided there are two separate riders in different divisions. The same horse may not be ridden by two people in the same division. 14. No persons under the age of 19 will be allowed to handle or ride stallions. 15. Any NSF cheques will be assessed a $35 handling fee.
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Initials
Officer
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