Horse Clinic Entry Form
Utah POA Club Spring Horse Clinic
Spanish Fork Fairgrounds small indoor arena
April 22, 2017 @ 10:00 am
$25 Pony/horse & rider, $10 to participate in the Clinic with out a pony/horse
We have invited trainers and horsemen to share with us their knowledge in a 3 hour clinic.
Participant Last Name
Participant First Name
8 & Under
19 & Over
Phone Number (xxx)xxx-xxxx
Will you be bringing a horse to use during the clinic?
Yes - Cost $25
No - Cost $10
How did you hear about the clinic?
Word of Mouth
What method of payment will you use?
Check made payable to "The Utah POA Club"
Will you abide with our terms and conditions as stated below:
I agree that such entries are made at my own risk and subject to the rules of this show, and of the Pony of the Americas Club, Inc., and I agree, for myself and my representatives to be bound thereby. I further agree to assume and accept full risk of injury or damage to property or myself, which may be sustained at the show. I further waive any cause of action that I might or could have by reason of said damages to myself, my family, or property as against the grounds owner the POAC, Inc., the host state (Utah POA), or any of the officers, directors, or member of said associations. I verify that all informations that I have supplied on this form is correct and complete. I agree to allow the Utah POA Club to use any photos that include my face or likeness taken at the event on their website and other publications. This will serve as my consent for me or for my children of minor age to enter this event.
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