SCR
Halloween Show
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
Horse/Pony Name
Choose a Division.
*
8 & under
9-12
13-17
18-34
35-49
50 & up
Leadline
Pee-wee
Must enter all events to qualify for Hi-Point awards!
Mark the events you wish to enter $6 each if not all day
*
ALL EVENTS
Poison Mushroom
Monster Mash
Wrap the Mummy
Haunted House
Demon Run
Witch's Cauldron
Level of Entry
Non SCR members All Day $40
SCR member All Day $35
Leadline/PeeWee $3 each
Calculation
Method of Payment
Please Select
Cash
Check
Venmo (Shasta Cascade Riders)
Release of Liability:
Shasta Cascade Riders will not be responsible for any accident that may occur to be caused by horse competing at or located on the show grounds, or for any article of of any kind or nature that may be lost or destroyed or in any way damaged. Each competitor will be responsible for any injury that may be occasioned to any person or animal, or damages to any property while on the grounds by any horse, or in his custody or control and shall indemnify and hold harmless, Shasta Cascade Riders, its official an directors, individually and collectively, and arena owners; Kevin and Colleen Collins, if any, from and against all charges and expenses of every kind or nature whatsoever arising out of or which may be incurred by reason of any accident, injury or damage to person, property caused by ownership, competition or custody or control of any animal competition. In signing his release, please bear in mind that gymkhana is a contest of speed that involves a certain element of danger and that you will be riding at your own risk. If you choose not to wear a safety helmet, then you as an adult rider will accept full responsibility for yourself or any injury which may result from the act when riding and/or participating at a Shasta Cascade Riders show. Lastly, I grant permission for SCR to take and post photos accordingly. I certify that I have read, understand and agree to the above
Signature of Rider or Parent/Legal Guardian if rider is under 18 years of age
*
In case of Emergency who would we contact for you, Name and Phone Nmber
Submit
Should be Empty: