Bitter Root Stock Horse May 20-22, 2022 Kick Off Clinic & Show Online Form

Clinic & Show you are SIGNING up for:

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May 20-22, 2022

Rider First Name

Last Name

ASHA # - Type Pending to Purchase

Riders Birth Date

Phone

Owner of Horse

Horse Registered Name

Horse ASHA # - Type Pending to Purchase

DIVISION - To SIGN UP for all 4 Classes. Price includes: 4 Classes & Cattle Fee

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Open Jackpot ($175)
Non-Pro ($135)
Limited Non-Pro ($135)
Green Horse ($135)
Novice ($135)
Youth 14-18 ($115)
Youth 8-13 ($115)

To SIGN UP for Additional Divisions, Individual Classes, Short Stirrup Classes. Type Division and Classes signing up for.

Friday Educational Seminar ($45)

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Saturday Riding Clinic - All Four Classes ($80)

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Arrival Date

Departure Date

# of Stalls Requesting ($35 per night)

# of RV Requesting ($35 per night)

# Shavings Requesting ($10 Per Bag)

Group Stalled With

Memberships & Horse Licenses may be purchased at the event - please have forms filled out prior to arriving.

Adult Membership ($25)
Youth Membership ($15)
Horse Competition License (One Time Fee of $15)

Checkbox Title

Check the yes box to verify that you understand that May 10th is the latest date to cancel stalls and cattle for a refund.

Division Eligibility

Check the Box to Certify that you meet ASHA Division Eligibility Requirements

Assumption of Risk

Check the Box to Certify that I understand the risks involved in riding horses and/or cow work and voluntarily assume those risks. I agree that I will not hold the Bitter Root Stock Horse, American Stock Horse Association, 5C Arena, nor any of their agents, officers, directors, volunteers, or horse show participants or spectators liable for any injury or property damage to me, my horse, or my property rising out of or caused by this horse competition held within the year 2022. I understand the terms.

By checking yes on this online form, I agree to abide by all of ASHA By-laws, Rules and Regulations and I acknowledge that horseback riding is a sport, which carries inherent risks of injury and damage to myself, others, horses and property. I knowingly assume all risks. I agree that I will not hold the Bitter Root Stock Horse , ASHA, Facility, Directors, Officers, Employees, Volunteer, Clinicians or Participants liable for any injury or property damage rising out of or caused by the Clinic or Show. Parent or Guardian signature is required for all Youth Members. Returned Checks $35 charge.

Exhibitor Signature

To accept this contract, type your name below

Date

Parent Signature (If under 18 years of age)

To accept this contract, type your name below

Date

Thank you for submitting your online show form!

We have received your online entry form for the upcoming WSSH Clinic & Show.

Please let us know if there is anything else we can help you with or if you have any changes to your entry.

WSSH is always working to keep prices affordable and our stall policy is as follows: Once you have signed up for a stall(s) you have up until the Saturday before the event to cancel.

Thank you,

Stacy Jo Hartley
Western States Stock Horse
(503) 798-1076
www.westernstatesstockhorse.com
Facebook: Western States Stock Horse

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