Rider Age

Horse

Address

City State Delaware Maryland Pennsylvania New Jersey Washington, DC Virginia Zip

Phone (home) Phone (cell)

eMail address

Total Classes

Lease Fee

Total Due

Fees: $7.00 per class pre-entry (at least 24 hours before), $8.00 per class on the day of the show. $45.00 for 8 classes (eligible for Reserve Champion and Champion Ribbon)

I understand that horse back riding can be a dangerous sport, that there are circumstances that no one can be held responsible for due to the unpredictable nature of a horse. Therefore I accept all responsibility for any damages or injury to persons or property done to or by me or a horse ridden by me and will not hold Lewisville Stables Inc., Christi Biddle, Leah DeRocili or the property owners responsible for the condition of the property, horse, or all the above mentioned in the case of loss, damage, or injury.   I understand by signing below that I ride at my own risk.

Lewisville Stables, Inc. will not be responsible for any injury to horses, rider, equipment or spectators or any theft while on Lewisville Stables, Inc. property.

Please print this form and mail with entry fee to: Lewisville Stables, Inc, PO Box 254, Lewisville, Pa. 19351