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Black Creek Hill Farms

"Courage is being scared to death and saddling up anyway."

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SPECIAL EVENTS

Sign Up Sheet

 

Rider Name: __________________________________

Horse Name: __________________________________

Show Number: __________________

 

Circle Classes:  1    2    3    4    5    6    7    8    9    10    11    12    13    14    15    16        18    19    20    21    22    23    24    25    26    27    28    29    30    31    32    33    34    35    36

 

$7.00 per Class X ________ + $2.00 Office Fee = $________

 

$40.00 All Day for One Horse/Rider Team + $2.00 Office Fee = $42.00

 

$1.00 Number Fee - To be returned when number is returned

 

Total Owed: ___________ Cash Credit Card Check #______

 

Equine Liability Bill & Photo Release

Warning – Under North Carolina law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting exclusively from the inherent risks of equine activities - Chapter 99E of the North Carolina General Statutes

The owners & staff of Black Creek Hill Farms, all other sponsors & participants shall not be held responsible or liable for any accidents, injuries, damages or deaths occurring to any person, animal or property.  I understand and agree to all of the above statements.  I grant BCHF, it’s representatives and employees the right to take photographs of me and my property in connection with the above identified event.  I authorize BCHF, its assigns and transferees to copyright, use & publish the same in print and/or electronically.  I agree that BCHF may use such photographs of me with or without my name & for any lawful purpose, including for example such purposes as publicity, illustration, advertisement & web content.

Signature: ____________________________________ Date: ___________

Address: __________________________________ City: _______________

State: ___________           Phone Number: ________________________

Email: _______________________________________________________

Guardian/Parent must sign if under 18