CRIMSON ACRES 4-H & OPEN HORSE SHOWS ENTRY FORM

Entry Fees:
Pre-entry - $7.00/class *Pre-entries close the Friday before show * No telephone entries

Divisions Entered _________________&___________________

Post-entry fee - $5.00
4-H Day Rate - $40.00 (shows only)
Non-4-H Day Rate - $50.00
Games Night Day Rate - $50.00

Check Date
Horse Show Dates - April 3_____May 8_____June 12_____July 3_____
Games Night Dates - May 14_____June 18_____July 16_____Aug 20_____ Sept. 17_____

Exhibitor Name_____________________Horse Name________________________________
Exhibitor Adress______________________________________________________________
Exhibitor e-mail address (optional)________________________________________________

Classes Entered_______________________________________________________________

PLEASE READ THE FOLLOWING BEFORE SIGNING AND DO NOT SIGN UNLESS YOU FULLY UNDERSTAND
I hereby enter this Horse Show, Games Night at my own risk. I agree to hold harmless Crimson Acres,
it's employees,representatives and agents and the property owners, Kenneth and Sandra Whitmore from
any injury or loss resultingfrom my participation or connection with this Horse show/Games Night, whether
or not such injury or loss resulted directly or indirectly from the negligent acts or omissions of said officials,
employees,representatives or agents of the Horse Show/Games Nightsor the property owners, Kenneth and
Sandra Whitmore.I certify that my horse is free from contagious disease.

Warning
Under Massachusetts law, an equine professional is not liable for an injury to, or the death of,
a participant in equine activities resulting fromthe inherent risks of equine activities, pursuant to
section 2D of chapter 128 of the General Laws."

I have read and fully understand the above conditions
Rider's Signature______________________________
Parent/Guardian's Sinature_______________________
Owner's Signature______________________________
Secretary Has checked all singatures and signed off
_________________________________________

Mail completed entry forms and payment to: Crimson Acres 16 Daniel Shays Highway Orange, MA. 01364
Or E-mail To Sandy@crimsonacres.org