PAPER ENTRIES FOR PRE-ENTRY ONLY. PAPER ENTRIES NOT EXCEPTED AFTER NOVEMBER 20, 2023 ONLY ONE OWNER PER FORM JINGLE BELL NOV 30 - DEC 3, 2023 ENTRIES CLOSE NOV 20, 2023 OWNER INFORMATION TRAINER INFORMATION Print Name of Trainer
Print Name of Legal Owner
COMPLETE BOTH SIDES OF THIS FORM - OR - ENTER ONLINE AT SHOWGROUNDSLIVE.COM FOR ALL STALLS, BOX SEATS, GOLF CARTS, FEED, & BEDDING TEXT LANCE BENNETT 760-525-8933
Signature of Owner or Agent
Trainers Signature (If no Trainer, Owner Must Sign - Mandatory)
X
X
Address of Owner or Agent
Address of Trainer
City
State
Zip
City
State
Zip
Phone Number of Owner
Phone Number of Trainer
NAME OF HORSE (Class Number Under Name, One Class Per Square)
REG No. (If Applicable)
TOTAL FEES
DESCRIPTION
HORSE #
RIDER, DRIVER, OR HANDLER
Sex:
Age:
Color:
Height:
Sex:
Age:
Color:
Height:
Sex:
Age:
Color:
Height:
Sex:
Age:
Color:
Height:
ENTRY FEES
CREDIT CARD INFO
Birthdate of Minor Rider:
# # # # # #
RV PARKING $125 / DAY
$ $ $ $ $ $ $ $ $ $ $ $
OFFICE USE ONLY
Name as it appears on Card
STALL (No bedding) $275 / HORSE EARLY ARRIVAL $35 / DAY / STALL
AMOUNT PAID: FOR NUMBERS: CHECK NUMBER:
Signature of Minor’s Parent or Guardian X
Card Number
POST ENTRY $100 / HORSE
Signature of Minor Rider X
NON-STABLING $50 HORSE / DAY
RECEIPT:
Exp Date
CVC #
OFFICE $75, CA DRUG $15, SECURITY $30, FIRST AID $30 (TOTAL $150 / HORSE)
Billing Address (Street, City, State, Zip)
MAIL ENTRIES TO:
Lance Bennett, Show Manager PO Box 1064 Bonsall, CA 92003
HEALTH CERTIFICATE RECEIVED:
# #
DMH FACILITY FEE $50 / HORSE
BOX SEATS $600 Ea.
NO ENTRIES ACCEPTED UNLESS ACCOMPANIED BY AN OPEN CHECK OR CREDIT CARD # # #
SPONSORSHIPS
$100.00 DEPOSIT DUE UPON RECEIPT OF ENTRY. PLEASE PROVIDE CREDIT CARD INFORMATION OR AN ADDITIONAL CHECK FOR DEPOSIT
FEED
CHECKS PAYABLE: SCHC
SHAVINGS
TOTAL ENCLOSED
STABLE WITH:
1
SIGNATURES REQUIRED IN FOUR (4) PLACES AT X BELOW ENTRIES NOT SIGNED WILL NOT BE ACCEPTED CAREFULLY READ AGREEMENT BEFORE SIGNING
Every entry made on this entry blank shall constitute an agreement and a f rmation that all participants (which shall include, without limitation, the owner, lessee, trainer, manager, agent, coach, driver, rider, handler and the horse) for themselves, their principles, representatives, employees and agents: (1) shall be subject to the rules of the Jingle Bell Horse Show, HITS Del Mar Horsepark Leasing LLC, and Southern California Horsemans Council and will accept as fnal the decision of the hearing committee on any questions arising under said rules, and agree to hold the above, its o f cers, directors, and employees, harmless for any action taken and (2) agree that they participate voluntarily in the competition fully aware that horse sports and the competition involve inherent dangerous risk of serious injury or death and by participating they expressly assume any and all risks of injury or loss and they agree to indemnify and hold Jingle Bell Horse Show, HITS Del Mar Horsepark Leasing LLC, and Southern California Horsemans Council, and their o f cers, directors, employees and agents harmless from and against all claims including any injury or loss su f ered during, or resulted, directly or indirectly, from the negligent acts or omissions of said o f cers, directors, employees or agents of Jingle Bell Horse Show, HITS Del Mar Horsepark Leasing LLC, and Southern California Horsemans Council. The signatures of each side of this entry form indicate that each of us has read and understands the above. I hereby represent and agree that in the event that the entries hereby made are made for and on behalf of an exhibitor under the age of 21 years, that I am one of the parents of such minor, or duly appointed legal guardian of such minor, and I further hereby represent and make this entry for and on behalf of such minor, and I further hereby represent and agree that in the event that the entry hereby made for and on behalf of another person other than a minor under the age of 21 years; I have full authority and privilege from such other person to make such entry for and on behalf of such other person. I hereby grant permission to use photographs and/or video of me taken in publications, news releases, online, and in other communications related to the management of aforementioned horse show and parties.
Rider/Driver/Handler #1
X Signature of Adult Rider/Driver/Handler Print Name: Street Address: City/State/Zip Phone:
Rider/Driver/Handler #2
X Signature of Adult Rider/Driver/Handler Print Name: Street Address: City/State/Zip Phone:
X Signature of Parent or guardian of Minor Exhibitor |
PRE-ENTRIES CLOSE NOVEMBER 20, 2023
Birthdate of Minor Exhibitor
1
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