You are on page 1of 3

Make Checks Payable: Brewer Equestrian Center

Mail Entries to:

Brewer Equestrian Center


Name of horse or pony Owner Information Name: Address: City: State & Zip: Class Numbers Rider Information Name: Age: Address: City: State & Zip:

Trainer:
Email Address:

FEES: make check payable to BEC


Division ($75)*** Individual Class ($25) Cross Country Fee ($30)*** Pick 8 Derby Fee ($25) Non-Showing Horse Fee ($20) Grounds Fee Per Horse ($15) Per Rider ($10) Stall and Shavings Fee ($30) Early Entry (deadline November 15) Subtract $10

Under Mississippi Law, an equine activity or equine sponsor is not liable for an Injury to and/or death of a particIpant in equine activities resulting from the inherent risks equine activities, pursuant to Mississippi Laws 443, chapter 443. show Responsibility: All entries are at the rider's, owner's and tralner's own risk with the understanding that there is an inherent risk in riding horses. Neither Brewer Equestrian center, Kim or Donnie Head, the management, the officials or employees will be responsible for any accident or loss that may occur to an exhibitor, animal, or equipment at the Brewer Equestrian Center Horse shows. Signing and presenting this form shall be deemed acceptance of the above terms and agreement with the rules and regulations listed in the prize list and on this entry form. Signature of Exhibitor/Guardian:

BALANCE:
Date:

CURRENT COGGINS REQUIRED


***A division is three classes.n One Dressage, one Show Jumping, and one Cross Country ***Four riders required to make a class. Small Classes will be combined. Large classes will be divided into age groups. ***Cross Country course available for schooling. Vest and Arm band required $ 25/not showing, $ 15/showing. Will not be judged/timed.

Brewer Equestrian Center 448 CR 855 Shannon, MS 38868

ck payable to BEC
$ $ $ $ $ $ $ $ -$

**

($20) $15) ($10) 30) vember 15) Subtract $10

Date: