Saturday, December 3rd, 2022

The Dolly Parton Look-A-Like Contest is at 6:30 PM for fundraiser attendees.

Put your best “Dolly” on – All for a great cause! Dolly attire is your choice. Finalists, chosen by
the judging panel of community leaders, will compete in a final Dolly tune Lip Sync for the
crown! Sure to be a hootin’ good time! $20 Entry fee, suggested donation. Registration closes
November 30, 2022. Mail to Stirrups ‘n Strides, 4246 W. Hwy 318, Citra, FL 32113.

I’m in to win! Entry Form:

Name: ___________________________________________________________________

Address: _________________________________________________________________

Email: ___________________________________________________________________

Cell Phone: _______________________________________________________________

I waive and release forever any liability and all claims for damages against Stirrups ‘n Strides Therapeutic Riding
Center, Inc., their employees, officers, and volunteers resulting in any physical injury, illness or economic loss I may
suffer which may result from my participation in this activity.

Signature: ______________________________________________ Date: ___________

All proceeds to benefit Stirrups ‘n Strides Therapeutic Riding Center, Inc, a 501(c)3 organization providing therapeutic riding, equine therapy and learning
programs to our special needs community. Tax ID#20-5935626. Suggested donations are tax deductible in accordance with IRS Guidelines.
Contact: Gail McDaniel, Program Manager, 941-809-3908 or programmgr@stirrupsnstrides.com.