Iron Range Saddle Club ASCA Horse Show #_________

Sunday August 1, 2010

Judge Shelley Snyder

28 Pee Wee Egg & Spoon............2.00

29 Junior Egg & Spoon.................3.00

30 Intermediate Egg & Spoon.......4.00

31 Senior Egg & Spoon................5.00

32 Open Water Glass...................5.00

33 Pee Wee Barrels .....................2.00

34 Junior Barrels...........................3.00

35 Intermediate Barrels.................4.00

36 Senior Barrels..........................5.00

37 Senior + Barrels.......................5.00

38 Pee Wee Key Race..................2.00

39 Junior Key Race.......................3.00

40 Intermediate Key Race.............4.00

41 Senior Key Race.......................5.00

42 Senior + Key Race....................5.00

43 Pee Wee Poles.........................2.00

44 Junior Poles..............................3.00

45 Intermediate Poles....................4.00

46 Senior Poles..............................5.00

47 Senior + Poles...........................5.00

48 Open Figure 8 Stake Race .......5.00

49 Open Jumping Figure 8.............4.00

50 Open Pennant ..........................4.00

51 Open Speed Dash.....................4.00

52 Open Ribbon Race....................8.00

        2nd Rider___________________

        2nd Horse___________________ 

I hereby absolve St. Louis Co. Agricultural Fair Association the office of the Commissioner of the IRRRA an Administrative

Agency of the State of MN and the Iron Range Saddle Club and all parties connected with the horse show from any and all

claims to injury to horses, equipment, or attendants, AND I agree to take full responsibility for any injury or damage caused by

my horse or myself. All Balkan Saddle Club events are open to all people regardless of race, religion, age, gender or disability

Name _____________________Horse_________________________________

Address_________________________________________________________

Club Affiliation_________________Signature____________________________

                                                       If under 18 must have a Parent or Guardian sign

Participant and or owner agrees to indemnify and hold the St. Louis County Agricultural Fair Association, the IDCC, and the Office of

the Commissioner of the IRR, an administrative agency of the State of Minnesota, any and all sponsors, and officers, directors,

members, employees, and agents of all, harmless for any and all liability claims and damages or any type or from any cause which

may arise from myself and or my horse being on one the St. Louis County Fairgrounds and/or participating in any and all horse

events held on the St. Louis County Fairgrounds. I further agree to assume personal responsibility and liability for any and all

damages caused by or to myself, my horse, my equipment and/or attendants while on the St. Louis County Fairgrounds, or while

within any area used by the St. Louis County Agricultural Fair Association.

____________________________________ __________

Participant Signature (parent or legal Date guardian if under 18)

____________________________________ __________

Horse owner's Signature (parent or legal Date guardian if under 18)

If participant owns horse, they must sign in both places. If owner is different than participant BOTH must

sign. Note if either is under 18, parent or legal guardian must sign for them.