╨╧рб▒с>■  ')■   &                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴ c Ё┐,jbjb!═!═ KпKп,       И╛╛╛╛╛╛╛Ї8888 DЇ юlllllG G G С У У У У У У , RZ ╨┐ ╛G G G G G ┐ Е ╛╛ll█╘ Е Е Е G "╛l╛lС Е ╥ц╛╛╛╛G С Е Е ╛╛Е ` ╤4G╦8i Е Е ъ 0 Е *Е *Е Е ╛ЇЇD8ЇЇ8RiderТs Name: __________________________________Age: _____ Phone No.__________ E-Mail Address: ______________________________________________________________ RiderТs Address: ______________________________________________________________ City: ___________________________________ State: ______ Zip: ___________________ HorseТs Name: ______________________________ _________________________________ Age: ______ Sex: ____________Breed: ___________________________________________ OwnerТs Name: _______________________________ Phone: __________________________________ OwnerТs Address: _______________________________________________________________________ City: _____________________________State: ______________________ Zip: ________________ MODA Number ______________________________________________ ___________________________ Disclaimer: I agree to make this entry at my own risk. I am aware and accept the risk that horses are potentially dangerous animals and that simply being around them can cause injury and even death. I/We agree to hold harmless Walnut Creek Stables any and all officials, owners, volunteers, staff, judges, spectators, and any person connected with the show and barn from liability from any negligence resulting in any injury or accident to my self, children, heirs, property, and horse. Signature: ______________________________________________________ ParentТs signature if under 18: ______________________________________ Class ____________Description _______________Fee ____ ____ ____ ____ Total Class Fees ______________ Office Fee $5.00 Late Fee: ____________ Stall Rental $35.00 ____________ Shavings at $ 8.00/bag ____________ Total Fees due ____________ Make Checks Payable to: Walnut Creek Stables Mail to: Walnut Creek Stables 12080 Lick Road Cincinnati, Ohio 45251 Directions: From I-275 exit at Mt. Healthy (US 127) and go North. 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