Trail of Life Cowboy Church - Play Day Entry Form

<Season> <Year> Buckle
Play Day Series Entry Form
Play Day 1 - <Date>
Play Day 2 - <Date>
Play Day 3 - <Date>

Rider's Name

Rider's Email

Is rider under 18?

Yes

Parent's Name

Age on January 1st

*Only one horse may be entered for buckle eligibility per rider. If multiple horses are used, a separate entry form must be completed for each horse and the eligible horse for buckle contention must be selected before the first ride of the playday series.

Horse's Name

Coggins Lab/Accession Number

Date Blood Drawn (must be within one year

Series (must attend all 3 playdays for eligibility)

Yes (Cost $20)

Play Day Series

Select events you are participating in:

Clover Leaf Barrels (Cost $10)

Straight Away Barrels (Cost $10)

Pole Bending (Cost $10)

Jackpot (Cost $5)

*Warning: Under Texas Law (Chapter 87, Civil Practice and Remedies Code), a farm animal professional is not liable for any injury to or the death of a participant in farm animal activities resulting from the inherent risk of farm animal activities.

Signature of Rider OR Parent/Guardian if under 18)

Date Signed

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