Description
Tennessee Ridge Runners
Ride for Polymyositis Awareness
Sunday Sept 25
Location: Quiet Meadows Arena at Connie Gills farm
Take 11E from Greeneville East or Johnson City West turn North on Heritage Road North at the county line, go about a
Half mile , Arena is on the right.
Saturday: 11:30 REGISTRATION, 12:50 – Riders Meeting, MATCH STARTS 1:00 PM, lunch break, awards follow Required: Current Neg coggins, current CMSA membership for liability insurance coverage (may join at match)
CMSA COMPETITION CARD REQUIRED
CMSA# ________ Class: ______ Name: _______________________________ # of ClassWins: ______
Address: _____________________________________________________________________________
City: ____________________________________ State: ___________________ Zip: _______________
Daytime Phone: __________________ E-Mail Address:_______________________________________
Horses Name: ___________________________________ Breed: _______________________________
Sex: ________________________________ Age: ___________
Horse & Rider Bio (used for announcer commentary) ______________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Sunday
Double WPQ - 4 stages 40% Circuit Payback
OPEN Entry Fee $75 $_____
Exhibition Entry fee $50$____
Juniors Entry Fee ……60 $_____
Wranglers ………… $25 $_____
Jackpot 100% Payback
Stage 1 (3D + 5 sec) $10 $_____
Stage 2 (3D + 5 sec) $10 $_____
Stage 3 (3D + 5 sec) $10 $_____
Stage 4 (3D + 5 sec) $10 $_____
Camping / night . . . . . . $20 $_____
Stall fee/horse/night – $20 $_____
TOTAL $_____
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Accepting pre-registration but NOT required.
Stall & Campsite Reservations
Contact: Rob Twaddle 423-753-6046
deerridge@naxs.com
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Saturday $________ Paid: Cash $_____ Receipt # _________
Sunday $________ Paid: CK $ _____ CK # _____________
Total $________ Verified: Coggins: ___yes, ____no
Verified competition card: ___ yes, ____no
Liability Release Form
I understand that I am participating in a sport, which contains dangers, and risks may arise, including, but not limited to, death, accidental injury, the forces of
nature and illness. In consideration of the right to participate in these events and the services provided for me by the Cowboy Mounted Shooting Association
and its agents, Tennessee Ridge Runners officers, sponsors and agents, I have and do hereby assume the risks associated with such events. The
contestant shall at his own expense, defend management and/or al sponsors, their members, or employees from any and all such claims and indemnify, from
any and all liability, damage and costs arising from injuries to person or property occasioned by any act or omission of the contestant.
Signature of Applicant (s) required: ________________________________________________________________________________
Date: _____________________________
