2011 Ultimate Cowboy Challenge
Presented by the Circle B Ranch
Saturday June 18th, 10:00 a.m.
Osceola Co. Sheriff Posse Grounds, Reed City, MI
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Registration form
Participant information:
Name:____________________________________ age:____________
Address:______________________________________________________________
Email:___________________________________Phone:________________________
Please circle the division(s) you are entering: Youth Novice Open
$25 $35 $40
Important: You will need to be at the grounds by 9:00 a.m. for check in, and to go over the course
with us. We will be starting promptly at 10:00 a.m.
Horse Information:
Name:____________________________________ age:_____________________
Breed:____________________________________ Color:______________________
History of your horse (things you have done, etc.) ________________________________
______________________________________________________________________
______________________________________________________________________
Risk of Loss Indemnification: Circle B Ranch shall not be liable for accident, injury, disease, theft or
death of any horse/rider while on property. Owner agrees to defend, indemnify and hold harmless
Circle B Ranch, from all liability or claims, demands, actions, costs and /or damages for or arising out
of clinic participation.
Participant Signature:______________________________________________________
Parental Consent (if minor):__________________________________________________
Please print and include this form with your total entry fees and mail them to: Circle B Ranch
15410 15 Mile Rd.
Big Rapids, MI 49307