SATURDAY 2.5 Stage 20Xtreme and SUNDAY Four Stage Shoot Bull Mountain Outlaws ***** MSA Competition***** Townsend, Montana May 31 and June 1, 2008 Mail To: Bull Mountain Outlaws, 20 Aspen Drive, Roundup, MT 59072 Registration Deadline May 23, 2008 With Payment! Remember to Bring & Present Your Current Cards Prior To Competing
MSA# _________________ Level: _____________ NAME:_______________________________________________ Address: _________________________________________________________________________________ Phone #:_______________________________email______________________________________________ Horses Name: _____________________________Breed: ____________________ Gender/Age: __________ Entry Fees _ Please use separate entry form for each horse entered 20Xtreme Saturday...................$75.........................................................................................$_______________ Four Stage Shoot Sunday........$100 ……………….…………………..................................$_______________ Outlaw(under 12)......................$20...............................................................................…......$_______________Sharp Shooter Jackpot…....…...$20............(to be held in conjunction with main match)…..$_______________
Pens $5 per horse per weekend………………………….….…# of horses________ x $5 = $ ______________
MSA membership (if you’re not a member)$10/day................................................................$______________
Please use separate entry form for each horse entered Total $__________ Liability Release ***Must be signed prior to competition*** I UNDERSTAND THAT I AM PARTICIPATING IN A SPORT WHICH CONTAINS DANGERS. RISKS MAY ARISE INCLUDING, BUT NOT LIMITED TO, 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 BULL MOUNTAIN OUTLAWS MOUNTED SHOOTING ASSOCIATION AND IT’S AGENTS, I HAVE READ AND SO HEREBY ASSUME THE RISKS ASSOCIATED WITH SUCH EVENTS.
THE PARTICIPANT SHALL AT HIS OWN EXPENSE, DEFEND MANAGEMENT AND/OR ALL SPONSORS, THEIR MEMBERS, OR EMPLOYEES FROM ANY AND ALL SUCH CLAIMS AND INDEMNIFY, FROM INJURIES TO PERSON OR PROPERTY OCCASIONED BY ANY ACT OR OMISSION OF THE CONTESTANT. RIDERS SIGNATURE: (required)
___________________________________________________________________________ If a minor, a signature of either a parent or legal guardian is required. Payable to: Bull Mountain Outlaws, 20 Aspen Drive, Roundup, MT 59072 Registration Deadline May 23, 2008—With Payment! For more information call: Nancy Okerman 406-421-5311 Home or 406-853-1284 Cell Or Mike Seymore 406-431-2288 Or Joe Hartkopf 406-636-2121 Saturday May 31, 2008 Shooter’s meeting 12:30 PM---20Xtreme 1:00 PM Sunday June 1, 2008 Shooter’s meeting 9:30 AM---Four Stage Shoot 10:00 AM
Short Biography about you and your horse(s)
(If you don’t write one, one will be made up for you!!)
Please include any past honors or titles won as well as personal sponsors
Name:________________________________________________________
MSA #_____________________Level______________________________
Horse Name: Horse Breed: Horse Age and Sex:
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