Super-CALI-Fragilistic Live 2019 Entry Form
Please mail or email your completed entry form along with payment to:
PO Box 501
Los Olivos, CA 93441
or email entry to:
Three payment choices:
______ Personal Check
______ Money Order
______ PayPal accepted to
City, State, Zip:________________________________________________________
Entry Deadline: January 1, 2019
______ $65. 00 - Early Bird Entry - Before November 1, 2018
______ $75.00 - Regular Entry - After November 1, 2018
______ $85.00 - Late Entry - After December 1, 2018 (No entries accepted after January 1st)
______ $25.00 - Proxy Entry – Name of person showing your horses: ____________________________________
______ $25.00 - Youth/Novice Division ONLY (1/2 table provided)
Sponsorships (optional) :
______ $1.00 - Class: ___________________________________________ Website: _____________________________
______ $5.00 - Section: __________________________________________ Website: _____________________________
______ $15.00 - Division: ________________________________________ Website: _____________________________
_______ Would you be willing to proxy show someone else’s models as well who is unable to attend? (Optional) If YES, please let me know what division (OFP/AR/CM/MINIS only etc) you would be easiest for you to show? __________________ Number of Models (Ex: under 10): ____________
SEATING REQUESTS - Who would you like to be seated with and/or division you would like to be closest to? (Optional) __________________________________________________________________________________________________________
Class limit is 3 horses per class, add $1.00 per each additional horse, payable as cash only at the show table.
A signed release from each entrant (or parent or guardian if you are under 18) is required, so follow up all e-mail entries with a printed copy, please! You may also bring your signed release with you and submit it at registration, but you will NOT BE ALLOWED TO SHOW WITHOUT THE SIGNED RELEASE ON FILE.
I hereby release Kylee Parks, the event coordinators, judges, helpers for Super-CALI-Fragilistic Live, and all employees of, as well as the facility and management, of any liability for any personal injury, property damage or loss that may occur during the course of this event. I further understand that all judges decisions are final, and I agree not to hold any judge or member of the event staff liable for any decision or judgment that is made in the course of the event. I have read and understood the rules of Super-CALI-Fragilistic and agree to abide by these rules.
I understand that if these rules are violated, I may be asked to leave the class or event at any time with no refund of fees.
Signature: _____________________________________________ Date: ________________
Parent/Guardian: _______________________________________ Date: _________________