Description
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South Dakota State Shoot
Aug 6th & 7th , 2011
@ Whitehead Arena
28052 465th Ave.
Lennox SD 57039
For more information: (605) 553-4389 or (605) 261-9766
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CMSA
Name: ______________________________ CMSA # ___________Class: _______________
Address: ______________________ City: ______________ State: _______ Zip: __________
Telephone #: _______________________ Email: __________________________________
Date of Birth: __________________
Horse Information
Horse’s Name: Age:
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Breed: Sex:
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Horse Biography (Use back of form if you need more room):
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Make checks payable to:
DTMS
Mail to:
46304 Kelsey Dr
Hartford, SD 57033
For info: (605)647-2830
DRESS CODE WILL BE ENFORCED AT THIS MATCH
Entry Forms & Entry Fees must be postmarked by July 30th, 2011
One Entry per person
Late Entries Accepted
$20.00 Extra plus entry fee (paid in cash)
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6 Stage Shoot $100 (Includes Adult/Junior) = __________
2 Stage Rifle $40 = ___________
Wrangler $15 = ___________
TOTAL = ___________
*** Shooters meeting at 12:30 on the 6th
*** Shoot start time at 1pm on 6th and 9am on 7th
*** Payback ***Buckles***Prizes
Liability Release Form & Solidarity Agreement
I understand that I am participating in a sport, which contains dangers, and 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 Cowboy Mounted Shooting® Association and its agents, I have and do hereby assume the risks associated with such events. The contestant shall at his own expense, defend management and/or all sponsors, their cardholders, 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. I agree my likeness may appear in the CMSA Rundown newspaper and other publications. I further agree to support and enforce CMSA Rules as stated in the CMSA Rule Book. This Solidarity Agreement binds all CMSA Cardholders to enforce CMSA Rules and assure our competition cardholders they will play the same game coast-to-coast when they travel for CMSA competitions.
SIGNATURE ______________________________________ DATE___________________
