EQUINE CHALLENGE{JACKPOT} {Final Decision made by Event Coordinator} NAME:_______________________________________________________________________ ADDRESS:____________________________________________________________________                _____________________________________________________________________ TELEPHONE:_________________________________E:MAIL__________________________ HORSE:_______________________________________________BACK #________________ ______19 & OVER                    ______18 & UNDER             JACKPOT ENTRY FEE:  $125.00 {NO REFUNDS} RELEASE AND WAIVER OF LIABILITY I,____________________________(participant) in consideration of my participation in the equine event.      I understand and am aware of the inherent risks associated with equine activities. I assume all risks associated with my participation in the event and hereby release and hold harmless HOWDY SMITH REINING HORSES AND HOWDY SMITH and sponsors and suppliers of the event, their respective directors, officers, employees, agents, successors and assigns, from and against any and all claims, damages, liabilities, costs, and expenses including reasonable attorney's fees arising out of my participation in the event, including without limitation, any personal injuries or damages to my property which I may incur as a result of performing in this equine event.      I have read and understand the terms and conditions of the entry into this event and agree to abide by those terms and conditions.      I have the authority and hereby do, by making this entry, assume responsibility for and bind owner, rider and/or agent to the terms and conditions of this Release and Waiver of Liability.      I warrant that I am of legal age and that I have read and fully understand the foregoing terms. _________________________________________________signature Date of Event: June 23, 2007 Parent or Guardian Guarantee: I,_________________________________________________, represent and warrant that I am the parent or legal guardian of the participant named above, that I am legal age and that I have read and fully understand the foregoing Release and agree for participant above, to be bound by the terms thereof. _____________________________________________________signature _____________________________________________________print name Date of Event: June 23, 2007 Send to: Equine Challenge            6686 East St.            Texarkana, Arkansas  71854             903-277-1195