More Info: Kim Foxworthy at (916) 276-3033	ALL ENTRIES MUST BE PRE-REGISTERED
	WITH PROOF OF INSURANCE PROVIDED.
SIERRA FOOTHILLS HORSEMAN'S ASSOCIATION
SATURDAY, JANUARY 28, 2007 - PRIVATE TREATY TACK SALE ENTRY FORM
One "Booth" Per Entry Form - Please Type or Print Legibly
TERMS AND CONDITIONS:  Each "vendor" or "booth" must have proof of $1,000,000 worth of insurance
coverage.  In addition, Murieta Equine Complex must be named as an additional insured.
This proof of insurance must be provided to the SFHA representative prior to entry being accepted.
Any questions, please call Kim at (916) 276-3033.
NAME OF BUSINESS  or  ORGANIZATION  or  INDIVIDUAL
WHAT TYPE OF ITEMS WILL YOU HAVE (i.e., saddles, tack, grooming equipment, feed, clothing items, etc.)
APPROXIMATLEY HOW MUCH SPACE WILL YOU NEED and                                                         WHAT TYPE OF SET-UP WILL YOU HAVE (table, booth, etc.)?
	Please make all checks payable to:
	Sierra Foothills Horseman's Association
	NOTE:  Additional $20.00 service charge for any check returned.
ENTRY FEE:  $25.00 per booth/space
	Mail completed entry form and proof of insurance
TOTAL DUE AND PAYABLE:  $______________	with payment to:
	Kim Foxworthy
	9701 McCourtney Road
	Lincoln, CA 95648
RELEASE AND WAIVER
IN ACCEPTING MY ENTRY,  I  HEREBY  RELEASE THE SIERRA FOOTHILLS HORSEMAN'S ASSOCIATION, THEIR OFFICERS,
MEMBERS, AND CO-SPONSORS AT THIS EVENT FROM ANY CLAIM OR RIGHT FOR DAMAGES, WHICH MAY OCCUR TO ME OR
MY PROPERTY.   I ALSO ASSUME AND ACCEPT FULL RESPONSIBILITY FOR ANY DAMAGES DONE BY ME OR MY AGENTS AT
THIS EVENT.
SIGNATURE:_____________________________________________________________DATE:_______________________________________
MAILING ADDRESS:_____________________________________CITY:__________________STATE:_______ZIP:_________________
PHONE NUMBER (please include area code)________________________________________________________________________
ENTRY - LIABILITY RELEASE MUST BE SIGNED AND DATED.