Name____________________________________________________________________________________________________________________

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Address: ________________________________________________________________________________________________________________

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_________________________________________________________________________________________________________________________

 

Phone Number: _____________________________________ Email: _____________________________________________________________

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Initials: ___________________

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What are you showing:   OF Breyer/Stone/Other ________  CM:/AR: _______  Mini: ______ Performance: ______

                                           Youth: _________ 

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Entry fee $40 : ________________   Youth fee $20 ___________   Proxy fee $15 ____________ 

  

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Total fees enclosed: _______________________

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Code of Conduct/Release of Liability: I hereby acknowledge that I am voluntarily entering T-Town Live. I will agree to abide by the Code of Conduct presented in the show packet, as well as any and all rules stated the packet.  I am solely responsible for my actions, as well as the conduct and any guests that I bring.  I release the show holder, show officials, show hall and Tuscaloosa County of any liability relating to loss, theft or damage to property of entrants, as well as any personal injury that may occur in conjunction with the event. I agree to all rules presented by the judges, show officials and show hall.

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Signature (Parental Consent if entrant is under 18)______________________________________________________ Date: _____________

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