Spring Rodeo: May 27 & 28 | June Classic Demo Derby: June 11 | Hanover Ag Fair: August 17-20

Riders Name & Information (required)

First

Last

Street / Mailing Address

City

Province

Postal Code

Phone

Email Address
 Peewee Barrels  Peewee Poles  Peewee Speed Skill
 Junior Barrels  Junior Poles  Junior Speed Skill
 Senior Barrels  Senior Poles  Senior Speed Skill
 Egg & Spoon Race  
 
I (we) understand that any sport or activity with animals can be dangerous and has risks for loss or damage to equipment, and injury or death for animal and/or rider. By checking this box I (we) agree to the terms and conditions to indemnify and save harmless the RM of Hanover, LUD of Grunthal, The Hanover Ag Society, its committee, employees, volunteers, and agents from any and all claims for loss or injury to person or property howsoever caused arising out of the contestant’s participation in the Hanover Ag Fair. ______ (initial)
Due to the recent EIA outbreak, all horses entering the Hanover Ag Exhibition Park require proof of a negative Coggins test. By checking this box I (we) agree to provide to The Hanover Ag Society proof of a negative Coggins test dated no earlier than June 1, 2017. ______ (initial)
Questions or Comments
To be Completed at the Event
Rider Signature: _____________________________
Total Entry Fee: $_____________ ($2 per event)
A copy will be sent to your email. Please print off and bring the day of the event