Mule Mania Online Entry Contestant Name (required) Age (required) Mule/Donkey Name (required) Mule/Donkey Age (required) Street Address (required) City, State & Zip (required) Phone Number (required) Email (required) Will this horse be stalled? ($25/night) (required) YesNo Arrival Date Departure Date Bagged Shavings? ($8/each) (required) YesNo Number of Shavings wanted RV Reservation? ($25/day or night) (required) YesNo RV Arrival Date RV Departure Date Dry Camping? ($30 flat fee) (required) YesNo Dry Camping Arrival Date RV Departure Date Class Sponsorships? ($25/each) (required) YesNo Sponsorship Amount Class Entry (please list classes) (required) Make checks payable to: Pam Donaldson Mail payments to: Sue Kvern, Show Secretary 52094 Sunquist Rd Milton-Freewater, OR 97862 WAIVER RELEASE: As a condition of my participation and/or the participation of my child in this event, I agree as follows: I release Lewison Round-Up Association, its employees, volunteers, agents, the show facility, and the management of this show from any loss, damage or illness that may occur to me, my horse, or my property as a result of my and/or my horse(s) attendance at or participation in this event. I am responsible for any loss or damage caused by me or my agents at this show grounds and I will pay any bill rendered to me for such loss or damage. My signature also authorizes payment of all show fees with credit card as listed on this entry form. PLEASE PRINT NAME. (OWNER/AGENT/RESPONSIBLE PARTY) (required) [date today's-date placeholder "Today's Date (required)"] Message Δ