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Twin Lakes Ranch Ministries Inc.
Ron & Lorna Silvester
Box 1175 Moose Jaw, SK S6H 4P9
Phone 306-692-3210 Fax 306-692-3424
 www.twinlakesranchministries.com
E-mail  twinlakesranch@sasktel.net
 

PRESENTS:   Date: May 23-25, 2008

Bull Riding, Jr. Bull Riding (Steer Riding) and Bull Fighting Schools

Instructors: Jordie Campbell & Raymond Goodman

Note This registration form is for schools only.  If you are wanting to register for camp click here
Registration & Release Form – Please Print

NAME EVENT ENTERED (CHECK ONE)
 ____________________________________________ ______ BULL RIDING
ADDRESS ______ JR BULL RIDING (steer riding)
____________________________________________ ______ BULL FIGHTING
CITY FEES:
____________________________________________ Bull Riding & Bullfighting $375
PROVINCE_________ POSTAL CODE ___________ Deposit required $200.00 (non-refundable)
 PHONE # (_____) ___________________   Jr. Bull Riding $290.00
BIRTHDAY _______________AGE __________ Deposit required $150.00 (non-refundable)
HEALTH CARD # ____________________________ YOUR DEPOSIT $ ________________
Do you have accident insurance?_________ BALANCE DUE $ _________________
Accident Insurance Policy____________________ EMAIL ADDRESS____________________

WAIVER TO BE SIGNED BY A COMMISSIONER FOR OATHS OR NOTARY PUBLIC

I hereby agree to waive and release any and all claims for personal accident, injury and or loss to myself, my family, my equipment or my animals now or in the future

to Twin Lakes Ranch Ministries, Inc, staff, instructors, board and/or Ron & Lorna Silvester and family.

Declared before me at __________________________ in the Province of _____________________________

This ___________ day of _______________________.

Signature of a Commissioner For Oaths or Notary Public

My Commission expires _________________________________________________

Applicant’s Signature __________________________________________

If under 18 yr both Parents/Guardians must sign ______________________________                    

Please no alcohol or drugs    home page