Name

Street Address

City State Zip

Phone

Coggins

ASSIGNED NUMBER

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NAME OF HORSE/MULE
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CLASS ENTRY
1. Select Class Horse Pull, Heavy Weight Horse Pull, Light Weight Jumping Mule, Small – A Jumping Mule, Large – B Mule Skidding-Single Mule Skidding-Team Horse Skidding-Single Horse Skidding-Team
2. Select Class Horse Pull, Heavy Weight Horse Pull, Light Weight Jumping Mule, Small – A Jumping Mule, Large – B Mule Skidding-Single Mule Skidding-Team Horse Skidding-Single Horse Skidding-Team
3. Select Class Horse Pull, Heavy Weight Horse Pull, Light Weight Jumping Mule, Small – A Jumping Mule, Large – B Mule Skidding-Single Mule Skidding-Team Horse Skidding-Single Horse Skidding-Team
4. Select Class Horse Pull, Heavy Weight Horse Pull, Light Weight Jumping Mule, Small – A Jumping Mule, Large – B Mule Skidding-Single Mule Skidding-Team Horse Skidding-Single Horse Skidding-Team

NAME OF DRIVER
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I acknowledge that Ferrum College is not responsible for accidents or damage to myself, my workers, my animals or my equipment. I will conduct myself in a safe manner while participating in the Blue Ridge Folklife Festival. I agree to grant to Ferrum College the right to photograph and/or use my name, photograph or likeness in any reasonable manner; and to publish, exhibit or distribute the same relating to the Blue Ridge Folklife Festival.

This field is required. Agree