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The road to glory November 3 - 5, 2006 Amarillo Cowboy Church Indoor Arena |
Cost $175.00 for the weekend For more information Contact: Lynn at 806-290-5352 email: Lynn@lmbarrelracing.com Name__________________________________________________ Phone_________________________ Address ______________________________________ e-mail address____________________________ City____________________________________ State __________________Zip____________ If under 18: _________________________________________ has my permission to attend the Lynn McKenzie Road To GloryParents signature ____________________________________________________________ American Express / Discovery Visa or M/C number ________________________________________ (3% added convenience fee)Exp. Date ____________Name on account _________________________________________ Mailing Address for Credit Card _____________________________________________________________________________ Every effort will be made to insure the safety of each student and their horse(s). I hereby release Lynn & Murray McKenzie, Lanette & Shane Pritchard, the Lynn McKenzie & Tanner Time Lab or Clinic, the Amarillo Cowboy Church & the Arena of Life and any of the sponsors or helpers from liability in case of accident. ____________________________________ ______________________________________ SIGNATURE Student or (PARENT IF MINOR) Notary Mail check and entry form to Lynn McKenzie, P. O. Box 7573, Amarillo, TX 79114 |