Kentucky Derby Sponsorship Form
Equi Star, Inc.
Therapeutic Riding Center
Kentucky Derby Night
in Niagara Falls
sponsored by
Niagara Rises, Inc.
benefiting
EquiêStar Therapeutic Horseback Riding Center
Event Location:
7708 Niagara Falls Boulevard, Niagara Falls NY
Antonio’s Banquet & Conference Center – Quality Inn
Event Date:
Saturday, April 24 from 6:00 – 9:00 PM
Event Donation:
Cash Bar
$20.00 per person (admission, hors d’oeuvres & virgin mint juleps)
If you wish to sponsor a horse, sponsor a race or make a donation to the silent/basket auctions, please
complete the tear off below
mail to Linda Duxbury, 6089 Walnut Street, Newfane, NY 14108 (7785185)
If you would like a donation picked up, please let us know.
Please notify by April 9 th for listing in the program.
my jockey: _____________________________________________.
I would like to sponsor a horse. I would like to name my horse: ________________________________,enclosed is $100, check made out to Niagara Rises, Inc.) You will receive one free admission ticket.
I would like to sponsor a race.enclosed is $250, check made out to Niagara Rises, Inc.) You will receive two free admission tickets.
I would like to donate a gift/theme basket or gift certificate to the silent auction or basket auction.
Sponsor Name _______________________________________________________________________
Address ____________________________________________________________________________
Phone/Cell __________________________________________________________________________
_____________________________________________________________________________
Checks payable to Niagara Rises, Inc.
Please contact me regarding having a gift/theme basket or gift certificate picked up at my home/business.
The Ranch
2199 Fuller Road
Burt NY 14028
7167788249
equistartheranch.org
Niagara Rises, Inc.
7162998810
Niagararises.com
