2018 Huntington Farm Dressage Schooling Show Entry Form

August 25, 2018

Opening Date: August 6, 2018

Closing Date: August 22, 2018

ALL CHECKS SHOULD BE PAYABLE TO HUNTINGTON FARM ~ COGGINS MUST ACCOMPANY ENTRY

Secretary: Ann Kitchel

130 Justin Morrill Highway

South Strafford, VT 05070

Name of Rider: _____________________________________Age (if under 18):___________

Address:____________________________________________________________________ Telephone:____________________________Email:_________________________________

Name of Owner: ______________________ Owner’s Telephone: ______________________

Horse Name: _______________________________ Age: _____ Sex: _____ Breed: _______

EMERGENCY CONTACT NAME: _________________________Telephone: _____________

Fees:

Division (Jr, Sr)

Class Description

Fee

Stabling Fees

TOTAL DUE

Current Coggins and Rabies Certificate Included:  ☐

 I hereby enter my horse at my own risk subject to all rules and regulations of this event. I understand that the sport of horseback riding is inherently dangerous and that serious injury and death can occur. I agree that if any injury occurs to me, my horse, or any equipment that I may use or send for use in this event, I will make no claim against Huntington Farm or any of the Officers, Directors, Trustees, Employees, and Volunteers of the aforementioned organizations. I further agree to hold Huntington Farm, Employees, Volunteers and any Landowner free and harmless from any liability, claims, suits or damages of whatsoever kind or nature that may be occasioned by the horse/s exhibited or owned by me or the negligence of the person/s in charge of such horse/s and I agree to indemnity and hold harmless these associations and individuals against all liability, claims, suits, and expenses including attorney fees incurred, arising out of any injury to any person/s or damage to any property caused by me, my horse/s or attendant/s. I agree that I or any rider/s of my horse will wear a properly fitted and fastened ASTM/SEI-Approved helmet at all times while mounted. WARNING: Under Vermont Law, an equine activity sponsor is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities that are obvious and necessary, pursuant to 12 V.S.A.§ 1039.

______________________________________          _______________________________________ Signature of Owner                                            Signature of Rider  (parent/guardian if rider is under 18)        (Mandatory)                                                (Mandatory)