Virtual TRC #6 Entry Form
Trail Rider Challenge Entry Form
Email address *
First Name *
Last Name *
Street Address *
City, State, Zip - Important to be complete so we can mail you your award! *
Phone Number *
Age *
Horse Name *
Horse Breed, Color, Sex, Age *
Choose COURSE & Division *
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Waiver: Digital Signature. I agree to the waiver. WAIVER By purchasing this product or entry you agree to this waiver and photo release.Kelli Horsemanship, Trail Rider Challenge, Kelli Crist380 County Rd 34, Tekamah, NE 68061Release, Assumption of Risk, Waiver, and IndemnificationWARNINGUnder Nebraska & Iowa Law and the State you live in, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to this act.Waiver: As a condition to participate in this event Kelli Paulson Crist, Kelli Horsemanship, its officers, employees, members, agents, and representatives are hereby released from all claims, demands, or cause of action of any kind or nature whatsoever, whether now existing or hereafteraccrue, on account of any damage, cost of expense (1) as a result of any bodily injury or any injury, loss or damage to any persons, (2) The risk of such damage, cost or expenses which may occur by reason foregoing is hereby assumed and accepted. This waiver is binding on the undersigned as well as all other person(s) associated with the participation of person(s) or animals(s) described herein in this event, and the undesigned indemmifies Kelli Paulson Crist, and Kelli Horsemanship from all claims, demands or causes of action based on any of the foregoing.I AGREE in consideration for my participation in this Event to the following:I AGREE that I choose to participate voluntarily in the Event with my horse, as a rider, owner, or as parent or guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the Event involve inherent dangerous risks of accident, loss, and serious bodily injury including, but not limited to, broken bones, head injuries, trauma, pain,suffering, or death (collectively “Harm”).I AGREE to release the Kelli Paulson Horsemanship, Trail Rider Challenge and the Event from all claims for damages or otherwise for any Harm to me or my horse, and for any Harm caused by me or my horse to others, even if the Harm resulted, directly or indirectly, from the negligence of Kelli Paulson Horsemanship, Trail Rider Challenge or the Event.I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of theGroup, Event or the Competition.I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) Kelli Paulson Horsemanship, Trail Rider Challenge and the Event and to hold them harmless with respect to claims for Harm to me, my horse, and or my child, and for claims made by others for any Harm caused by me or my horse at the Event. I understand that I am entitled to wear protective equipment without penalty, and that my child is required to wear protective equipment.If I am a parent or guardian of a junior exhibitor, I consent to my child’s participation and AGREE to assume all of the obligations of this Release on behalf of my child.I AGREE that Kelli Paulson Horsemanship, Trail Rider Challenge and “Event” as used herein includes all of the officials, officers, directors, employees, agents, personnel, and volunteers of Kelli Paulson Horsemanship, Trail Rider Challenge and the Event, as well as any affiliated organizations.I AGREE that if I am injured at this Event, the medical personnel treating my injuries may provide information onmy injury and treatment to Kelli Paulson Horsemanship.I represent that I have the requisite training, coaching and abilities to safely compete in this Event.BY SIGNING BELOW, I AGREE to be bound by all applicable Trail Rider Challenge and Event Rules and all terms and provisions of this entry and future entries.PHOTO & VIDEO RELEASEI grant to Kelli Paulson Crist, its representatives and employees the right to use photos and videos submitted to her in connection with the above-identified subject. I authorize Kelli Paulson Crist, its assigns and transferees to copyright, use and publish the same in print and/or electronically.I agree that Kelli Paulson Crist may use such photographs or videos of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. *
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