BLF Jumper/Medals Show Entry Form
Email address
Horse's Name
Your answer
Horse's Owner
Your answer
Rider's First Name
Your answer
Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Street Address or PO Box
Your answer
City
Your answer
State
Your answer
Zip
Your answer
PHA Member?
Trainer's Name
Your answer
Size of Horse/Pony
Choose Classes
Please note: You must be a PHA member to enter the WNEPHA Medal Classes.
Agreement and Release
Every entry shall constitute an agreement and affirmation that the person making it, along with the owner, lessee, trainer, manager, agent, coach, driver, rider, and the horse: (1) shall be subject to the rules of the WNE_PHA and the local rules of the show; (2) that every horse, rider, and/or driver is eligible as entered;(3) that the owner and any of his representatives are bound by the Rules of the WNE-PHA, and the show will accept as final the decision of the hearing committee on any question arising under said rules and agree to hold the show, the WNE-PHA, their officials, directors and employees harmless for any action taken; (4) that the owner, rider, driver and any of their agents or representatives agree to hold the WNE-PHA, the show, and their officials, directors, employees and agents harmless for any injury or loss suffered during or in connection with the show, whether or not such injury or loss resulted, directly or indirectly, from the negligent acts or omissions of said officials, directors, employees or agents of the WNE-PHA, or show. Management reserves the right to decline or refuse any entry without being liable for compensation, and eliminate from further competition any exhibitor or horse should the best interest of the show be served.

"Under Massachusetts Law, an equine professional is not liable for any injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Section 07-28-06 of Chapter 128 of the General Laws."

Submitting this form indicates that I have read and understood and accept this agreement which shall take effect as a sealed instrument.

Thank you for submitting your entry.
Those entries submitted by 5:00 pm on the Friday prior to the show will receive a discount of the office and warmup fee. We look forward to your arrival on Sunday.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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