October 19, 2019 Entry Form
Event Address: 8934 Easton Road, Revere, PA
Contact us at (610) 847-8597 or office@buckscountyhorsepark.org
Email address *
Rider Name *
Your answer
Rider Birthdate *
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DD
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YYYY
Horse Name *
Your answer
Team?
Your answer
Emergency Contact Name and Phone Number *
Your answer
Tests You Wish to Answer *
Your answer
Release of Liability (Hard Copy must be signed for Minors)
I understand that horse sports may be hazardous and dangerous, even leading to permanent injury or death, and I assume any and all risk of loss or injury to myself, my animals and equipment, etc. and agree to hold harmless, regardless of negligent acts or omissions, Bucks County Horse Park, organizers, show committee, all horse show personnel, and volunteers. YOU ASSUME THE RISK OF EQUINE ACTIVITIES PURSUANT TO PENNSYLVANIA LAW.
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