Fangtastic Jumper Show

Name

First

Last

Phone

Address *

Street, City, State, Zip Code

Horse's Name

Trainer/ Riding with

Coggins

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Day and time of arrival

Date

Time

Emergency Contact Information

Emergency Contact Name

Emergency Contact Number

Release

I am participating in the event and other schooling classes and lessons at my own risk. My participation is subject to the conditions of the Organizers and the regulation of the USEA and where applicable the USEF Rules for Eventing. I understand that this is a high-risk sport. I hereby assume all risks and further do hereby release and hold harmless CS Partners LLC / MeadowCreek Park and all of its owners, agents, officers, employees and volunteers. I further hold harmless the USEA, USEF, all of their officers, agents, employees, and staff. I further hold harmless the owners of the facility or property on which any schooling activity is held from all liability for negligence resulting in accidents, damage, injury, illness or death to myself and my property, including the horse(s) I ride. I agree to wear protective headgear when I ride, with harness secured, which meets the standards currently imposed by the USEF Rules for Eventing and the ASTM/SEI criteria. I understand that the Organizer has the right to cancel the schooling or activities, refuse any entry, or prohibit or stop any activity deemed improper or unsafe.

Please print your full name to acknowledge the release of liability.

Fangtastic Jumper Show

Emergency Contact Information

Release

Jumper Rounds

Grounds Fee & Extras