Oak Rise Farm, LLC 2017 Gymkhana show series

 

ENTRY FORM FOR ALL SHOWS

8:30 start time

 

CIRCLE DATE OF SHOW AND CLASSES ENTERING

 

April 23,  May 7,  May 28,  June 25,  July 9,  July 30,  Aug 20,  Sept 3,  Sept 24,  Oct 8

 

1   2   3   4   5   6   7   8   9   10   11   12   13   14   15   16   17   18   19   20   21

 

   22   23   24   25   26   27   28   29   30  

  

Class 31 name of pair rider____________________ 

 

Under NH law a participant in equine activities assumes the risk of any injury, harm, damage, or death and any legal responsibility that may occur to participant from the inherent risks associated with equine activities.

Pursuant to R.S.A. 508:19 Equine professionals are not liable for damages resulting from the inherent risks of equine activities.

I/We hold harmless Oak Rise Farm, LLC its managers, members, volunteers, and agents from and against all claims, demands, actions, and causes of action for damages that may be sustained by those indicated on the entry form or anyone else, including any and all claims arising from Oak Rise Farm, LLC or itís agentsí own negligence. This includes personal injury, death, or property damage.  Please make checks payable to Oak Rise Farm, LLC.

 

 

_________________________________    ____________________________________

Name of Rider                                                            Name of Horse              

 

 

_________________________________    ___________________________   ________

 

Signature of Rider                                          Signature of Parent/Guardian          Date

 

$50 to run for the day OR

 

#of classes_____    x $10 =______     Class 31 $5 ______   Total $_________

 

Address:________________________Town:____________ State:_______Zip:________

 

Email:_______________________________Phone:________________