EmailMeForm
HOP Fun Show Registration for August 24th
Make checks payable to Heart of Phoenix Equine Rescue:
PO box 81 Shoals, WV 25562
Pay Via Paypal at Equinerescue@live.com
or Pay the Day of the Show
Please note in the initial section provided below which way you plan to pay.
$50 Buy in to show in as many classes as you wish or $7 per class
Horse/tack stalls $40.
Grounds fee without a stall – $5
RV or site Camping $15 per day (electrical hook up)
Office fee, if showing $5.
Camping is first come, first serve, but we always have plenty of space!
Payment:
Personal information
Owner
First
Last
Email
Phone
###
-
###
-
####
Trainer
First
Last
Email
Phone
###
-
###
-
####
Rider #1
First
Last
Phone
###
-
###
-
####
Rider #2
First
Last
Rider #3
First
Last
Previous participant?
Yes
No
Rider #1 Date of birth
MM
/
DD
/
YYYY
Rider #2 Date of birth
MM
/
DD
/
YYYY
Rider #3 Date of birth
MM
/
DD
/
YYYY
Grounds Fee without Stall per horse per
day at $5:
Office Fee per Horse $5
Tack Stalls at $40 each
Electrical Hookup for Camping per day at $15
Total Entry Fees ($7 per class) or flat entry fee ($50) rate :
Horse Stalls at $40 each
Total Due for this Horse:
Post Entry Flat Fee per Horse $15 for (Entries not received by August 21)
Horse Name,
Breed, Sex, Age, Height and Color
Classes:
I would like to receive email updates.
READ THIS AGREEMENT CAREFULLY
EVERY ENTRY AT THE HEART OF PHOENIX EQUINE RESCUE FALL HORSE SHOW SHALL CONSTITUTE AN AGREEMENT AND AFFIRMATION
THAT ALL PARTICIPANTS (WHICH INCLUDE WITHOUT LIMITATION, THE OWNER,
LEASEE, TRAINER, MANAGER, AGENT, COACH, DRIVER, RIDER, HANDLER,
AND THE HORSE) FOR THEMSELVES, THEIR PRINCIPALS, EMPLOYEES,
AGENTS AND REPRESENTATIVES SHALL:
1) REPRESENT THAT THE INFORMATION CONTAINED IN THIS ENTRY
IS TRUE FOR EVERY HORSE, OWNER, RIDER AND HANDLER LISTED;
2) AGREE TO BE BOUND BY AND ACCEPT AS FINAL ALL DECISIONS
BY THE HEART OF PHOENIX EQUINE RESCUE FALL FESTIVAL AND HORSE
SHOW, ITS OFFICIALS, DIRECTORS, EMPLOYEES AND AGENTS RESPECTING
ANY AND ALL QUESTIONS ARISING AS A RESULT OF THE ENTRIES, FEES,
COMPETITION, CLASS SCHEDULES, HORSE AND TACK STALL ASSIGNMENTS,
JUDGES’ DECISIONS AND AWARDING OF PRIZES;
3) AGREE THAT THEY PARTICIPATE VOLUNTARILY IN THE HEART OF
PHOENIX EQUINE RESCUE FALL FESTIVAL AND HORSE SHOW COMPETITION
WITH FULL AND COMPLETE KNOWLEDGE THAT SAID HORSE SHOW COMPETITION
INVOLVES INHERENT AND DANGEROUS RISKS OF SERIOUS INJURY
OR DEATH, AND BY PARTICIPATING THEY EXPRESSLY ASSUME ANY AND
ALL RISKS OF INJURY AND LOSS. THEY WILL ALSO AGREE TO HOLD HARMLESS
THE HEART OF PHOENIX EQUINE RESCUE, ITS BOARD MEMBERS, AND
THE WINFIELD RIDING CLUB, ITS OFFICERS, DIRECTORS AGENTS, EMPLOYEES
IN THE EVENT OF ANY LIABILITY ARISING FROM AN ACCIDENT, LOSS,
OR INJURY IN ANY WAY CONNECTED WITH THE HORSE SHOW.
MY SIGNATURE ON THIS FORM INDICATES THAT I HAVE READ AND UNDERSTAND
THIS DISCLAIMER:
There will be a full paper form to be filled out and signed the day of the show for online registrations.
Please Type Your Name Below as Evidence of your Agreement:
