All items shown with a star (*) are required. HSITP and Hunt Country Horse Shows Online Entry/Payment Form 4 Entry Form for Horse Shows In the Park Competitions Step 1 of 2 50% EVENT: Show Date*Select the event show/date:May 30-31June 26-27JulyAugustOct 3-4Oct 30-Nov 1Nov 12-14HORSE AND RIDER: Name of Horse or Pony*Horse or Pony Designation*HorseSmall - Medium PonyLarge PonyDesignationStallionMareGeldingCoggins Date, State and Accession or Serial Number*Rider Name* First Last Rider Birthdate if under 18 MM DD YYYY Parent or Guardian Name if Junior (if under 18) First Last Rider Designation*Junior (17 & under)Amateur (18 and over)ProfessionalContact Phone Number*Emergency Contact Phone Number During Show*Contact Email Address* Enter Email Confirm Email TRAINER: Stable/Trainer AffiliationTrainer Cell PhoneTrainer Email STABLING AND CLASSES: Saturday Class Number for EntrySunday Class Numbers for EntryStabling:*No Stall (ship in/tie to trailerNeed stallNo stall (stall on another entry)Arriving*Thursday (added charges apply)FridaySaturdayDeparting*FridaySaturdaySundayRequest Stable Next To/with:ShavingsNumber of bags per stallPlease enter a number from 0 to 10.Tack/Feed Stalls*None12Special Instructions Consent and Release:Consent*WAIVER AND INDEMNITY SHOW MANAGEMENT RESERVES THE RIGHT TO REFUSE ENTRY TO ANY PERSON FOR ANY REASON THIS DOCUMENT WAIVES IMPORTANT LEGAL RIGHTS. READ IT CAREFULLY BEFORE SIGNING EMR,LLC = Equine Management Resources HSITP, LLC = Horse Shows in the Park, LLC I will accept as final the decision of HSITP, LLC designate on any question regarding the Competition and agree to release and hold harmless the competition, EMR LLC, HSITP, LLC their officials, directors and contractors for any action taken during the Competition. The construction and application of the EMR, LLC , HSITP,LLC rules are governed by the laws of the State of Florida and any action instituted against HSITP, LLC or Page and Jeanne Winslow must be filed in Florida. EMR, LLC, HSITP LLC RELEASE, ASSUMPTION OF RISK, WAIVER AND INDEMNIFICATION: I AGREE, in consideration for my participation in the Competition to the following: I AGREE that I choose to participate voluntarily in the competition with or without my horse, as a rider, handler, spectator, leasor, lease, owner, agent, coach/trainer or as a parent or guardian of a junior exhibitor and I am fully aware and acknowledge that horse sports and the Competition involves inherent dangerous risks of accident, loss and serious bodily injury including broken bones, head injuries, trauma, pain, suffering or death (Harm)and/or Communicable Diseases (including COVID 19). I AGREE, to release the EMR, LLC; HSITP, LLC, Jeanne and Page Winslow and the competition from all claims for money, damages or otherwise for any Harm to the horse or me and for any Harm caused by me or my horse to others, even if the Harm resulted, directly or indirectly, from the negligence of the EMR, LLC; HSITP, LLC , it’s officers/directors, owners, designates, contractors or the Competition. I AGREE, to expressly assume all risks of Harm to me or my horse, or those individuals and or animals I may have responsibility for or have signed this document as trainer/parent/legal guardian or owner, including Harm resulting from the negligence of the EMR, LLC; HSITP,LLC or the Competition I AGREE to indemnify( pay any losses, damages, or costs incurred by) the EMR, LLC; HSITP,LLC and the Competition and to hold them harmless with respect to claims for Harm to me or my horse and for claims made by others for any Harm caused by me or my horse at the Competition. I HAVE READ the EMR, LLC; HSITP,LLC and Competition rules about protective equipment and I understand that I am entitled to wear protective equipment without penalty. I am a parent or guardian of a junior exhibitor, I consent to the child’s participation and AGREE to all of the above provisions to assume all of the obligations of this Release on the child’s behalf. I AGREE that as a condition of and in consideration of acceptance of entry, the EMR, LLC; HSITP, LLC may use or assign photographs, videos, audios, cablecasts or other likenesses of me and my horse taken during the course of the competition for the promotion, coverage or benefit of the competition, sport, or the EMR, LLC; HSITP, LLC. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. I AGREE that the EMR, LLC; HSITP, LLC and competition as used above includes all of their officials, owner (s) officers, directors, employees, contractors, designated appointees, volunteers, agents, personnel, and leased facility owners, including Jeanne and Page Winslow. BY SIGNING BELOW, I AGREE to be bound by all applicable EMR, LLC; HSITP,LLC Rules and terms and provisions of this entry blank and Competition and understand and recognize the Warning Under Florida Law; an equine activity sponsor or equine professional is not liable for an injury to, or the death of a participant in equine activities resulting from the inherent risk of equine activities. WARNING—FLORIDA STATUTE CHAPTER 773.01-773.05 Under Florida law, an equine activity sponsor or equine professional is not liable for an injury to, or the death of a participant in equine activities resulting from the inherent risks of equine activities Horse Show and/or Grand Oaks Management may ask any individual(s) to leave the Horse Show Property should that individual(s) choose to willfully ignore published rules, protocols and subsequent instruction NOTE: TRAINERS MAY NOT SIGN FOR PARENTS OF EXHIBITORS UNDER 18 UNLESS THEY ARE A NOTARIZED GUARDIAN, AND A COPY OF SUCH NOTARIZATION WILL BE PROVIDED. I have read and I agree to the the above:CAPTCHA Did you like this? Share it!