FULL CIRCLE FARM 

Jumper Entry

 

                                                                                                                                    Entry Number____________

Full Circle Farm,

719 Birch Mountain Road                            

Manchester, CT 06040

Email entries to:dkfullcircle@gmail.com  or call / text  860-798-1749      Questions? Kristen 860-798-7249

Show Date ______________________

Rider Name _______________________________________________________    

Horse Name ________________________________________________________

Address     __________________________________________________________

                  __________________________________________________________

Rider Email_________________________________________________________

Trainer/Farm ________________________________________________________

I choose to participate voluntarily in this competition as a rider, handler, lessee, owner, agent, coach trainer, or as a parent or guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and this competition involve inherent dangerous risks of accident, loss, and serious bodily injury including but not limited to broken bones, head injuries, trauma, pain, suffering, or death. I agree to assume all risks of harm to me or my horse, including harm resulting from the negligence of this competition. I agree to release this competition from all claims for monetary damages or otherwise for any harm caused by me or my horse to others, even if the harm resulted, directly or indirectly, from the negligence of the competition. I acknowledge that the competition strongly encourages me to wear protective equipment. If 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 and AGREE to assume all obligations of this release on the child’s behalf. I further agree to indemnify and hold Full Circle Farm and officials, employees, agents, volunteers, and owner harmless from any claims by a guest of mine for injury, loss or damage from any cause (other than those cause by willful misconduct). This indemnity shall include indemnity against all reasonable costs, expenses and liabilities incurred in connection wit­­­h any such injury, loss or damage, or any proceedings brought in defense thereof.

Signature (Parent/guardian if exhibitor is a minor): __________________________________________             

Classes $15.00

Office Fee $15.00

Warm-ups $10.00

M&S  $25.00