Full Circle Farm
719 Birch Mountain Road
Manchester, CT 06040
ph: 860-798-7249
alt: 860-798-1749
fullcirc
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): __________________________________________
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Warm-Ups |
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Class Total |
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Warm-up |
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Office Fee | $15.00 |
FCF |
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Total |
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Classes $15.00
Office Fee $15.00
Warm-ups $10.00
M&S $25.00
Copyright 2009 Full Circle Farm. All rights reserved.
Full Circle Farm
719 Birch Mountain Road
Manchester, CT 06040
ph: 860-798-7249
alt: 860-798-1749
fullcirc