Langley Riders Society Non-Membership Waiver 2024
No rider will be allowed to participate in any event until proof of current Horse Council of British Columbia Membership is received and the current year waiver has been filled and signed
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First name 
Last Name
HCBC#
Birthdate
MM
/
DD
/
YYYY
Address
Telephone
Email
Family Members:

Name, Birthday, HCBC#
Name, Birthday, HCBC#
Name, Birthday, HCBC#
Name, Birthday, HCBC#
Name, Birthday, HCBC#
It is mandatory that riders under the age of 19 years to wear properly-fitted, approved BSI or ASTM protective headgear with safety harness correctly secured at all times while mounted, during competition, or on event grounds
ACKNOWLEDGMENT OF RISK AND RELEASE OF LIABILITY (AR-0103) For Participants in the Province or Territory in which the Equine Activities are Provided by the Host

WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS. READ IT CAREFULLY!

Every Person Must Read and Understand this Waiver Before Participating in Equine Activities.

The following waiver of all claims, release from all liability, assumption of all risks, agreement not to sue and other terms of this agreement are entered into by me (the Participant) with and for the benefit of: LANGLEY RIDERS SOCIETY , its directors, officers, employees, volunteers, business operators, agents and site property owners or lessees (collectively the "Host"). Without limiting the generality of the foregoing, "Equine Activities" includes but is not limited to, competitions, tournaments organized and /or operated by the “Host”, riding instruction, coaching and training provided by the "Host" to the Participant.

Tick each item below after reading and understanding each item:
*
Required
For participants over the age of majority:

I confirm that I have reached the age of majority in the province in which I am participating in "Equine Activities"

Participant Name

E-Signature of Participant
Participant Name
E-Signature of Participant
Participant Name
E-Signature of Participant
City, Province
Signed This Date
MM
/
DD
/
YYYY
For participants under the age of majority:

As the parent/guardian of the minor(s), I sign this waiver acknowledging the risks of them participating in “Equine Activities”. All riders under the age of Majority must wear a approved headgear and be secured while riding on the “Host’s” grounds.

Parent/Guardian Name
E-Signature of Parent/Guardian
Signed This Date
MM
/
DD
/
YYYY
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