Release of Liability

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

First & Last Name of Exhibitor *

First & Last Name of Parent or Guardian if Exhibitor is under 18: *

Address: (Street, Town, State, Zip) *

Contact Phone #: *

By signing this form, I understand and hereby release and hold harmless Islip Horsemen's Association, Inc., the County of Suffolk and the Horse Show Committee or any of their agents for any injury or loss suffered during or in connection with the show. NOTE: If exhibitor is under the age of 18 as of DECEMBER 1 of 2022, this release must be signed by a parent or designated adult representative. In addition, any photographs taken at the show may be used for publication. *

Yes, I Agree

No (NOTE: By checking this box, the Exhibitor will not be able to participate in this event)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms