Fox Run Farm Hunter Pace

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ONE ENTRY PER HORSE/RIDER

Rider Name *

Address - Include City, State, Zip *

Phone Number *

Email *

Emergency Contact Name/Phone *

Horse Name *

Hunter Pace Divisions *

Hunter Pace - Walk Division - Single - $20

Hunter Pace - Trot Division - Single - $20

Hunter Pace - Canter Division - Single - $20

Hunter Pace - Walk Division - Pairs - $30

Hunter Pace - Trot Division - Pairs - $30

Hunter Pace - Canter Division - Pairs - $30

If you are riding with more than one other person, please list the names and number of other riders in the comment section.

Required

Trail Course

Trail Course - $10

If you are entering the Hunter Pace as a pair or a group, please list your partner's name(s). *

Please check all boxes below. This will indicate that you understand and agree to each. *

I understand that an approved ATSM helmet and heeled boots are required when mounted at Fox Run Farm.

I understand that a current Coggins test within one year is required. A photocopy will be texted to 270-498-9890 or emailed to elizabeth@foxrunfarm.net

I agree to return my pinney or I will incur a fee of $25.

Required

Release of Liability. Your checked box indicates that you agree and understand. *

WARNING: Under Kentucky law, a farm animal activity sponsor, farm animal professional, or other person does not have the duty to eliminate all risks of injury of participation in farm animal activities. There are inherent risks of injury that you voluntarily accept if you participate in farm animal activities. Failure to comply with the requirements concerning warning signs and notices provided in this section shall prevent a farm animal activity sponsor or farm animal professional from invoking the provisions of KRS247.401 to 247.4029.Nothing in KRS 247.402 to 247.2049 shall create a duty for a farm animal activity sponsor, farm animal professional, or other person to give a warning to a participant engaged in a farm animal activity with his own farm animal, or to a participant whom the farm animal activity, farm animal professional or other person knows to possess reasonable knowledge of or experience with the inherent risk of farm animal activities, or who has represented to the farm animal activity sponsor, farm animal professional, or other person that he possesses reasonable knowledge or experience with the inherent risks of farm animal activities. I understand that riding/showing horses is a high-risk sport and I am participating (or allowing my child to participate) at my (his/her) own risk. I hereby assume this risk and release and hold harmless Fox Run Farm, Elizabeth Wallace, volunteers, farm staff, judges and officials from all liability for negligence resulting in accidents, death, damage, injury or illness to myself, my horse(s) or to my property during the above event. *

Required

If you have any questions or comments, please list below and we will contact you if requested. Upon receipt of your entry form, you will be invoiced via paypal for payment and can pay online with a credit card. We are looking forward to having you at the Fox Run Farm Hunter Pace! *

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