Pairadice Equestrian CBHSA Jumper Show Entry Form
Saturday, April 1, 2023
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Email *
Name of Rider *
Rider's CBHSA Number
Name of Mount *
Mount's CBHSA Number
Mount TIP Number
Trainer (Name and Phone Number)
Emergency Contact (Name and Phone Number) *
Division *
Release Acknowledgement: I knowingly, willingly, and voluntarily acknowledge the inherent risks associated with the sport of equestrian and know that horseback riding and related equestrian activities are inherently dangerous, and that participation in any Pairadice Equestrian Center, LLC event involves risks and dangers including, with-out limitation, the potential for serious bodily injury (including broken bones, head or neck injuries), sickness and disease (including communicable diseases),trauma, pain & suffering, permanent disability, paralysis and death; loss of or damage to personal property (including my mount & equipment) arising out of the unpredictable behavior of horses; exposure to extreme conditions and circumstances; accidents involving other participants, event staff, volunteers or spectators; contact or collision with other participants and horses, natural or manmade objects; adverse weather conditions; facilities issues and premises conditions; failure of protective equipment (including helmets); inadequate safety measures; participants of varying skill levels; situations beyond the immediate control of the Pairadice Equestrian Center, LLC  organizers and competition management; and other undefined, not readily foreseeable and presently unknown risks and dangers (“Risks”).  Please click "I agree" below.  “ WARNING – Under Delaware Law, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to 10 Delaware Code Section 8140.” *
Required
Pre-entry pricing is $15 per class with a $20 grounds fee per horse and rider. Pre-entry pricing ends Monday, August 8th! For entries received after August 8th, classes will be $20/each & grounds fee for each horse and rider combination will be $20. *
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A copy of your responses will be emailed to the address you provided.
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