ENTRY AGREEMENT

___________________________________ ____________ ________ ________

Name of Ride Distance Comp End

Division:

UMECRA : ___HW 180lb + ___LW 179lb and under ___JR

AERC: ___HW 211lb + ___MW 186lb -210lb ___LW 161lb-185 lb

___FW 160lb and below ___JR

__________________________________ ________ ______________

Name of Rider Age AERC rider no.

__________________________________|___________________|___________|__________________

Street City State Zip

__________________________________________________________(______)__________________

Emergency Contact and Phone

____________________________________________________________________________________

Pertinent Medical Information Medical Insurance number

____________________________________________________________________________________

Name of Horse Owner of Horse

________|________________|________________|___________________|_______________________

Age Color Sex Breed Reg. No. AERC Horse No.

___________________________________________________________________________________

Please Read This Carefully Before Signing

I wish to participate in the above named ride. In participating I fully understand and recognize the risks and dangers involved, as well as the fact that significant unanticipated, uncontrollable and unexpected risks may arise during the ride. I understand endurance and competitive riding involved being in remote areas for extended periods of time, far from communications, transportation, and medical facilities.I recognize ride management cannot eliminate or control all potential hazards to me or my horse or act to guarantee our safety.

I agree to abide by the rules of the ride and UMECRA, which incorporate the rules of AERC for endurance riding, and am familiar with those rules.

I know and understand competitive or endurance riding is an inherently dangerous sporting event and agree to assume the complete risk of injury or damage which I or my horse might sustain in competing in this ride. As a result, I agree to indemnify and hold harmless the ride management, ride landowners, ride members, and agents from and against all loss or damage, including property loss, suffered during or in connection with loss resulted directly or indirectly from negligent actsd or ommissions of the ride management, ride landowners, ride veterinarians, UMECRA, AERC, their directors, officers, committee members or agents.

I HAVE READ AND UNDERSTAND THIS RELEASE

Rider‚s Signature____________________________________________________Date_____________

As parent and/or legal guardian of the above-named junior rider, for and in consisderation of this child‚s participation in this ride, I agree to the terms above-stated as well on behalf of myself, my family and this child, and will hold harmless anyone so consenting.

I HAVE READ AND UNDERSTAND THIS RELEASE.

Signature____________________________________________________Date____________________

I have agreed to SPONSOR the above named junior rider and promise to abide by all the AERC and UMECRA rules covering the sponsor-junior relationship.

Signature____________________________________________________Date____________________

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