WNRDC Jumper Series Entry Form

WNRDC Jumper Series Entry Form

WNRDC Jumper Series Entry Form

Online entry – you must agree and select this item to proceed

Processing fee *
Show date I’m entering

RIDER INFORMATION

I am 18 years old or older *

Horse Information

Horse Gender *
Coggins Report (mandatory, please send via email to show secretary ([email protected]) if unable to upload.
Maximum upload size: 8MB
ACCEPTABLE COGGINS: WITHIN ONE YEAR OF EVENT

I will be riding more than one horse (separate entry for each horse, please)

Division Entering

Rider’s Age Category

CLASS LIST

Please select class(es) you wish to enter *

Requests

Series Secretary is Beth O’Malley: [email protected]

By submitting this form and payment I enter the WNRDC Jumper Series which is made at my own risk and subject to the conditions of the sponsoring Club. Further, in doing so, I understand that this competition can be dangerous for both horse and rider, including sickness and disease (including communicable diseases.) In addition, I release the West Newbury Riding and Driving Club, its members, all volunteers, the Town of West Newbury, landowners and organizers from any and all liability actions, causes of action, claims and demands of every kind and nature whatsoever which may arise in connection with or resulting from participation in any activities. I also give permission for the WNRDC to use any photograph, video or other likeness of me and my horse taken during the WNRDC Jumper Series for promotion, coverage or benefit of the club, with the condition that such likeness will not be used to commercially promote any product. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. I have read the WNRDC COVID-19 Safety Protocols and agree to adhere to these guidelines and understand that they may change as CDC and state regulations change and that WNRDC requirements may be more stringent than CDC or State requirements. By typing my name below I agree. (If under 18 parent must electronically sign by typing their name.)
My Horse’s coggin’s papers *

Payment Info

Credit Card *
Cardholder Address *
Cardholder Address
City
State/Province
Zip/Postal