Show Date (please fill in) : ____________________________
Name of Rider: _______________________________________ 
Street Address :___________________________________
City,State,ZIP :___________________________________

Rider’s Age if under 18:______________
Phones: ________________________________________
e-mail address: ___________________________________

STABLING and HORSE INFORMATION FORM **Chicopee Woods requires all horses to have a stall and shavings.  You may purchase shavings or bring your own.**
Horse’s Name:_________________________________________
Stable with: __________________________________________
Coggins Date:__________________________________________

Total Fees                                                                                                                                                                            

Mail Entries to: NCHS 4021 Hwy. 411, NE Rydal, Ga. 30171

** Incomplete entries cause extra processing time - fee $10.00  Entry must include entry form with all signatures, copy of current coggins test, GDCTA hold harmless and payment in full of all fees.***

Release (must be signed by/for all entrants, signature indicates having read and understanding release):  I understand my entry is made at my own risk.  I understand that New Classic Horse Shows, Chicopee Woods, sanctioning associations, the show committee, officials, volunteers and the owners of the facilities, equipment and supplies are not responsible for any accidents, damage, injury or illness to animals, riders, owners, employees, attendants, spectators, vehicles or equipment in connection with this show.  I further agree to repay New Classic Horse Shows and the owners of the facility, on demand for any damages sustained by reason of any claim or demand.  This release applies to all 2008 New Classic Horse Shows, events, functions, clinics or activities.  I agree the competition may use or assign photographs, videos, audios, cable casts or other likenesses of me and my horse taken during the course of the competition for the promotion, coverage or benefit of the competition.

Date: __________________  Rider Signature: _______________________
Parent/Guardian Signature:_____________________________________
Owner Signature: _____________________________________________

The undersigned competitor and any signing parent or guardian hereby (1) agrees to release the management of this show, their officers, directors, employees, members, or agents, and the owners or managers of the grounds where this event is held, from any loss, damage, liability, or injury arising out of or resulting from this show or competitors participation therein; (2) agrees to indemnify, hold harmless and defend the Georgia Dressage and Combined Training Association, Inc., the organizer, facility owner, and the management of this show from and against any and all claims for loss, damage, liability, or injury, however caused, resulting directly or indirectly from competitors entry or participation in this show or from acts or omissions of competitor or competitor’s agents; and (3) acknowledges that activities with and around horses and horse shows involve inherent risks that are understood by the persons signing and are expressly assumed. In the event of injury to competitor or to competitor’s animals permission is hereby granted to management for emergency medical treatment.

Every entry at a Georgia Dressage and Combined Training Association, Inc. (GDCTA) recognized competition shall constitute an agreement and affirmation that all participants (which include, without limitation, the owner, lessee, trainer, manager, agent, coach, driver, handler, and the horse), for themselves, their principals, representatives, employees, and agents: (1) shall be subject to the constitution and rules of the GDCTA and the local rules of the competition; (2) represent that every horse, rider, driver, and handler is eligible as entered; (3) agree to be bound by the constitution and rules of the United States Equestrian Federation (USEF) and of the competition, and will accept as final the decision of the hearing committee on any question arising under said rules, and agree to hold the competition, the GDCTA, their officials, directors and employees harmless for any action taken; (4) agree that as a condition of and in consideration of acceptance of entry, they authorize the GDCTA and the competition management to market, transfer, assign, or otherwise make use of any photographs, likenesses, films, broadcasts, cablecasts, audiotapes, or videotapes taken of the horse(s) and participant(s) while on the grounds, incident to, or in transit between the stabling facility and the event site, in any way they see fit for the promotion, coverage, or benefit of the event, sport, or the GDCTA, without compensation to any of them, so long as the use neither jeopardizes amateur status nor endorses a specific product or service, and hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to invasion of privacy, right of publicity, or to misappropriation; and (5) agree that they participate voluntarily in the competition fully aware that horse sports and the competition involve inherent dangerous risk of serious injury or death, and by participating they expressly assume any and all risks of injury or loss, and they agree to indemnify and hold harmless the GDCTA, the competition, and the officials, directors, employees, and agents from and against all claims including for any injury or loss suffered during or in connection with the competition, whether or not such claim, injury, or loss resulted, directly or indirectly, from the negligent acts or omissions of said officials, directors, employees, or agents of the GDCTA or competition. The construction and application of USEF Rules are governed by laws of the State of New York, and any action instituted against USEF must be filed in New York State, see Article 1502.5.

Under Georgia law, an equine activity sponsor or 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 Chapter 12 of Title 4 of the Official Code of Georgia Annotated.

Signed: ______________________________________ Date: _____________

(Rider)

Signed: ______________________________________ Date: _____________

(Parent/Guardian if rider is under age 18)