West Greenwich Horseman’s Association

GHOST RIDE

SUNDAY October 28, 2018

GoddardState park,East Greenwich,RI

WGHA/NEHT 6/12/18 miles, check in after each loop

Registration 9:00 ride out by 10:00 Lunch approx. 12:00

Have some fun and wear a costume (optional)! Pictures will be taken!

Prize for best costume!

Don’t forget to sign your mileage forms!!

Keep your parking area clean of any hay and manure when you leave.

Negative Coggins and Rabies Certificate within 1 year is required

Watch for cutouts on the trail and win a prize!

Contacts: Carolyn

Linda 401-225-6775

PLEASE NOTE: Pre-entries being requested to be received 2 days prior to the event. We would like to encourage you to pre-enter so we can plan our luncheon more efficiently. Thank You.

Directions to GoddardPark

Take I-95 to Exit 8A.

Go left at the first light and proceed 2 - 3 miles on Division Road.

Take a right at the light.

Take a left at the bottom of the hill at the light.

Follow signs to GoddardPark. Horseman’s Area will be on your left.

West Greenwich Horseman’s Association

GHOST RIDE

Entry/Release Form

October28, 2018

RIDER:WGHA#NEHT#

ADDRESS______CITY:STATE:ZIP:

PHONE NUMBER:Email:

HORSE NAME:COGGINS #will be checked at the table

HORSE’S BREED:COLOR:______

EMERGENCY#YOUR CELL#_

Make checks payable to WGHA. Mail entry to: Carolyn Scire 282 Phillips Hill Road, Coventry, RI 02816

Current Coggins and Rabies required of 1 yr. Mailed entries must be sent at least 2 days prior to event.

Ride Fees:Pre-entry Post-Entry

Member: $20.00 Member: $25.00

Non-Member: $25.00 Non-Member $30.00

Junior (18 and under) $15.00 Junior (18 and under) $20.00 Amount Enclosed: ______

Lunch for non-rider $5.00 Lunch for non-rider $5.00

Waiver of Liability

UNDER RHODE ISLAND LAW, AN EQUINE PROFESSIONAL UNLESS HE CAN BE SHOWN TO FAIL TO BE IN THE EXERCISE OF DUE CARE, IS NOT LIABLE FOR ANY INJURY TO, OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM RISK INHERENT OF EQUINE ACTIVITIES, PURSUANT TO CHAPTER 21 OF TITLE 4 OF RHODE ISLAND STATE LAWS

**For safety reasons were strongly recommend a red ribbon in the tail of horses that kick, a green ribbon in the tail of green horse or rider and a yellow ribbon in the tail of a stallion.

THE WEST GREENWICH HORSEMAN’S ASSOC. OR THE OWNERS OF THE PARK WILL NOT BE RESPONSIBLE FOR ANY LOSS, DAMAGE OR INJURY TO RIDER, SPECTATOR, OR HORSE OR DAMAGE CAUSED BY ANY HORSE OWNED AND OR RIDDEN BY HIM/HER AND SHALL NOT HOLD THE WEST GREENWICH HORSEMAN'S ASSOC. OR THE OWNERS OF THE PARK LIABLE FOR ANY OF THE ABOVE.

Signature of this form consents agreement to these conditions as well as the WGHA event rules. A representative who is of age must sign the entry blank and who, by such signature, individually accepts responsibility and risk as stated above.

ASTM/SEI approved helmets strongly suggested, required for riders under 18 years.

Signature of rider (over 18) ______Date ______

Signature of Parent/Guardian of minor Child______Date______

Emergency #______Allergies/Medical Issues

Please be aware that all photos taken may be used for WGHA publicity.

Check box below if you do NOT consent using photos taken.

No signature implies consent.

I do NOT consent: Signature ______Date: ______