West Greenwich Horseman’s Association

Daylight Savings Trail Ride!

When: March 11, 2018

Where: Pachaug State Forest, Voluntown, CT

Miles: TBA day of ride- Between 6-14 miles NEHT/WGHA mileage

Food: Small snack & water before ride will be available.

Cost: $10 Adult, $5 Juniors

Contact: Celeste Santos 860-235 or

Watch for last minute changes or cancellations.

Riders must sign in between 12:30 -1:00 pm

Last riders must be out by 1:30.

Ride at your own pace.

West Greenwich Horseman’s Assoc

Daylight Savings Ride

Entry/Release Form

March 11, 2018

RIDER: ______WGHA#______RIDERS AGE:______NEHT#______

ADDRESS______CITY: STATE:____ ZIP:______

PHONE NUMBER: ______Email:______

HORSE NAME: ______HORSE’S AGE: _____COGGINS - checked at table

HORSE’S BREED: ______COLOR:______

EMERGENCY#______YOUR CELL#______

Current Coggins and Rabies required of 1 yr. Please bring copy at first ride of your Coggins/ Rabies for WGHA to hold for all 2017 events. No pre-entry necessary.

Ride Fees:Adult - $10.00

Junior (rider 18 and under) $5.00 Amount Enclosed: ______

In the event the ride is canceled, all money will be returned.

Waiver of Liability

Under Connecticut law, each person engaged in recreations equestrian activities shall assume the risk and legal responsibility for any injury to his person or property arising out of the hazards inherent in equestrian sports.

**For safety reasons were strongly recommended 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 under18 years.

Signature______Date______

Signature of Parent/Guardian of minor child

Emergency #______Allergies/Medical Issues______

Please be advised that photos may be taken at this event for use in WGHA publications including club Facebook page.

Please sign legible to indicate below if you do or do not consent to have your picture published in this manner:

I consent; SignatureDate

I do NOT consent. Signature ______Date: ______