Entry form | Plantation Field Equestrian Events

Entry fee

$115 All divisions

$140 After closing date

Closing day is the Tuesday two-and-a-half weeks before the event.

$90 Applying $25 volunteering discount

$105 Applying $10 Pony Club discount

Other…

Enter only ONE horse per form
Make checks payable to “PFEE” [Plantation Field Equestrian Events, Inc.]

Event

Fall Starter Horse Trials (Sat, Oct 31)

Has been declared for PF TB Series

Horse name

Rider

First Name

Last Name

Date of birth

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Telephone

Owner

First Name

Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Coggins

One file only.
32 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

I agree to the terms of service.

I undersigned, on my own behalf and on behalf of my minor child/children acknowledge that I am aware that horseback riding is a dangerous activity and that serious bodily injury possibly including paralysis and/or death may result from accidents while riding.

In consideration of being allowed to participate in the schooling day sponsored by, Plantation Field Equestrian Events, Inc., a Maryland non-profit corporation (hereafter, sponsor) I, for myself and for my child/children do hereby release the Sponsor and Cuyler Walker, owner of the “Plantation Field”, owner of the adjacent site of the schooling day event (hereinafter Landowner) from any claim for loss, damage or injury to me, to my child/children, to my horse, or my child/children’s participation in the Sponsor’s schooling day activity.

I further acknowledge that I on my own behalf and on behalf of my minor child/children I am knowingly assuming the risks associated with the schooling day activity. I further agree to be solely responsible for any and all damage or injury caused to other persons and property by me, my minor child/children, my horse or my minor child/children’s horse.

I agree to hold harmless and indemnify the Sponsor and the Landowners from any claim, damage or cost including the costs of litigation, which may be incurred by the Sponsor or Landowner and arising from or out of my participation, or my child/children’s participation, in the schooling day activities.

I acknowledge I have read this release and I on my own behalf and on behalf of my minor child/children execute this release.

Signature

Sign above

Bambi Glaccum, Secretary
P. O. Box 82, Unionville, PA 19375
610-316-0450 (cell/text) – 610-347-1001 (fax)
Email: secretary@plantationfield.com

Notes to the secretary

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