Saturday Night Series Horse Show Entry Blank-Luling
One Horse Per Entry Blank
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Horse Name Rider Name & Nickname Class #'s
1._________________ 1._____________________ Rider 1._________
2._____________________ Rider 2._________
3._____________________ Rider 3._________
__________________1__Horse Stall-_____$55_____
_________________Tack Stalls $55-______________
____Horse/Rider Combinations-$10-______________
________Extra Day Horse Stall-$15-______________
____________Class Entry Fees-$25-______________
_________Class Sponsorships-$25-______________
Total $______________
I AGREE in consideration for my participation in this Competion(City of Luling /Satuday Night Series
Horse Show) to the following:
handler, vaulter, longeur, lessee, owner, agent, coach, trainer, or as parent or guardian of a minor. I am
fully aware and acknowledge that horse sports and the Competion involve inherent dangerous risks of
accident, loss and serious bodily injury including broken bones, head injuries, trauma, pain, suffering, or
death("Harm").
I AGREE to release the Lessor AND Lessee and the Competition from all claims for money damages or
otherwise for any Harm to me or my horse and for any Harm caused by me or my horse to others, even if
the Harm resulted, directly or indirectly, from the negligence of the Lessor, Lessee or the Competition.
I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the
negligence of the Lessor, Lessee or the Competition.
I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the Lessor, Lessee and
the Competition and to hold them harmless with respect to claims for Harm to me or my horse, and for
claims made by others for any Harm caused by me or my horse at the Competition. I understand that I have
the right to wear protective equipment without penalty, and acknowledge that no protective equipment will
guard against all injuries.
If I am a parent or guardian of a minor, I consent to the child's participation and AGREE to assume all of
the obligations of this Release on the child's behalf.
I AGREE that the "Lessor", "Lessee" and "Competition" as used above includes all of their officials,
officers, directors, employees, agents, personnel, volunteers and affiliated organizations.
I AGREE that if I am injured at this competition, the medical personnel treating my injuries may provide
information on my injury and treatment to the Lessor and Lessee.
I represent that I have the requisite training, coaching and abilities to safely compete in this competition.
BY SIGNING BELOW, I AGREE to be bound by all applicable State or Local laws and all terms and
provisions of this entry blank.
Signature Print Name
Rider/Driver/Handler/Vaulter/Longeur(mandatory)_____________________ ____________________
Owner/Agent ( mandatory) _____________________ ____________________
Trainer (mandatory) _____________________ ____________________
Parent or Guardian if rider, driver handler is minor ____________________ ____________________