Horse Shows In The Park

ENTRY FORM
Horse Shows In The Park, LLC (HSITP, LLC)

Show Location:	*Required
Month/Year of show:	*Required
Name of Horse/Pony:	*Required
Pony Exhibitors:
Coggins Accession #:
Coggins Date:
Lab City/State Where Coggins Performed:
Rider Name:	*Required
Rider Birth Date:	(Not required)
Rider/Parent Address (street, city, state, zip):
Rider/Parent Phone #:
Rider/Parent Cell Phone #:
Rider Email Address:	*Required
Stable/Trainer Affiliation
RV Hookup:	Yes
Stall Required
Class #'s To Be Entered
I have read and agree: Yes This document waives important legal rights. Read it carefully before signing	*Waiver and Indemnity Required**
I have read and agree: Yes This document waives important legal rights. Read it carefully before signing	HSITP, LLC RELEASE, ASSUMPTION OF RISK, WAIVER AND INDEMNIFICATION *Required
I have read and agree: Yes This document waives important legal rights. Read it carefully before signing	WARNING - FLORIDA STATUTE CHAPTER 773.01-773.05 *Required Under Florida 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.
SECURITY CODE:	*Required Enter Security Code:

IF PRINTED:
Owner’s signature (must be 18 or over) :	X_________________________
Trainer’s Signature :	X ________________________
Rider’s Signature (if 18 or over -otherwise Parent) :	X_________________________