Gymkhana/Versatility

Gymkhana/Versatility Competition

Rider Name(Required)
Date of Birth(Required)
Address(Required)
I will be paying by(Required)
If paying by check, please make all checks payable to Dawn Bonin Horsemanship and mail to: 577 Babcock Hill Rd. Coventry, CT 06238 on week prior to event date.

MM slash DD slash YYYY
I will be competing in:
Current Rabies/Coggins (within 1 year) required to compete
Level(Required)
In Hand: Open to all levels and breeds to compete unmounted. Beginner: Open to riders or horses newly started under saddle. Lead line helpers or coaches welcome. Walk/Trot only for gymkhana. Novice: Open to horses and riders at a novice skill level, and looking to improve versatility skills. Trot/Canter only for gymkhana. Open: Open to horses and riders at an advanced skill level, and have experience with trail and obstacles. Competing for cash prize (1/2 of every advanced entry goes to winner, prize money depends on amount of entries) Full speed for gymkhana. Payouts in Jackpot.
Current Rabies/Coggins (within 1 year) required to compete
Level (2nd Entry)(Required)
In Hand: Open to all levels and breeds to compete unmounted. Beginner: Open to riders or horses newly started under saddle. Lead line helpers or coaches welcome. Walk/Trot only for gymkhana. Novice: Open to horses and riders at a novice skill level, and looking to improve versatility skills. Trot/Canter only for gymkhana. Open: Open to horses and riders at an advanced skill level, and have experience with trail and obstacles. Competing for cash prize (1/2 of every advanced entry goes to winner, prize money depends on amount of entries) Full speed for gymkhana. Payouts in Jackpot.
Current Rabies/Coggins (within 1 year) required to compete
Level (3rd Entry)(Required)
In Hand: Open to all levels and breeds to compete unmounted. Beginner: Open to riders or horses newly started under saddle. Lead line helpers or coaches welcome. Walk/Trot only for gymkhana. Novice: Open to horses and riders at a novice skill level, and looking to improve versatility skills. Trot/Canter only for gymkhana. Open: Open to horses and riders at an advanced skill level, and have experience with trail and obstacles. Competing for cash prize (1/2 of every advanced entry goes to winner, prize money depends on amount of entries) Full speed for gymkhana. Payouts in Jackpot.
Release, Waiver and Indemnification Agreement I hereby acknowledge and understand that horseback riding and the handling of horses and ponies are dangerous activities which can result in injury or death. I, the undersigned, from this date on, hereby release, indemnify, and hold harmless Dawn Bonin Horsemanship LLC, Babcock Hill Horses Naturally LLC, and all owners, and affiliations of property where horse is stabled, from any and all claims, actions, suits, and/or damages that may occur as a result of any injuries sustained while taking horseback riding instruction, handling, or being near horses or ponies. This shall include all losses, damages, costs, and counsel fees that may occur as a result of injury, and related claims by any parties. I understand that inherent risks are involved in riding, handling, or being near horses and ponies. The inherent risks include but are not limited to the propensity of equines to behave in a way such as, running, bucking, biting, kicking, shying, stumbling, rearing, falling, or stepping on. Also the unpredictability of equines’ reaction to such things as sounds, sudden movement and unfamiliar objects, persons, or other animals. By signing this agreement take full responsibility in the event of any injury. I have filled out this application in full disclosure and truthfulness. I have read this release, waiver and indemnity agreement, and understand the risks involved and agree to assume them. I sign this agreement voluntarily and with full knowledge of its significance. I acknowledge that all horse handlers and riders should wear protective headgear which meets or exceeds the quality standards of the SEI certified ASTM standard while riding and being near horses and ponies. I understand that the wearing of such helmet may reduce the severity of any head injury incurred. If I choose not to wear such helmet, I assume all such risk of injury resulting therefrom. I further agree that all minors (under 18 years of age) must wear protective headgear while riding. Permission to Photograph. I grant to Dawn Bonin/Babcock Hill, the right to take photographs of me and my family in connection with the above-identified program. I authorize Dawn Bonin/Babcock Hill, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Dawn Bonin/Babcock Hill may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
I am the(Required)