• Winter Gallop at Tidewater Entry Form - January 16, 2021

    25/50 Mile Rides
  • Rider Information
     
    Note: The ride is full. You should still complete the registration form to get on the waitlist.
     
    Please don't send any ride fees until you get notice that says you are accepted into ride.

     
  •  -  -
    Pick a Date
  • Saturday, January 16
     
  •  -  -
    Pick a Date
  • Payments
     
  • Connie Caudill
    10932 SE 40th St.
    Morriston, FL 32668
    Email: conniecaudill@yahoo.com
     
    Make checks payable to Connie Caudill and mail to same address or PayPal to conniecaudill@yahoo.com. IMPORTANT: If paying by PayPal, I will only accept payments that are sent to friends and family unless you paid the added fee. Entry will not be complete until payment and entry form received.
     
  • Winter Gallop at Tidewater RELEASE   Please read this release carefully and sign at the bottom. WAVIER FOR ALL RIDERS, PLEASE READ CAREFULLY

    WARNING: 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 risk of equine activities. As a participant in the Winter Gallop Ride, I agree to abide by AERC Rules. I understand that the sport involves being in remote areas for extended periods of time, far from communications, transportation and medical facilities, that these areas may have natural and man made hazards, which ride management cannot anticipate, identify, modify or eliminate, that horses can be excitable, difficult to control and unpredictable and accidents can happen to anyone at anytime. I accept responsibility for myself and the animal that I ride. I hold ride management, AERC, SERA, SEDRA and all personnel and property owners including the State of Florida, Division of Forestry, blameless and free from all liability for injury or
    loss that might occur due to my participation in this ride. This release is valid for my animals, personal belongings, family or guest in my company.
     
    I understand that I am responsible to abide by the ride Covid policy by wearing face coverings or social distancing of at least 6 feet. I have read the Covid plan and will not hold the ride responsible for any illness.
     
    I have read and understand this release. Under penalty of disqualification all information on this form is correct to the best of my knowledge.   Signature or owner or his agent duly authorized to make this entry:   BY SIGNING BELOW, I AGREE to be bound by terms and provisions of this entry If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force and effect as if I affixed my signature by my own hand.  
     
     
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