FITS Winter Light-40km Entry

FITS Winter Light- 40km

January 23, 2021
Name

First Name Last Name
Date of Birth

Month Day Year
Date
Rider USEF #
If applicable: will be assigned a number at no charge if you are not a member for record keeping of results purposes only.
Rider AERC #
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Emergency Contact

Name Phone Number
Horse Information

Ride Waiver and Release: Read Carefully before signing waives important legal rights. As consideration for participating in the FITS Winter Light 40km, I agree to abide by the rules of USEF, SEDRA, and the ride. I understand that distance riding involves being in remote areas for extended periods of time, far from communications, transportation and medical facilities. These areas have many 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 that accidents can happen at any time. I agree to take full responsibility for myself and the animal I am riding or helping with. This release is also valid for my animals, personal belongings, family members and any guest or crew accompanying me. Under Florida Law, an equine sponsor or 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 (FL Statute 773.01-773.06). I shall hold the management and participants blameless and free from liability for any accidents, injury or loss that may occur due to my participation in the rides. I shall not pursue legal action against ride management, the Kanavy's who are the landowners, USEF, or SEDRA. I agree to have read the COVID plan for FITS Winter Light located in the ride flyer, and to follow it and all state and local COVID safety rules. I understand that not following these rules will result my ejection from the competition without refund.
Typed name serves as electronic signature
Date

Month Day Year

I have read and agree to the attached USEF Wavier and Release of Liability Assumption fo Risk and Indemnity Agreement

I agree
Typed name serves as an electronic signature
Date

Month Day Year
Date
Should be Empty:

FITS Winter Light- 40km