Walsingham Horseman's Association

Walsingham Horseman's Association, Inc. Special Event Release/Guest Pass
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 risks of equine activities.

WHA Rules are posted on the WHA website: WHAhorse.org/Park-Rules/

Guest passes are intended to be used for a one time visit ONLY. You must be accompanied by a rider who has already paid the yearly fee and has a "Trail Use Fee Application" on file with WHA. We encourage you to join the WHA equestrian riding community in supporting our park by paying the annual trail use fee that helps with the self-sustaining maintenance of our park.
Guest Full Name*
Acknowledge Rules and Liability Release*

I agree to abide by the WHA/Pinellas County Park rules and understand that my privileges as a guest may be revoked if those rules are not followed. I do hereby, for myself, my heirs, executors and assigns, waive, release and forever discharge any and all rights and claims for damages which I may have or hereinafter accrue against The Walsingham Horseman's Assoc., it's officers, agents, etc., and Pinellas County, it's officers, agents, etc., and any and all persons whose pony or horse I may ride within the Walsingham Equestrian Park, for any damages which may be sustained by me, or my minor child(ren), in connection with my equestrian activities.
This guest pass is for a minor?*

YesNo
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Email
example@example.com
If you are riding your own horse, a negative Coggins is required to use WHA trails and facilities. Date of last Coggins
Date of Negative Coggins*

MonthDayYear
If you are riding your own horse, a negative Coggins is required to use the WHA trails and facilities.
Upload Negative Coggins (optional)

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Signatures
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Legal Signature*

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Guest Legal Signature*

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Date*

MonthDayYear
Date
Name of WHA Member Escort*
WHA Member Escort Legal Signature*

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Date*

MonthDayYear
Date
Payment
Select Payment Method

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My Products
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Guest Pass FeeAccess to WHA Equestrian Trails for a full day with a WHA member present
$10.00

Total

$0.00
Should be Empty:

Walsingham Horseman's Association, Inc. Special Event Release/Guest Pass

Signatures

Payment