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  • 2023 Powder Basin Eventing Clinic Registration

    PayPal/VENMO Payment Option - Processing Fees - 3.49% + 49 cents
  • Friday June 16 through Sunday June 18, 2023

    Powder Basin Equestrian Facility and Riding Park - Gillette, WY
  • **MUST BE ON MOBILE WITH VENMO INSTALLED FOR OPTION TO BE OFFERED**

  • ONE FORM PER HORSE

    Even if the Horse is not Participating in the Clinic -- Pay for Stalls
  • Cathy Wieschhoff - Jumping Phases Kirsi Hussa - Dressage

  • Rider Information

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  • 2023 RELEASE OF LIABILITY FOR PBEA FACILITY AND RIDING PARK
    PLEASE READ BEFORE SIGNING!


    By signing this form, I state that I understand that equine activities are inherently risky and potentially dangerous. I understand that riding is a potentially risky and potentially dangerous sport. I herby declare that I am participating in thisactivity entirely at my own risk I herby assume this risk and further do herby release and hold harmless Powder Basin Equestrian Association and my fellow riders, from all liability , including any negligence, resulting in accidents, damage, injury, illness and /or death, to myself and to my property , including the horse or horses which I will ride at the PBEA Facility and Riding Park.

    This release will be considered valid any time I ride at PBEA Facility and Riding Park.  I further understand and accept the limitations applied by Wyoming State Law, specifically the “Recreation Safety Act” (WS. 1-1-121 through 1-1-123) that participants in recreation activities, particularly including equine activities, accept full responsibility for the inherent risk, dangers and conditions which are characteristic of, intrinsic to, or an integral part of any sport or recreational opportunity.

    I acknowledge that I am participating entirely at my own risk. RIDE AT YOUR OWN RISK!! Please use your own good judgment and ride safely!

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

  • VENMO Option ONLY Appears on Mobile (phone or tablet) and VENMO App Installed

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    USD
  • Please click one of the PayPal options to complete payment and submit the form.

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