Building Bridges Rail Trail Ride & Poker Rally Registration

Building Bridges Rail Trail Ride & Poker Rally Registration

Fundraiser for G2G
September 28, 2024

Camping Available beginning Friday @ 86 Threshers Ln, Blyth ON
Invite non-horsey family and friends to attend. The concert is free and open to everyone. Non-Riders can buy dinner tickets and poker hands if they are over 18.

Please register in a participant box below and go to the check out.
To participate in this ride you are required to have OE Insurance . An insurance waiver must be signed by all participants prior to participating in the ride. Chesley Saddle Club membership is not required.
Name of Primary Contact Person

First NameLast Name
Phone Number
Email*
example@example.com
Equestrian Participation Section

Riding & Driving
Individuals must be over the age of 18 years old to participate in the Poker Run Activity
Riders under 18 are welcome to attend and ride for free with a waiver signed by a guardian.
Registration Section

Limit of 5 per form.
Participant #1

First NameLast Name
Participation Method
Email
example@example.com
Equestrians must provide OE insurance policy in the space below.
Participant #2

First NameLast Name
Participation Method
Email
example@example.com
Equestrians must provide OE insurance policy in the space below.
Participant #3

First NameLast Name
Participation Method
Email
example@example.com
Equestrians must provide OE policy in the space below.
Participant #4

First NameLast Name
Participation Method
Email
example@example.com
Equestrians must provide OE insurance policy in the space below.
Participant #5

First NameLast Name
Method of Participation
Email
example@example.com
Equestrians must provide OE insurance policy in the space below.

Payment Methods
E-transfer or cash is preferred.

E-transfer address is:

treasurerrideontario@chesleysaddleclub.ca

Please use the password that is provided in the jotform Thank You Page located above the Waiver.

Cheques payable to : Chesley Saddle club

Mail to: John Gillberry, CSC Treasurer

015449 Grey Bruce Line

R.R.#3 Chesley, ON

N0G 1L0

Contact Ruth Uyl or John Gillberry for payment information.

john.ruth@tcc.on.ca jkgillberry@gmail.com
My Products
prevnext( X )
Camping
$50.85 Quantity



Participation Fee per person over 18 yrs
$35.00 Number of Participants



Lion's Pork Chop Dinner
$25.00 Quantity



Additional Poker Hands
$10.00 Quantity



Total

$0.00
Participation Acknowledgement of Risk
Download Version of Waiver below. A Printable PDF is available in the Thank You box upon completion of this registration form.
upload Proof of Purchase here, or email it to john.ruth@tcc.on.ca
File Upload

Cancelof
Photo/Video/Social Media

This is a fundraising event towards the goal of building a bridge over the Maitland River by Auburn to connect the G2G Rail Trail. Participation in this event may result in you being photographed, recorded and used for promotional material.
Horse Activity

I understand that Horses are unpredictable animals and may be reactive to sudden movements and sounds or novel objects.

I and everyone in my group will follow all directions as a participant from organizers and horse owners to minimize situations that may startle horses.
I understand that participation in this event may involve some degree of risk. I hereby waive any and all legal rights against all the organizers of this event, including but not limited to: private volunteers, Chesley Saddle Club, G2G organization, Blyth Thresher Campground, Lion's Club and other participants, from any liability for injury, loss, damage, theft or injury to animals that may occurr as a result of participating in this fundraising event.
Riders/Drivers are required to sign and submit an additional Acera/OE waiver and Proof of Insurance Contact Ruth Uyl with any questions.

john.ruth@tcc.on.ca
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Building Bridges Rail Trail Ride & Poker Rally Registration

September 28, 2024

Invite non-horsey family and friends to attend. The concert is free and open to everyone. Non-Riders can buy dinner tickets and poker hands if they are over 18.

To participate in this ride you are required to have OE Insurance . An insurance waiver must be signed by all participants prior to participating in the ride. Chesley Saddle Club membership is not required.

Equestrian Participation Section

Individuals must be over the age of 18 years old to participate in the Poker Run Activity

Riders under 18 are welcome to attend and ride for free with a waiver signed by a guardian.

Registration Section

Payment Methods

E-transfer or cash is preferred.

E-transfer address is:

treasurerrideontario@chesleysaddleclub.ca

Please use the password that is provided in the jotform Thank You Page located above the Waiver.

Cheques payable to : Chesley Saddle club

Mail to: John Gillberry, CSC Treasurer

015449 Grey Bruce Line

R.R.#3 Chesley, ON

N0G 1L0

Contact Ruth Uyl or John Gillberry for payment information.

john.ruth@tcc.on.ca jkgillberry@gmail.com

Participation Acknowledgement of Risk

Download Version of Waiver below. A Printable PDF is available in the Thank You box upon completion of this registration form.

upload Proof of Purchase here, or email it to john.ruth@tcc.on.ca

Riders/Drivers are required to sign and submit an additional Acera/OE waiver and Proof of Insurance Contact Ruth Uyl with any questions.