Entry Form

Addington Farm IEA Team

Interest Form
Instructions

1. Complete this form and ensure to review liability waivers

2. Reserve a riding evaluation time: Evaluation Sign Up

3. Pay the riding assessment fee of $25
Rider Name

First NameLast Name
Rider Age
Rider School Grade, as of Aug 2026
Rider Height
How many days a week does the rider currently lesson?
Has the rider shown horses outside of IEA in the last year?
Did the rider participate in IEA last season?
If yes to the previous question, at what level?
Please provide any details about riding experience? (i.e. number of years riding, primary discipline, current or recent jumping height, show experience (if any), experience riding unfamiliar horses, previous IEA/IHSA/Pony Club/4-H, riding strengths and areas you are currently working to improve, etc.)
Please tell us why you would make a great addition to the team!
Parent Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Liability Release and Assumption of Risk Agreements

*Please ensure to review and sign both release forms*
Click to review Addington Farm Liability Release

Click to review Woodlands Facility Liability Release
Riding Assessment Payment
By checking the box I agree to the following assessment payment of $25 due at time of form completion
*While venmo is preferred, please reach out to addingtonfarmiea@gmail.com if the form of payment is not possible. Payment is due upon completion of form to reserve time slot. Time slot will be released if payment is not made.
By signing below, I certify that I have read and understand all terms, conditions, policies, acknowledgments, and waivers contained in this form. I acknowledge and agree to be bound by them, affirm that all information provided is true and accurate to the best of my knowledge, and understand that submission of false or misleading information may result in disqualification from participation. If signing on behalf of a minor participant, I certify that I am the parent or legal guardian and have the authority to execute this agreement on the participant's behalf.

Participant Signature (18+) or Parent/Guardian Signature (if participant is under 18)
Name

First NameLast Name
Signature
Date

MonthDayYear
Date
Rider Full Name

First NameLast Name
Should be Empty:

Addington Farm IEA Team

Liability Release and Assumption of Risk Agreements

Riding Assessment Payment