Fallbrook Riders 2023 Jumper Entry Form

Pick your jump!

* Choose Show Date:

TBA TBA TBA TBA

0.30 m (Cross rails) Cross rails

0.60 m (1’11”) One Eleven

0.70 m ( 2’3”) Two Three

0.80 m ( 2’7”) Two Seven

0.90 m ( 2’11”) Two Eleven

1.00 m ( 3’3”) Three Three

1.10 m (3’7”) Three Seven

1.15 m (3’9”) Three Nine

Ground Rail Class Ground Rail

Walk/Trot Equitation lk Trot Eq

Open Equitation (W/T/C) Open Eq

Crossrail Equitation Cr ossrail Eq

Bareback Equitation Bareback Eq

Cross Country schooling designated jumps only! y

Confirm Total # of Rides

*Day stall cost optional, and is in addition to Grounds Fee

Stall ($10)

Non-Member Grounds fee - per horse ($10)

Total Fees For Entry

* Confirm Total

Contact Details

RIDER"S INFORMATION

HORSE INFORMATION

* Rider's Name:

* Trainer:

Address:

* Horse(s):

City

State

Zip

* Cell#

* Enter Email Address:

*Re-enter Email Address:

* FRF Member/Non-Member

Fallbrook Riders Field, South Stagecoach Lane, Fallbrook, Ca 92028

PARTICIPANT’S RELEASE OF LIABILITY & HOLD HARMLESS AGREEMENT. THIS RELEASE CONTAINS IMPORTANT LIMITATIONS OF LEGAL LIABILITY. READ IT CAREFULLY BEFORE SIGNING.

The undersigned states as follows:
I recognize that competitive and pleasure horse activities possess inherent risks of injury and damage to me personally, to my children, to my horse(s), and to my equipment. Acknowledging these facts, I hereby, in consideration of your acceptance of this form, discharge and hold harmless Fallbrook Riders Inc., their boards of directors, officers, members, employees, and all other persons and organizations in any way connected with this event and their representatives, heirs, and assigns, executors, administrators from any and all right, claim or liability for damage or for any and all injuries that might be sustained by me or my children, including injuries to animals or from any and all claims of any kind or nature that I might have as a result of or arising out of my participation in any activity. I further acknowledge that his release will extend to any accidents, damages, or claims arising out of my participation by my own act or the acts of anyone or any animal within my control. I further agree that I will defend, indemnify, and hold harmless Fallbrook Riders Inc., their board of directors, officers, members, or any one of them against all claims, demands, and causes of action, including court costs and attorney fees directly or indirectly arising from any action, claim, or other proceeding brought by and prosecuted for my benefit contrary to this release, extending to all claims of every kind and nature whatsoever, whether know or unknown, and expressly waive any benefits I may have under Section 1543 of the California Civil Code relating to the release of unknown claims.

* I acknowledge that I have read and understand the foregoing liability and agree to the terms thereof.

* SIGNATURE OF RIDER

Participant’s signature or signature of parent if participant is under 18 will be required at check in.

*Name on credit card paying for this entry: