Liberty Hill Equestrian Center, d/b/a Liberty Hill Farm
Dressage Schooling Show Entry Form
Saturday October 24, 2020
Postmark Date 10/14/20  In Hand  Date 10/18/20
HORSE’S NAME: ________________________________________________

RIDER’S NAME (print): _______________________________________________PHONE:______________________ ________________
   

Address___________________________________________________________________City&Zip_________________________________

email ______________________________________________________Trainer (if applicable)____________________________________

!!!!!!!   Division (circle one)      Open        Adult           13/over       12/under   !!!!!!!

Tests ($30.00 ea)____________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

Office fee_____________________________________________________________________________$30.00
Late Fees add $5.00 per class___________________________________________________________________

Total Fees                                                                                                                                                 __________
(One check per entry, cash or money orders not accepted)
Mail to Liberty Hill Farm 28525 Saxet Dr., Boerne, Tx 78006
No refunds will be issued or applied to future shows after in-hand date.
Management reserves the right to cancel or combine classes, change officials, or refuse entries
Boots and helmets mandatory (ASTM approved)USEF/USDF rules will be followed with regards to tack
Call  Kitch at 210-445-1935 for more information
Ride times posted at www.libertyhillfarm.net Thursday afternoon
I agree that I am participating voluntarily in the above competition and am fully aware that horse sports and this
competition involves risks and dangers including, without limitation, the potential for serious bodily injury (including
broken bones, head or neck injuries), sickness and disease (including communicable diseases), trauma, pain & suffering,
permanent disability, paralysis and death; loss of or damage to personal property (including my mount & equipment)
arising out of the unpredictable behavior of horses; exposure to extreme conditions and circumstances; accidents
involving other participants, event staff, volunteers or spectators; contact or collision with other participants and horses,
natural or manmade objects; adverse weather conditions; facilities issues and premises conditions; failure of protective
equipment (including helmets); inadequate safety measures; participants of varying skill levels; situations beyond the
immediate control of LHF competition management; and other undefined, not readily foreseeable and presently unknown
risks and dangers of serious injury or death, and by participating I expressly assume any and all risk of injury or loss,
including death to myself and my horse and I agree to indemnify and hold Liberty Hill Equestrian Center, d/b/a Liberty Hill
Farm (herein known as LHF), it owners, agents, employees, and volunteers harmless from and against all claims including
for any injury or loss suffered during or in acts or omissions of said LHF, its owners, agents, employees, or volunteers. I
accept full responsibility for any and all medical expenses I incur as a result of any injury I or my horse incur while
partaking in this competition.  I will also be responsible for any and all medical expenses incurred on my or my horse’s
behalf by LHF including but not limited to ambulance fees, emergency room fees, doctor/vet fees, and hospital fees. I
authorize LHF to authorize medical treatment on my behalf and on the behalf of my horse if I am unable to do so. I assume
all responsibility and liability for any and all family members and/or guests I bring with me to LHF. I represent that I have
the requisite training coaching and abilities to safely compete in this competition. If I am a parent or legal guardian of a
junior (18 or under) exhibitor, I consent to the child’s participation and agree to all the above provisions and agree to
assume all the obligation of this Release on the child’s behalf.
WARNING:
UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE) A FARM ANIMAL
PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN FARM
ANIMAL ACTIVITIES RESULTING FROM THE INHERENT RISKS OF FARM ANIMAL ACTIVITIES.
Rider’s Signature: ____________________________________________________________________

Parent/Guardian Signature if rider is under 18 ______________________________________________
Print Parent/Guardian’s Name___________________________________________________________

Trainer/Coach's Signature______________________________________________________________

Emergency contact__________________________________phone#_____________________________