Fillable Edra/pner Ride Entry Form printable pdf download

EDRA/PNER RIDE ENTRY FORM

(To be used at PNER events sanctioned by Equestrian Distance Riders Association)

Rider #

RIDE NAME:

MILES:

C0ST: $

RIDER NAME:

PNER#

EDRA#

ADDRESS:

PHONE:

CITY/ST/ZIP:

E-MAIL:

SENIOR RIDER (yes/no):

DATE OF BIRTH (if 21 or younger, to determine Junior/Youth Rider eligibility):

WEIGHT CLASS, rider weight with tack (check one):

Up to 170 lbs.

171-200 lbs.

201+ lbs.

When entering a Mettle Relay, please provide the names of all team members and the estimated distances each member will ride, totaling the

full distance. Each team member must ride a minimum of 25 miles and must complete a separate ride entry form.

RIDER NAME:

EDRA#

EST. DISTANCE:

RIDER NAME:

EDRA#

EST. DISTANCE:

RIDER NAME:

EDRA#

EST. DISTANCE:

RIDER NAME:

EDRA#

EST. DISTANCE:

TEAM NAME:

TEAM #

TOTAL RIDE DISTANCE:

HORSE NAME:

HORSE’S EDRA LOGBOOK #

HORSE’S NICKNAME:

AGE:

SEX:

COLOR:

BREED:

REG #

OWNER:

EDRA LIABILITY RELEASE FOR RIDES

For and in consideration of participating in this distance ride endorsed by Equine Distance Riding Association (hereafter called EDRA), I

understand and agree that:

•

distance riding is a hazardous activity;

•

distance riding may and likely will involve being in remote areas for a long periods of time;

•

there may be natural and/or man-made hazards in the area where the ride is located which ride management cannot anticipate,

identify, modify, or eliminate;

•

equines are capable of being excitable, difficult to control, and/or unpredictable;

•

accidents can happen to anyone at any time–whether it is my equine causing injury to another equine or person or whether it is

another participant’s equine causing injury to me or my equine;

•

accidents can also happen to anyone who attends a distance riding event as a spectator or otherwise; and

•

there is often NO ambulance or medical help present nor readily available.

I understand and agree that I assume full responsibility for my safety and my equine’s safety. To the best of my ability, I will be vigilant in

preventing injury to other persons or equines.

In exchange for the privilege of participating in EDRA endorsed distance rides, I, my heirs, executors, and administrators will hold harmless and

blameless EDRA, and all officers and directors thereof, all members of the ride management and ride personnel, and all property

owners/tenants upon whose land the distance rides are held from all liability for any injury or loss to myself or my horse which occurs due to my

participation, or anyone who accompanies me to EDRA events.

I am fully aware of all ride rules and agree to abide by those rules set down by ride management and EDRA. I fully understand the consequences

of not following ride rules.

This release is governed by the laws of the state of Washington and is intended to be interpreted as broadly as possible. I agree that exclusive

jurisdiction and venue for any legal action against EDRA, its officers, directors, employees, volunteers or agents shall be in Spokane County

Superior Court or federal court of the state of Washington, Eastern District. If any part of this agreement is determined to be unenforceable, all

other parts shall remain in effect.

I have read and fully understand the above liability release.

Edra/pner Ride Entry Form

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