2017 Adult Rider Camp
Come join us for three fun filled days of lessons with great instructors, evening dinners and wine with lots of fun and comradery….all being held at a great venue this April!
Dates: April 20th to 23rd, 2017
Location: Spokane Sport Horse Farm 10710 S. Sherman Rd, Spokane, WA. 99224 www.spokanesporthorse.com
About our Camp Instructors:
What’s Included in Camp:
· Three lessons over 3 days including a private dressage lesson and 2 group lessons in show jumping, cross country. Stabling for 3 nights, 2 bag of shavings, 2 dinners, use of facilities and grounds for camping are also included. $475
o A La Carte lessons are available and can be selected on the entry form.
o Auditors, spouses, and family are more than welcome. Dinner tickets available with advance notice. Please see entry form. Auditing without meals is free for Adult Riders!
Evening Entertainment and Meals:
· Dinner will be provided on Friday and Saturday nights along with a nice selection of wine and plenty of entertainment. One evening we will serve pizza and the other a nice dinner. You are on your own for breakfast and lunch.
Schedule:
· Thursday, April 20th—Arrive anytime. Potluck Dinner and Welcome Party!
· Friday April 21st-Sunday—Private dressage, group show jumping, and cross country lessons.
To register for camp, please complete and mail in the following items:
ð 2017 AR Camp/Clinic Entry Form with your selections and total cost
ð Release Form for USEA Educational Activities and Schooling Shows, completed and signed
ð Release Form for Spokane Sport Horse Farm, completed and signed
ð You full payment for camp and extra options payable to Area VII Adult Riders
ð Stall Cleaning Deposit Check – must be a separate check for $25/horse, payable to Area VII Adult Riders
ð Participation in Camp Selection(s)
Send Completed Entry Form, 2 Release Forms, 2 Separate Payments (Stall Deposit & Entry fee) to:
Aimee Witherspoon
25601 NE 10th Ave
Ridgefield, WA 98642
Please note:
· To reserve your spot, you must include full payment along with your completed entry and release forms. Incomplete entries will not be put into camp until all payments and forms are received.
· There are 35 spots available, riders will be registered on a first come, first serve basis. All others will be added to a waitlist.
· Ride times will be posted the week of Camp.
· If you are a USEA member but have not joined AR, please join on-line thru the USEA. http://useventing.com/sites/default/files/2013_USEA_Membership_Application_0.pdf
· If you would like a Local-Only Adult Rider membership, please fill out the above USEA form but make your check payable to Area VII Adult Riders and enclose it with your entry.
Camp Rules:
· Dogs must be leashed and supervised and please pick up all their leftovers.
· No jumping outside of lessons; offenders will be asked to leave camp early with no refund.
Participation in Camp:
We are asking all those enrolled in camp (or your strong significant others) to help by donating some of your time to help with this event to keep our costs down. Below are some things we could use your help with.
Please select at least one option and enter your selection on the Entry Form:
ð Get a donation for the 40 gift baskets before camp
ð Set-up and move jumps during the day
ð Be a runner to coaches, delivering messages and snacks
ð Assist in stabling and getting people checked in
ð Help wherever it is needed
Entry for 2017 Adult Rider Camp
Name:
Phone Number:
Address:
Email Address:
Rider Level:
Max Jump:
Highest Level Completed:
Horse Name:
Current Level:
Highest Level Completed:
Second Horse Name:
Current Level:
Highest Level Completed:
Packages and Extra Horses:
Price
Quantity
Total
2017 Adult Rider Camp
$475
$
Extra horse (must be for same rider)
$400
$
Stall Cleaning Deposit($25 separate check)
$25
$
Non-AR Member
$25
$
Subtotal
$
A La Carte Options:
Price
Quantity
Total
Extra Friday Night Dinner
$25
$
Extra Sat Night Dinner
$25
$
A la carte dressage
$60
$
A la carte show jumping
$40
$
A la carte cross country lesson
$60
$
Subtotal
$
Total for All
$
Participation in Camp Selection (Please select at least one option from the below)
ð Get a donation for the 40 gift baskets before camp
ð Set-up and move jumps during the day
ð Be a runner to coaches, delivering messages and snacks
ð Assist in stabling and getting people checked in
ð Help wherever it is needed
Entries must include full payment. Entry Checks will not be deposited until February 1st.
Cancellation: Before Feb.1st, full refund. After Feb 1st and until April 1st, refunds will be provided less $25 office fee and if your spot can be filled from the waitlist. After April 1st, refunds will be provided less $50 and if your spot can be filled from the wait list. All cancellation requests should be sent to: aimeesw1@gmail.com
Name of Activity Schooling Show: 2017 Adult Riders Camp USEA Area: Area VII
Date(s) to be held: April 20th to April 23rd. Location: Spokane Sport Horse Farm—Spokane,Wa.
Release Form
For USEA Educational Activities & Schooling Shows
I have applied to participate in this USEA sponsored educational activity. I agree that my participation is subject to the
Conditions in this release and to those set by the organizer of this activity, the regulations and requirements of the USEA, and, where applicable, the u.s. Equestrian Federation Rules for Eventing.
I agree to wear protective headgear when riding. When jumping, I agree to wear protective headgear passing or
Surpassing the ASTM/SEI standards with harness attached that meets standards currently imposed by the u.s. Equestrian Rules for Eventing. I understand that the USEA mandates that all riders participating in cross-country activity wear body-protecting vests that meet or exceed current USEF rules and the wearing of an approved medical armband.
I understand that the sport of eventing is a high risk sport, and that my participation in this educational activity may also involve participation in an "equine activity" as defined by applicable laws and is solely at my own risk. I understand that my participation involves all inherent risks associated with the dangers and conditions which are an integral part of equine activities, including, but not limited to, the propensity of equines to behave in ways which may result in injury, harm or even death to humans or other animals around or near them; the unpredictability of equine reaction to sounds, sudden movements, smells, and unfamiliar objects; persons or other animals; hazards related to surface and subsurface conditions; collisions with other equines or objects; and, the potential of a participant to act in a negligent or unskilled manner which may contribute to injury to the participant or others, including failing or inability to maintain control over the animal. By participating in this activity I agree to assume responsibility for those risks, and I release and agree to hold harmless the activity organizer, organizing committee, officials, the USEA, USEF, their officers, agents, employees and the volunteers assisting in the conduct of this USEA educational activity and the owners of any property on which it is to be held, from all liability for negligence resulting in accidents, damage, injury or illness to myself and to my property, including the horse(s) which I may ride.
I understand and agree that the organizer of this USEA educational activity has the right to cancel this activity; to refuse any entry or application; to require and enforce the wearing of safety or other attire and the conduct of riders, horses, and visitors; and to prohibit, stop or control any action during the activity deemed by the organizer to be improper or unsafe.
THIS FORM MUST BE FILLED OUT COMPLETELY AND SIGNED IF YOU WISH TO PARTICIPATE IN THIS ACTIVITY.
Participant's Name {Please Print}: _________________________________________________________________________________________ _
Address: ___________________________________________________ . ____________________________________________________________________________ _
City: __________________________________________________________ State: _________________________________________ ZIP: _____________________ _
Phone: ________________________ Cell Phone: ______________________ Emergency Contact phone: _________________________________________________ _
Fax: ___________________________________________ Email: ___________________________________________________________________________________ _
Trainers Name (At this Event): _____________________________________________________________ Phone: _____________ . ____________________________ _
Number of horses I will be riding during activity (if applicable): ___________________ _
Level now riding (Check one if applicable):
o Beginner Novice 0 Novice 0 Training Check appropriate box:
oI am a USEA member and my number is #: _____________________________ _
o I am not a USEA member
o I am not a USEA member. I wish to join and enclose my membership form and dues.
o Preliminary
o Intermediate
o Advanced
o Check here if participant is under 18 years old.
SIGNATURE: Date: _________________________________ _
(If Participant is under 18, Release must be signed by Parent or legal guardian, not by trainer or instructor.)
SPOKANE SPORT HORSE FARM LLC, 10710 S SHERMAN ROAD, SPOKANE, WA. 99224| 509-999-6611 www.spokanesporthorse.com
HOLD HARMLESS AGREEMENT, WAIVER AND RELEASE, COVENANT NOT TO SUE
NOTE: everyone (legal guardian for those under age 18) who wishes to use the facilities at SSHF must sign this document. Please read and
initial each paragraph as you approve it.
For myself individually, for each minor child I am legal guardian of, for our heirs and personal representatives, I (we) make the following
statements and legally binding promises:
1._______I am aware of and fully understand that all horses are unpredictable and potentially dangerous. I assume these risks and waive any
present or future right to make any claim against SSHF (owners, employees, insurers, heirs or successors in interest will be known hereafter as
SSHF) for accidents, injury, loss, damage or death. I release SSHF from all claims, demands, actions or injuries that may arise from my (or my
children’s) presence. This release also covers property damage or loss, whether by fire, theft, disappearance, injury or any other cause.
2._______I have inspected the premises at SSHF and will continue to familiarize myself with any hazards of physical features. I assume responsibility
for inspection of my own tack prior to riding. I understand that riding can be a dangerous sport. I am aware that injuries to horse/rider may
occur and assume that risk.
3.______I understand that proper riding attire can help reduce but not eliminate risks of riding. I understand that professional instruction can help
reduce risks, but not eliminate them while handling or riding horses. I understand that riding surfaces can be unsafe due to weather and other
conditions, and expressly assume that risk by my presence under these conditions.
4.______I understand that SSHF does not carry any insurance on horse, tack, trailers or any other equipment not owned by it, and that all risks
connected with boarding, riding and the presence of personal property on the premises are borne by the boarder and/or owner of that
property. I understand that while my horse is in the custody of SSHF, that SSHF, its owners, instructors, nor employees shall be liable for
sickness, disease, theft, death, or injury to the horse. I assume these risks.
5.______SSHF has my permission to initiate emergency medical first aid treatment for myself, children or animals in case of accident. SSHF has my
permission to authorize emergency medical or veterinary treatment by professionals unless otherwise agreed upon. This assistance will be at
my cost.
6.______I promise not to sue SSHF nor bring any counterclaim or third-party claim against SSHF. I understand that if I change my mind and sue, the
court may be asked to dismiss the lawsuit because of this signed release and promise. If I break this promise, I authorize the court to award
SSHF all of its legal fees and expenses in defending this claim. I promise to defend and hold harmless SSHF from any demand, claim or suit by
anyone arising from my presence or my child’s or horse’s presence or participation.
7.______ I understand that horses often injure themselves or other horses and that unexplained cuts, bruises, scratches and lameness can occur. I
understand that horses may contract a disease or illness. I understand that serious injury or death of my horse may occur on the premises of
SSHF. I assume these risks.
WARNING: Under Washington law, an equine activity sponsor or equine professional is not liable for injury or death of a participant in equine
activities resulting from the inherent risks of equine activities. Revised Code of Washington 4.24.540
I understand that I am giving up certain legal rights in this document. I have had the opportunity to seek advice in this regard, if I so wish,
before signing this document. I sign this document voluntarily, because I understand that this is an absolute requirement for myself (children
or guests) to use the facilities at SSHF. I have read and initialized each paragraph. Non-enforcement of any clause does not render other
clauses non-binding.
Signed this ___________day of ___________, 20___ at Spokane, Wa 99224
Signature___________________________________Name_________________________________________________________
Address____________________________________________City______________________State______Zip_________________
Phone:______________________________email_________________________________________________________________