West Greenwich Horseman’s Association Memorial Fun Show
OCTOBER 14, 2012 - Goddard Park, Warwick, RI
Gymkhana Events
Show Begins at 10 AM - LIGHT RAIN OR SHINE
A Fun & Games show for all ages ** Non-WGHA members welcome!
$5 per class - no pre-entry needed
CASH PRIZES!
No ribbons will be awarded, but the top two placements in each class will receive a portion of the entry fees for that class
Stopwatch timer
Food will be available on the show grounds
18 and younger must wear Helmet
Class List:
#1 Egg and Spoon
#2 Flag Race
#3 (Memorial) 3 Barrel
#4 Donut Bite
#5 Egg Toss
#6 Water Balance
#7 (Memorial) Pole Bending
#8 Walk trot arena race
#9 (Memorial) Arena race
To win the Memorial prize you must enter #3 #7 #9
(The Memorial is to honor all our past Members)
Lunch break TBA
*Classes may be added or dropped at the discretion of the show organizers*
WE REQUIRE PROOF OF NEGATIVE COGGINS AND RABIES CERTIFICATE - PLEASE BRING YOUR PAPERWORK TO THE REGISTRATION AREA
Contact Charlie or Vic for more information: (401) 678-0201-(401)-829-0170
Directions to Goddard Park:
FROM THE SOUTH: I-95N to exit 8A. Go left off exit, then left at light on to Division St. Follow to the end, and take a right on to Main St. At light at bottom of hill, take a left on to Ives Rd. Follow signs to Goddard Park. Horse entrance on left.
FROM THE NORTH: I-95S to exit 9 (left lane exit). Take immediate next exit (right lane) on to Division St. Go right at end of ramp. Follow directions above from Division St.
West Greenwich Horseman’s Association Fun Show and Gymkhana Event Entry/Release form
Sunday, October 14, 2012 - 10 AM - Goddard Park, Warwick, RI
Rider’s Name: ______Age (if under 18): ______
Address: ______City/State/ZIP: ______
Phone #: (______) ______-______E-mail (optional): ______
Horse’s Name: ______Age: ______Cogging #: ______
Emergency Contact Name: ______Phone #: (______) ______-______
Are you a member of the West Greenwich Horseman’s Association? ______YES ______NO
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
RHODE ISLAND GENERAL LAW (CHAPTER 21, TITLE IV) STATES THAT AN EQUINE PROFESSIONAL, UNLESS HE CAN BE SHOWN TO HAVE FAILED TO EXERCISE DUE CARE, IS NOT LIABLE FOR THE INJURY TO, OR DEATH OF, A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISK IN SUCH ACTIVITIES.
THE WGHA AND/OR THE OWNERS OF THE PARK WILL NOT BE RESPONSIBLE FOR ANY LOSS, DAMAGE OR INJURY TO ANY PERSON, HORSE OR OTHER PROPERTY. PARTICIPANTS SHALL NOT HOLD THE WGHA OR ITS MEMBERS OR THE PARK OWNERS LIABLE FOR ANY OF THE ABOVE.
Please be advised that photos may be taken at this event for use in WGHA publications and Peddler Magazine. Please indicate whether or not you wish your image to be used in these publications.
______YES, I authorize the WGHA to use my photo ______NO, I do not authorize the WGHA to use my photo
ASTM/SEI-approved helmets are strongly suggested for all riders, and are REQUIRED for those under 18 years old.
Your signature on this form is consent and agreement to the conditions stated above, as well as all WGHA event rules.
Rider’s Signature: ______Date: ______
For riders under 18 years of age, a parent or legal guardian must also sign this form.
Parent’s/Guardian’s Name (please print): ______
Signature: ______Date: ______
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Please circle all classes entered:
#1 Egg and Spoon #2 Flag Race #3 (M) Clover leaf #4 Donut Bite
#5 Egg Toss #6 Water Balance #7 (M) Pole Bending #8 Walk Trot arena race
#9 (M) Arena Race
*Classes may be added or dropped at the discretion of the show organizers*
# of classes------X $5.00 per class=$ ------Total entry fee due
WGHA MEMORIAL FUN RIDE
The well-maintained equestrian trails at Goddard Park
NEHT
The Memorial Ride is to honor all the past WGHA Members
Miles Program 6 and 12
Sunday October 14, 2012 light rain or shine
Ride out 10AM
Lunch is inclued
$20.00 WGHA $25.00 Non Member
18 and younger must wear Helmet
We Require Proof of Negative Coggins and Rabies Certificate (Registration Area)
Rider’s Name------Age if under 18):
Address------city/State Zip------
Phone# (----) ------E-mail (optional) ------
Horse’s Name------Age------cogging#------
Emergency Contact Name------Phone #------
Are you a Member of the West Greenwich Horseman’s Association Yes---No----?
Rider’s Signature------Date------
18 and under A parent or legal guardian must sine this form
Parents/Guardian’s Name Print and Signature------
------
West Greenwich Horseman’s Association Fun Ride and Entry/Release form
Sunday, October 14, 2012 - 10 AM - Goddard Park, Warwick, RI
Rider’s Name: ______Age (if under 18): ______
Address: ______City/State/ZIP: ______
Phone #: (______) ______-______E-mail (optional): ______
Horse’s Name: ______Age: ______Cogging #: ______
Emergency Contact Name: ______Phone #: (______) ______-______
Are you a member of the West Greenwich Horseman’s Association? ______YES ______NO
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
RHODE ISLAND GENERAL LAW (CHAPTER 21, TITLE IV) STATES THAT AN EQUINE PROFESSIONAL, UNLESS HE CAN BE SHOWN TO HAVE FAILED TO EXERCISE DUE CARE, IS NOT LIABLE FOR THE INJURY TO, OR DEATH OF, A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISK IN SUCH ACTIVITIES.
THE WGHA AND/OR THE OWNERS OF THE PARK WILL NOT BE RESPONSIBLE FOR ANY LOSS, DAMAGE OR INJURY TO ANY PERSON, HORSE OR OTHER PROPERTY. PARTICIPANTS SHALL NOT HOLD THE WGHA OR ITS MEMBERS OR THE PARK OWNERS LIABLE FOR ANY OF THE ABOVE.
Please be advised that photos may be taken at this event for use in WGHA publications and Peddler Magazine. Please indicate whether or not you wish your image to be used in these publications.
______YES, I authorize the WGHA to use my photo ______NO, I do not authorize the WGHA to use my photo
ASTM/SEI-approved helmets are strongly suggested for all riders, and are REQUIRED for those under 18 years old.
Your signature on this form is consent and agreement to the conditions stated above, as well as all WGHA event rules.
Rider’s Signature: ______Date: ______
For riders under 18 years of age, a parent or legal guardian must also sign this form.
Parent’s/Guardian’s Name (please print): ______
Signature: ______