WEST GREENWICH HORSEMAN’S ASSOCIATION
“MAY BRUNCH” & “TRAIL RIDE”
NEHT Affiliated (6 or 12 Miles)
May 31, 2015
Goddard Park, Warwick RI.
Take exit 8 off 95, onto RT 2 south, turn left onto Division St (Showcase Cinema) continue approximately 4 miles to the junction of rt1. @ Light take right, continue approximately ½ mile; left, at the junction of Ives Rd continue to the Horseman’s Area on your left.
Sign up starts @ 8am, Ride starts @ 9am
Members $15.00, Non Members $20.00, Youth $10.00 Extra Meals $5.00
Brunch to follow the Ride
Menu
Scrambled Eggs
Sausage & Bacon
Baked Apple & Cinnamon French Toast
Home Fries
Muffins, Pasty, and Home Baked Breads
Fresh Fruit
Juice, Coffee, Water, Soda
Find a fried egg cut-out; exchange for a chance at a prize!
Overstuffed May Basket Raffle
Mail pre-entries to Ida Sweet
85 Camp Ave
North Kingstown RI 02852
Questions – 401-837-0732 cell
WGHA May Brunch & Trail Ride
Entry/Release Form
May 31, 2015
RIDER:WGHA#RIDERS AGE: NEHT#______
ADDRESSCITY:STATE:ZIP:
PHONE NUMBER:Email:
HORSE NAME:______HORSE’S AGE:COGGINS #______
HORSE’S BREED:COLOR:
EMERGENCY#YOUR CELL#
Make checks payable to WGHA. Mail entry to: Ida Sweet 85 Camp Ave., North Kingstown, RI 02852
Current Coggins and Rabies required. Mailed entries and Coggins/Rabies must be sent at least 5 days prior to event. If not mailing entry, please bring copy at first ride of your Coggins/ Rabies for WGHA to hold for all 2013 events.
Ride Fees: Non-member): $20 _____
Member: $15 _____
Youth $10 _____
Brunch for non-rider $5 _____
Amount Enclosed: ______Check #______
Waiver of Liability
UNDER RHODE ISLAND LAW, AN EQUINE PROFESSIONAL UNLESS HE CAN BE SHOWN TO FAIL TO BE IN THE EXERCISE OF DUE CARE, IS NOT LIABLE FOR ANY INJURY TO, OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM RISK INHERENT OF EQUINE ACTIVITIES, PURSUANT TO CHAPTER 21 OF TITLE 4 OF RHODE ISLAND STATE LAWS
**For safety reasons we strongly recommend a red ribbon in the tail of horses that kick, a green ribbon in the tail of green horse or rider and a yellow ribbon in the tail of a stallion.
THE WEST GREENWICH HORSEMAN’S ASSOC. OR THE OWNERS OF THE PARK WILL NOT BE RESPONSIBLE FOR ANY LOSS, DAMAGE OR INJURY TO RIDER, SPECTATOR, OR HORSE OR DAMAGE CAUSED BY ANY HORSE OWNED AND OR RIDDEN BY HIM/HER AND SHALL NOT HOLD THE WEST GREENWICH HORSEMAN'S ASSOC. OR THE OWNERS OF THE PARK LIABLE FOR ANY OF THE ABOVE.
Signature of this form consents agreement to these conditions as well as the WGHA event rules. A representative who is of age must sign the entry blank and who, by such signature, individually accepts responsibility and risk as stated above.
ASTM/SEI approved helmets strongly suggested, required for riders under 18 years.
SignatureDate____
Signature of Parent/Guardian of minor child
Emergency #
Allergies/Medical Issues
Please be advised that photos may be taken at this event for use in WGHA publications as well as the Pedlar Magazine. Please indicate below if you consent to have your picture published in this manner:
I consent
I do NOT consent Signature ______Date: ____