School Attending If Different Than the Team Above

Please print legibly. One form per athlete. All information below must be completed prior to enrollment.

OHSETDistrict: TRVTeam: Lake Oswego High School

School Attending if different than the team above:

HomeSchool:YesNo

Approved byTeamHSYesNo

Athlete Information

Name:Participatingas:Competingnon-competing

Address:HSClass:FRSOJRSR

CityZip:YearsinOHSET:New2nd3rd4th

Home#:Payment NoteBelow:

Cell#:PaidDistrictFee:YesNo

Email:Check orMO#:CASH

Athlete’s Health Information & Medical Emergency Release Form

FamilyDoctor:Phone#

Emergency1.Phone#

Contacts:2.Phone#

Please list all allergies, prescription medications or existing health condition(s) information which may needed in a medical emergency:

Oregon High School Equestrian Teams, Inc. Medical Emergency Release

As theparent/guardianof, should my child need medical attention,Iunderstandevery effort will be made to contact me. I hereby grant permission to the medical personnel selected by an Oregon High School Equestrian Teams, Inc. (OHSET) advisor, coach or designee to order emergency medical treatment, x-rays, routine tests, release of any personal information and to provide/arrange transportation for the above named. In my absence, I hereby give permission to the emergency personnel or physician selected by the OHSET designee to provide emergency medical treatment, hospitalization, order injection(s), anesthesia and/or surgery. I understand I will be responsible for all financial obligations incurred, if not covered by an insurance provider. It is recommended by OHSET that athletes haveinsurance.

I have read and reviewed the OHSET Medical Emergency Release Statement.

I understand OHSET does not provide medical insurance and I am responsible for any medical expenses.

Signature of ParentorGuardianDate

Athlete's Name:

I am interested in participating in the following OHSET classes with my horse:

Horse's Name:

SHORTTERMGOALS:Short-termgoalsyouhopetoaccomplishwiththeabovenamedhorse,event(s)and/or your OHSETteam.

LONG TERM GOALS: Long-term goals you hope to accomplish with the above named horse, event(s) and/or your OHSET team.

OHSET YEAR END EVALUATION: Complete this section prior to the State Championship. Evaluate your progress in achieving the above stated goals. Be honest with yourself and cite the strong points as well as areas for improvement. (Use the back side of this sheet to record your progress in OHSET this year.)

Athlete GoalsEvaluationPages: 1of1goals.pdf Revised9/11/09

Oregon High School Equestrian Teams, Inc.

Un-attached Volunteer Registration Form forYear: 2016/17

Please print legibly. One form per volunteer. All information below must be completed prior to enrollment.

District: Team:

VOLUNTEER INFORMATION

Name: Years of volunteering forOHSET

Address: Cell#:

Homephone#: Email:

Insurance Information (not required but could be helpful in an emergency)

InsuranceCo:ID#

PrimaryInsured:Group#

Health Information & Medical Emergency Release From

FamilyDoctor:Phone#

EmergencyContacts:Phone#

Phone #

Please list all allergies, prescription medications or existing health condition(s) information which may be needed.

Oregon High School Equestrian Teams, Inc. Medical Emergency Release

ShouldIneedemergencymedicalattentionforwhichIcannotprovidepermission,Iherebygrantpermissiontothemedicalpersonnel selectedbyanOregonHighSchoolEquestrianTeams,Inc.(OHSET)advisor,coachordesigneetoorderemergencymedicaltreatment, x-rays, routine tests, release of any personal information and to provide/arrange transportation for me. I also give permission to the emergency personnel or physician selected by the OHSET designee to provide emergency medical treatment, hospitalization, order injection(s), anesthesia and/or surgery. I understand I will be responsible for all financial obligations incurred, if not covered by the insurance provider listedabove.

I have read and reviewed the OHSET Medical Emergency Release Statement.

SignatureDate

Oregon High School Equestrian Teams, Inc.

Code of Conduct Endorsement

I,have received the Oregon High School Equestrian Teams, Inc.(OHSET)

Code of Conduct - Standards and Violations Procedures.

As a volunteer associated with OHSET, I understand the goal is to endorse and promote the values and conduct expected.

My Signature below, I agree with my participation in OHSET activities:

*is made at my own risk, and that the OHSET officers, advisors, coaches or its designees assume no responsibility for accidents orinjuries,

*is subject to the standards, policies, rules and bylaws of the high school andOHSET,

SignatureDate