E.C.R.D.A Benefit Dressage Show Entry Form
ONE HORSE PER ENTRY FORM
Entries MUST BE COMPLETE with Signatures, Current Coggins, and Full Payment

Special Requests:

Fees Enclosed:_______

I hereby enclose my entry which is made at my own risk and subject to the conditions and regulations of the ECRDA and USDF/USEF, as well as any additional sanctioning organizations. I understand that neither the Organizing Committee, the host, nor the property owners accept any responsibility for, or are liable for, any accidents, damage, loss, injury, or illness to any horses, equipment, owners, riders, employees, attendants, spectators, volunteers, or any other person or property whatsoever, in connection with this activity.
HOLD HARMLESS CLAUSE: Understanding that horse sports may be hazardous and dangerous, even leading to permanent injury or death, each owner, rider, spectator, and other participant assumes any and all risk of loss or injury and agrees to hold harmless, regardless of negligent acts or omissions Fox Hunt Farm, East Coast Regional Dressage Assoc, the State of New Jersey, the show management, show committee, and all horse show personnel.

SIGNATURE:_______________________________________________________________
(must be signed by parent/guardian if under 21)
Mail entry form, fees, and a copy of current coggins to: