Pass Creek Fall Fair - 2010 - © 2010 Pass Creek Regional Exhibition Society - http://www.passcreekfair.com
PASS CREEK EXHIBITION SOCIETY CLINIC & HORSE TRIALS OF BC
KOOTENAY REGION CLINIC
HOSTED BY P.C.R.ES. &
Horse Trials B.C.
Clinician will be Dale Irwin
All participants must be members of P.C.R.E.S. or pay $5.00 per day ring fee in lieu of membership’s for insurance purposes. Horse Council B.C. is mandatory. Membership numbers must be completed on attached application form.
Details: Clinic will be May 15th, 16th and 17th at Pass Creek Exhibition Grounds, Castlegar, B.C. Maximum of 18 riders on first paid basis. Lessons can either be flat for the 3 days or a combination of flat, stadium jumping. Lessons are private for flat and group for jumping.
Cost of clinic is $165.00, stabling and camping is included.
Fees must accompany your entry form. Please make payable to P.C.R.E.S.
Mail to: Pass Creek Regional Exhibition Society
P.O. Box 99 Robson, B.C. V0G 1X0
For more information please contact Rick, Donna or Jessica Smith at 250-365-7273.
Please print clearly:HOSTED BY P.C.R.ES. &
Horse Trials B.C.
Clinician will be Dale Irwin
All participants must be members of P.C.R.E.S. or pay $5.00 per day ring fee in lieu of membership’s for insurance purposes. Horse Council B.C. is mandatory. Membership numbers must be completed on attached application form.
Details: Clinic will be May 15th, 16th and 17th at Pass Creek Exhibition Grounds, Castlegar, B.C. Maximum of 18 riders on first paid basis. Lessons can either be flat for the 3 days or a combination of flat, stadium jumping. Lessons are private for flat and group for jumping.
Cost of clinic is $165.00, stabling and camping is included.
Fees must accompany your entry form. Please make payable to P.C.R.E.S.
Mail to: Pass Creek Regional Exhibition Society
P.O. Box 99 Robson, B.C. V0G 1X0
For more information please contact Rick, Donna or Jessica Smith at 250-365-7273.
Name: _______________________________ HCBC#: _______________________________
Address: _________________________________________________________________
Phone: __________________________ Email: _______________________________
Horse's Name: _____________
Level of Rider: _____________
Birthdate: if under 21: _____________
Parent / Guardian Signature: ____________________________ (required if rider under 18)
Enclosed payment $165.00 clinic fee
Cheques payable to PCRES
PCRES membership# ___________ or $5.00 per day ring fee
RELEASE AND WAIVER OF LIABILITY:
Terms and Conditions - This section must be completed.
THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS & LIABILITIES - PLEASE READ CAREFULLY
I acknowledge that the sport of horses is a high-risk sport and that I am participating at my own risk and in full knowledge of the hazards and potential hazards which are inherent in this sport. I further acknowledge the inherent risk in riding and working around horses, which risks include bodily injury to both horse and rider which can result from normal use, competition or schooling.
In consideration of being allowed to participate in this event, I hereby assume all risk and I hereby release and absolve the Organizing Committee, Pass Creek Regional Exhibition Society, B.C. Horse Trials, and it’s affiliated Associations, volunteers, owners and occupiers of the land upon which the event is held from all responsibilities, liability or claims of any nature and kind which I may have arising from my participation in this activity, including but not limited to bodily injury or death to myself or my horse(s) and damage to property arising from any cause whatever, including the negligence of one or more of the individuals and organizations referred to herein.
I hereby declare that in completing this form that I have read and fully understand and agree to the terms and conditions stated herein and that it is binding upon my executors, heirs and assigns.
Signature of Rider _______________________________Date: _______________________________
Signature of Owner / Agent: _______________________________ Date: _______________________________
(If the rider is under 18 years, the parent /guardian must also sign below)
I acknowledge as parent / guardian of _______________________________.that I have read and fully understand and
agree to the terms and conditions stated herein on behalf of______________________ & myself_________________
Parent/Guardian: _______________________________Date: _______________________________
Owner / Agent: _______________________________ Date: _______________________________
Terms and Conditions - This section must be completed.
THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS & LIABILITIES - PLEASE READ CAREFULLY
I acknowledge that the sport of horses is a high-risk sport and that I am participating at my own risk and in full knowledge of the hazards and potential hazards which are inherent in this sport. I further acknowledge the inherent risk in riding and working around horses, which risks include bodily injury to both horse and rider which can result from normal use, competition or schooling.
In consideration of being allowed to participate in this event, I hereby assume all risk and I hereby release and absolve the Organizing Committee, Pass Creek Regional Exhibition Society, B.C. Horse Trials, and it’s affiliated Associations, volunteers, owners and occupiers of the land upon which the event is held from all responsibilities, liability or claims of any nature and kind which I may have arising from my participation in this activity, including but not limited to bodily injury or death to myself or my horse(s) and damage to property arising from any cause whatever, including the negligence of one or more of the individuals and organizations referred to herein.
I hereby declare that in completing this form that I have read and fully understand and agree to the terms and conditions stated herein and that it is binding upon my executors, heirs and assigns.
Signature of Rider _______________________________Date: _______________________________
Signature of Owner / Agent: _______________________________ Date: _______________________________
(If the rider is under 18 years, the parent /guardian must also sign below)
I acknowledge as parent / guardian of _______________________________.that I have read and fully understand and
agree to the terms and conditions stated herein on behalf of______________________ & myself_________________
Parent/Guardian: _______________________________Date: _______________________________
Owner / Agent: _______________________________ Date: _______________________________