Santa Barbara California Dressage Society

Clinic Rider Agreement

Emergency Contact Phone No. __________________________________
Is Rider/Driver/Vaulter a U.S. Citizen (Please circle)  Yes  No

ENTRY AGREEMENT-ALL PROVISIONS APPLY

Owner/agent/participant agrees that clinic management is merely providing stabling for the convenience of the participant and that management, the sponsoring organizations and the facility shall have no responsibility whatsoever for any injury, loss, damage, etc., as a result of using said stabling.

Owner/agent/participant agrees to indemnify, defend, and hold all sponsoring and recognizing organizations, show management, their officials, officers, directors, employees, agents, personnel, volunteers harmless from any loss, damage or claims as a result of said use. Owner/agent/participant assumes all care, custody, and control with regard to this use. Owner/agent/participant agrees that every horse entered or which they bring to the clinic will be subject to the rules of the clinic management but that neither the USDF, CDS, SBCDS, horse clinic management nor any sponsoring organization will, in any case, be responsible for damages as a result of any loss, damage or claim that may occur. Participant agrees to defend, indemnify and hold the USDF, CDS, SBCDS, horse clinic facility, clinic management, their directors, officers, officials and/or volunteers and affiliated organizations harmless therefrom.

I hereby agree to release, indemnify and hold harmless USDF, CDS, SBCDS, their instructors, officers, directors, agents and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in this competition or related activities. I also hereby agree to release, indemnify and hold harmless the clinic management, clinic committee and members, officers, directors, agents, and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, participation in this clinic.

Federation Release, Assumption of Risk, Waiver and Indemnification

This document waives important legal rights. Read it carefully before signing.

I AGREE in consideration for my participation in this Clinic to the following:

I AGREE that I choose to participate voluntarily in the clinic with my horse, as a rider, driver, handler, vaulter, longeur, lessee, owner, agent, coach, trainer, or as parent or guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the Clinic involve inherent dangerous risks of accident, loss, and serious bodily injury including broken bones, head injuries, trauma, pain, suffering, or death (“Harm”).

I AGREE to release USDF, CDS, SBCDS and the Clinic from all claims for money damages or otherwise for any Harm to me or my horse and for any Harm caused by me or my horse to others, even if the Harm resulted, directly or indirectly, from the negligence of USDF, CDS, SBCDS or the Clinic.

I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of the Federation or the Clinic.

I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the USDF, CDS, SBCDS and the Clinic and to hold them harmless with respect to claims for Harm to me or my horse, and for claims made by others for any Harm caused by me or my horse at the Clinic.

I have read the USDF Rules about protective equipment, including GR318 and GR1713, and I understand that I am entitled to wear protective equipment without penalty, and I acknowledge that the Federation strongly encourages me to do so while WARNING that no protective equipment can guard against all injuries. If I am a parent or guardian of a junior exhibitor, I consent to the child’s participation and AGREE to all of the above provisions and AGREE to assume all of the obligations of this Release on the child’s behalf.

I AGREE that the “USDF, CDS, SBCDS” and “Clinic” as used above includes all of their officials, officers, directors, employees, agents, personnel, volunteers and affiliated organizations.

I represent that I have the requisite training, coaching and abilities to safely participate in this clinic.

I AGREE that if I am injured at this clinic, the medical personnel treating my injuries may provide information on my injury and treatment to the USDF, CDS, SBCDS.

BY SIGNING BELOW, I AGREE to be bound by all applicable USDF Rules and all terms and provisions of this entry blank.

BY SIGNING BELOW, I AGREE to be bound by all applicable USDF Rules and all terms and provisions of this entry blank.

MANDATORY SIGNATURES

Sign all - even if same person
RIDER/DRIVER/HANDLER/VAULTER/LONGEUR(mandatory)
Signature: _________________________________________
Print Name: ________________________________________
OWNER/AGENT (mandatory)
Signature: _________________________________________
Print Name: ________________________________________

SIGN HERE IF APPLICABLE

TRAINER (mandatory)
Adult on grounds with responsibility for the horse.
Signature: _________________________________________
Print Name:________________________________________
COACH (if applicable)
Signature: ___________________________________________
Print Name: __________________________________________
PARENT/GUARDIAN Signature:
(Required if Rider/Driver/Handler/Vaulter/Longeur is aminor)
Signature:____________________________________________
Print Parent/Guardian Name: ____________________________