2015 Extreme Cowboy Trail Entry Form

2015 MQHA Equine Review
Extreme Cowboy Trail
$500.00 Added - Sponsored by Sunlife Financial Sussex
& prizes by Northstream Tack
Sunday, May 3rd, 2015 • PLP, Sussex, NB
Name:__________________________________________________________________________
Horses Name:___________________________________________________________________
Address:________________________________________________________________________
__________________________________________________________________________
Phone:_____________________________________NBEA#:______________________________
Email:___________________________________________________________________________
Entry Fee: $25.00
Stall (Weekend) $69.00
Stall per day $35.00
X $________
X $________
X $________
Total
$____________
100% payback of ALL entry money!!
ECT Payout will be as follows: 1st – 32%, 2nd – 23%, 3rd – 15%, 4th – 12%, 5th – 10%, 6th – 8%
Deadline for entries is April 30, 2015.
Please send entries to:
Cecile Dykstra
18 Robertson Rd.
Hampton, NB
E5N 6N9
[email protected]
Please note: Payment of entries is due by 10AM May 3, 2015.
Only cash will be accepted payment of entries for this event.
2015 Equine Review
Extreme Cowboy Trail
Rules
- All competitors are expected to compete within their individual capabilities.
– Riders may ride more than one horse, but one horse may not be used by more than
one rider.
– The course will be timed, and each obstacle will be judged. A combined score will
determine final standings.
– If there is a tie at the conclusion of the event that involves the top placings, the
winner is determined by the fastest time.
– It is the responsibility of the contestant to fully understand the rules, obstacles and
the order of the obstacles prior to the beginning of the event.
– Exhibitors will be allowed to walk the course prior to the event. No horses are
allowed on the course during the walk through and no practicing is allowed on the
course prior to or during the event. Obstacles and course rules will be reviewed at
that time.
– Each obstacle will have a 30 second time limit. The time begins when the rider
approaches and begins to negotiate the obstacle. If the time limit elapses, a whistle
will be blown and the rider must move on to the next obstacle. The judge may allow
the rider to continue provided the horse / rider was making substantial forward
progress toward completing the obstacle when the whistle was blown.
– If the rider does not complete an obstacle, points will be given or deducted based on
his/her attempt. The judges shall not give an obstacle score of 0 (zero) if a valid
attempt has been made.
– If a rider skips an obstacle and begins the next obstacle (example: the rider completes
obstacles 1-4 and skips 5 and begins 6) he / she may not go back to the obstacle that
was skipped. If the rider does go back to the skipped obstacle at any time, it will be
considered “off course” and result in a disqualification.
– The rider will receive an obstacle score of 0 (zero) and a 30 second time penalty for
any obstacle that is skipped.
– Should a horse leave the parameter of the course or the rider is not able to catch his /
her horse unassisted and remount within 1 minute, the rider is disqualified.
– Horses may be of any breed.
– Every horse shall be treated with dignity and respect!
– The official may prohibit the use of bits or equipment that he/she may consider
severe. The official may disqualify a contestant for what they deem to be abuse. The
Official's word is final and may not be disputed.
– Riders 18 years of age and under (as of January 1st of the current year) must wear a
C.S.A approved helmet, properly fastened, in competition and on show premises at
all times while mounted.
WAIVER AND RELEASE OF LIABILITY
In consideration of being allowed to participate in the ER Jackpot Races being held in conjunction with the
Maritime Quarter Horse Association Equine Review, at Princess Louise Show Park Centre, Sussex, NB on May
2nd,2015, as well as any and all activities related to such event, the undersigned acknowledges, appreciates and
agrees that
1. The risk of injury from the activities involved in this type of event is significant, including the potential for
permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce this
risk, the risk of serious injury does exist and
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF
ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my
participation and
3. I willingly agree to comply with the stated and customary terms and conditions for participation in this event.
If however I observe any unusual significant hazard during my presence or participation, I will remove myself
from participation and bring such to the attention of the nearest official immediately and
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY
RELEASE AND HOLD HARMLESS the Maritime Quarter Horse Association, their officers, officials, agents
and /or employees, other participants, sponsoring agencies, sponsors, advertisers, and , if applicable, owners and
lessors of premises used to conduct the event (Releasees), WITH RESPECT TO ANY AND ALL INJURY
DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY THE
NEGLIGENCE OF THE RELEASEES OR OTHER WISE.
5. I agree to abide by all of the rules, regulations, and policies of the Maritime Quarter Horse Association and the
Princess Louise Show Park Centre while participating at this event.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY
UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY
SIGNING IT AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
X __________________________________ ________________________________
PARTICIPANTS’ SIGNATURE EMERGENCY PHONE NUMBER
X __________________________________ Date Signed _____________________
PRINT NAME
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE AT THE TIME OF REGISTR ATION)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to
his/her release as provided above of all Releasees, and, for myself, my heirs, assigns, and next of kin, I release
and agree to indemnify the Releasees from any and all liabilities incident to my minor childs’ involvement or
participation in these programs as provided above.
X ___________________________________ __________________________________
PARENT/GUARDIAN S’ SIGNATURE EMERGENCY PHONE NUMBER
X ______________________________________
PRINT NAME NAME OF MINOR (please print)