If completing for a non-competing horse, please list who is responsible for equine.

Please include street, city, state

Please include name, relationship, and phone number

Required for all competing riders. (If completing entry for a non-competing equine, just put X)

Required for all competing horses. (If completing entry for a non-competing equine, just put X)

Name as it appears on USAWE Horse Recording Registry. (If completing entry for a non-competing equine, just put barn name)

Who should be contacted regarding this equine? Please include name and phone number.

List the show date, show name, and scores of your qualifying scores for the Region 3 & 4 Championship Show. The requested information can be found on Gira. (https://gira.io/home/1?lang=en)

If you have any stabling requests, including who you'd like to be stabled near, please explain here.

Please let us know day and approximate time when you plan to arrive and depart so we can plan accordingly.

Additional guests are welcome for dinner on Friday night. The guest fee is $20. Please indicate how many guest tickets you would like. (use a number, not a word. ie. 3, not three)

There will be an optional sit down catered dinner on Saturday night. Tickets are $40 each for both competitors and guests. How many tickets would you like? (Please use a number, not a word. ie. 3, not three) If you do not plan to attend please put 0.

This document waives important legal rights. PLEASE READ CAREFULLY.

RELEASE: I understand that this is a high-risk sport and I am participating at my own risk. I hereby assume this risk and further do hereby release and hold harmless the organizer (Licensee), organizing committee, competition management, judges and officials; USA Working Equitation (USAWE), its officers, agents, employees and volunteers; the host of this event or competition; and the owners of any property on which the event or competition is being held, from all liability for negligence resulting in accidents, damage, injury, or illness to myself and to my property, including the horse or horses that I will compete at this event or competition.

ENTRY AGREEMENT: By entering a USAWE-licensed competition and signing this entry form as the Owner, Rider, or Parent/Guardian, I agree that I am subject to and agree to be bound by the Bylaws of USAWE applicable to the USAWE-licensed competition, the U.S. Rules for Working Equitation (“Rules”), and the requirements of the competition as stated in the Prize List. I will accept as final the decision of the Protests Committee or Appeals Committee on any question arising under the Rules and agree to release and hold harmless the competition, USAWE, their officials, officers, directors, employee, agents, personnel, volunteers, and USAWE affiliates for any action taken under the Rules. I represent that I am eligible to enter and/or participate under the Rules and every horse I am entering is eligible as entered.

MEDIA AGREEMENT: I also agree that as a condition of and in consideration of acceptance of entry, USAWE and/or competition management may use or assign photographs, videos, audios, cablecasts, or other likenesses of me and my horse taken during the course of the competition for the promotion, coverage, or benefit of the competition, sport, or USAWE. Those likenesses shall not be used to advertise a product and they may not be used in such a way as to jeopardize amateur status. I hereby expressly and irrevocably waive and release any rights in connection with such use, including any claim to compensation, invasion of privacy, right of publicity, or to misappropriation. I understand and agree that copies of scoresheets may be retained for Licensed Officials Committee judge training purposes only.

In consideration for my participation in this Competition, I AGREE to the following:

• I AGREE that USAWE and the Competition as used herein include the Licensee and competition management, as well as all of their officials, officers, directors, employees, agents, personnel, volunteers, and USAWE affiliates.

• I AGREE that I choose to participate voluntarily in the Competition with my horse as a rider, owner, or parent/guardian of a junior exhibitor. I am fully aware and acknowledge that horse sports and the Competition 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 hold harmless and release USAWE and the Competition from all claims for money damages or otherwise for any Harm to me or my horse and for any Harm of any nature caused by me or my horse to others, even if the Harm arises or results, directly or indirectly, from the negligence of USAWE or the Competition.

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

• I AGREE to indemnify USAWE and the Competition 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 while at the Competition I have read the Rules about protective equipment (section 1.9.1.j) and I understand that I am entitled to wear protective equipment without penalty. I acknowledge that USAWE strongly encourages me to do so while warning that no protective equipment can guard against all injuries. I represent that I have the requisite training, coaching, and abilities to safely compete in this competition. If I am a parent or guardian of a junior exhibitor, I consent to the child’s participation, AGREE to all of the above provisions, and AGREE to assume all of the obligations of this Release on the child’s behalf. I understand and AGREE that all competitors under the age of 18 must wear an ASTM/SEI-approved safety helmet.

• I AGREE that if I am injured at this Competition, the medical personnel treating my injuries may provide information on my injury and treatment to USAWE and competition management.

BY SIGNING BELOW, I AGREE to be bound by all applicable USAWE rules, all terms and provisions of this entry form, and all terms and provisions of the Prize List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force, and effect as if I affixed my signature by my own hand.

RIDER'S SIGNATURE (OR PARENT/GUARDIAN IF RIDER IS UNDER 18)

This is required for all equine.

RELEASE OF LIABILITY In consideration of receiving permission to enter upon, use and enjoy the premises known as TRHP, LLC, Texas Rose Horse Park, BEC, Brunson Equestrian, LLC, in Tyler, Smith County, Texas, from time to time, the receipt of such permission being hereby acknowledged, and in further consideration of receiving permission to participate either as owner, trainer, instructor, student, attendant, participant, or in any other capacity, in any equestrian activity or non-equestrian event, such as, showing, giving lessons, taking lessons, training, riding, or using equestrian facilities in any fashion, the undersigned hereby releases TRHP, LLC, Texas Rose Horse Park, BEC, Brunson Equestrian, LLC, and any related or affiliated company or person, and their respective officers, directors, agents, and employees, of and from any and all liability, claims, demands, actions and causes of action whatsoever, arising out of or related to any loss, damage or injury, including death, that may be sustained by the undersigned or to any minor child that is the responsibility of the undersigned, or to any property or animal belonging to the undersigned, while in, on, or upon said premises, or any premises leased to, owned by, or under the control or supervision of any of the above named entities or individuals. The undersigned also gives permission for themselves, family members, friends, or affiliates to be treated by a physician or a hospital on an emergency basis. The undersigned being fully aware of the risks and hazards inherent in entering upon said premises, and/or in participating in any such equestrian activity held on said premises, hereby elects voluntarily to enter upon the premises, knowing their present condition and knowing that said condition may become more hazardous and dangerous during the time that the undersigned or his property or animal is upon said premises. The undersigned hereby voluntarily assumes all risk or loss, damage or injury, including death, sustained by the undersigned or to any minor child that is the responsibility of the undersigned, or any property or animal of the undersigned, while in, on, or upon said premises. This release shall be binding upon the heirs, personal representatives, executors and administrators of the undersigned. Likewise, it shall be binding upon all guests of the undersigned. In signing the foregoing release, the undersigned hereby acknowledges and represents that he has read the foregoing release, understands it, and signs it voluntarily, and that he is over eighteen (18) years of age and of sound mind, or the parent or legal guardian of the participant, over eighteen (18) years of age and of sound mind. Minor child must also sign this release. This liability agreement shall terminate five (5) years afterdate. WARNING UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE), A FARM ANIMAL PROFESSIONAL OR FARM OWNER OR LESSEE IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN FARM ANIMAL ACTIVITIES INCLUDING AN EMPLOYEE OR INDEPENDENT CONTRACTOR, RESULTING FROM THE INHERENT RISKS OF FARM ANIMAL ACTIVITIES.

BY SIGNING BELOW, I AGREE to be bound by all applicable TEXAS ROSE HORSE PARK rules, all terms and provisions of this entry form, and all terms and provisions of the Prize List. If I am signing and submitting this Agreement electronically, I acknowledge that my electronic signature shall have the same validity, force, and effect as if I affixed my signature by my own hand.

RIDERS' SIGNATURE (OR PARENT/GUARDIAN IF RIDER IS UNDER 18):

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