CDCTA Horse Show Registration

    Please complete the following information.
    Only one horse and rider combination per form.
    CDCTA keeps TIP Cards, Coggins & Rabies Certificates on file for the season.  
    IF CDCTA has current certificates on file, they do not need to be submitted again.
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    If Class is "Test of Choice", please write which test you would like to ride in the space provided.
    Electronic Signature
    I consent and agree that use of a key pad, mouse or other device to select an item, button, icon or similar act/action while using any electronic service CDCTA, Westbrook Hunt Club or their agents offers, or in accessing or making any transactions regarding any agreement, acknowledgement, consent, terms, disclosures or conditions constitutes my signature, acceptance and agreement as if actually signed by me in writing.  Further, I agree that no certification authority or third party verification is necessary to validate my electronic signature below; and that the lack of such certification or third party verification will not in any way affect the enforceability of my signature or resulting contract between me and CDCTA, Westbrook Hunt Club or their agents.  I understand and agree that my e-Signature executed in conjunction with the electronic submission of this form shall be legally binding and such transaction shall be considered authorized by me.

    **If you decline, a completed entry/release form with the rider's or guardian's HAND-WRITTEN signature must be submitted via e-mail prior to riding with CDCTA on Westbrook Hunt Club property.
    CDCTA Schooling Dressage and Combined Training Show 
    ​    Please sign the Release of Liability form. Unsigned entries cannot be accepted.
    RELEASE OF LIABILITY
    READ AND UNDERSTAND THIS BEFORE YOU SIGN IT!
    In consideration for the Rider being permitted to participate in a horse show sponsored or organized by The Connecticut Dressage and Combined Training Association, Inc. (“CDCTA”) on October 2, 2022 at, Westbrook Hunt Club, 319 Pond Meadow Rd., Westbrook, CT, the Rider and his/her parents (if Rider is under 18 years of age) agree that CDCTA, Westbrook Hunt Club, the judges(s), and their agents, members, volunteers and assistants shall not be liable for, and agree to hold them harmless from, any accident, personal injury, death or property damage that may be sustained by any person or entity, including without limitation the Rider, as a result in whole or in part from the Rider’s participation in the show. This agreement is binding on the Rider and his/her parents whether or not said accident, personal injury, death or property damage is due in whole or in part to the negligence of CDCTA, Westbrook Hunt Club, the judge(s) or any of their agents, members, volunteers or assistants. The Rider and his/her parents (if Rider is under 18 years of age) agree to defend and indemnify CDCTA, Westbrook Hunt Club, the judge(s) and their agents, members, volunteers and assistants for any claims, demands, or suits arising from the Rider’s participation in the show, including without limitation those arising in whole or in part from the negligence of CDCTA, Westbrook Hunt Club, the judge(s) or their agents, members, volunteers or assistants. 
    Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
     The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. 
    Connecticut Dressage and Combined Training Association (“CDCTA”) and Westbrook Hunt Club (“WHC”) has put in place preventative measures to reduce the spread of COVID-19; however, CDCTA and WHC cannot guarantee that you will not become infected with COVID-19. Further, attending CDCTA and WHC could increase your risk of contracting COVID-19.  
     By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending CDCTA and WHC and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at CDCTA and WHC may result from the actions, omissions, or negligence of myself and others.
    I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at CDCTA and WHC or participation in activities. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless CDCTA and WHC, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of CDCTA and WHC, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any CDCTA and WHC program.