NEW JERSEY TRAIL RIDE ASSOCIATION, INC. ENTRY APPLICATION AND RELEASE FORM

EVENT NAME__________________ EVENT DATE____________ FEE_________ Member: NJTRA Y / N ECTRA Y / N
(Do not use this form for the Mustang. See Mustang for special ride application. Use for all other rides/drives/clinics.)
RIDER/DRIVER NAME____________________ ECTRA RIDER #___________ RIDER - DRIVER - JUNIOR
Please Circle One
ADDRESS____________________________ E-MAIL ________________
CITY____________________ STATE_______________ ZIP____________ PHONE(     ) __________________
HORSE__________________________ ECTRA HORSE #___________ AGE_____ SEX_______ COLOR________
YEAR END AWARD CANDIDATE? YES NO ( MUST BE A NJTRA MEMBER BY MARCH 15, 2008)
BREED______________________________ REG.#______________________
OWNER______________________________PHONE(   ) __________________
ADDRESS________________________________________________________
_____Rookie Rider/Driver: (has not completed competitively this event distance or greater mileage ) (n/a for Clinic)
_____Rookie Horse: (has not completed competitively this event distance or greater mileage ) (n/a for Clinic)
____ Horsemanship: (Rider/Driver must care for horse entirely by self; Driver of pair is allowed a groom per the rules)
_____I would like to donate an award for _________________________________________________________________
_____Number of Meals for Non-Rider/Volunteers ($7 per person per meal payable with entry. $12 for rides at Kowboy Kamp)
I REQUEST TO RIDE WITH______________________________________
PLEASE READ CAREFULLY AND SIGN THE FOLLOWING RELEASE:
The undersigned, in consideration of accepting this entry, does hereby, for himself, his heirs, executors, and administrators, waive and release the NEW JERSEY TRAIL RIDE ASSOCIATION, INC. and all individual members thereof and the EASTERN COMPETITIVE TRAIL RIDE ASSOCIATION, and all other persons regardless of their capacity in any way connected with the event described herein, their representatives, heirs, executors, administrators, and assigns from any and all right, claim or liability for damages or for any and all injuries and death that may be sustained by me including injuries and death to animals, or from any and all claims of any kind or nature that I might have. Further, I do hereby acknowledge that said release will extend to any accidents, damages, or claims arising out of my entry caused by my own act or the acts of anyone or any animal within my control. Management reserves the right to deny entry to any of its events.
RIDERS UNDER THE AGE OF 18 MUST COMPLETE THE FOLLOWING AND HAVE SIGNED BY PARENT OR GUARDIAN:
Riders aged 11 years and under must ride with their senior sponsor throughout the entire ride and must withdraw from the ride if the senior sponsor withdraws, unless a replacement from the open division is found.
AGE______________ BIRTH DATE___________ SPONSOR______________________________________ 
WARNING: UNDER NEW JERSEY LAW, AN (EQUINE) EQUESTRIAN AREA OPERATOR IS NOT LIABLE FOR AN INJURY TO OR DEATH OF A PARTICIPANT IN EQUINE 'ANIMAL' ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ‘ANIMAL’ ACTIVITIES, PERSUANT TO PL1997, CHAPTER 287, SENATE NUMBER 282 APPROVED JANUARY 8, 1998.
All riders, drivers, and grooms are required to wear a protective ASTM/SEI certified equestrian helmet meeting standard F11.63 with fastened chin strap throughout the ride. I do acknowledge that I have read the foregoing paragraph and know and understand the contents thereof and agree to abide by all rules and regulations of the ride sponsored by the NEW JERSEY TRAIL RIDE ASSOCIATION, INC, and the EASTERN COMPETITIVE TRAIL RIDE ASSOCIATION. I consent to drug testing requirements according to ECTRA regulations and at the discretion of NJTRA, INC. Ride Management.

RIDER’S SIGNATURE________________________________________________DATE________________________
OWNER’S SIGNATURE _______________________________________________ DATE ______________________
PARENT’S SIGNATURE _______________________________________________ DATE_____________________
(Required for all riders under age 18.)
            NJTRA encourages family participation at all events and can use the support of “helping hands” to ensure a safe, enjoyable Ride/Drive. Areas of need include (but are not limited to) water crew, P&R crew, trail hospitality, grounds upkeep/cleanup, message runners / go-fers, radio crew, road crossing spotters, and junior membership helpers. Please list anyone accompanying you who would be willing to help with event jobs (in general or a specific job, when possible). ___________________________________________________________________
EMERGENCY CONTACT PERSON (NOT AT THIS EVENT)
Name:_________________________________________________________ Phone:(       )__________________________
TO SECURE PLACEMENT IN THIS EVENT, PLEASE COMPLETE THIS FORM IN ITS ENTIRETY AND ENCLOSE CURRENT YEAR COGGINS (dated 2008), 12 MONTH RABIES CERTIFICATE, A COPY OF BREED PAPERS AND A CHECK MADE PAYABLE TO NJTRA. PLEASE COPY THIS FORM FOR EACH INDIVIDUAL EVENT TO BE ENTERED (Revised 1/08)