NEW JERSEY TRAIL RIDE ASSOCIATION,
INC.
MUSTANG MEMORIAL 50/50/30
Nov. 15 – 16, 2008
PLEASE SUBMIT
ONE ENTRY FORM FOR EACH EVENT ENTERED
EVENT DISTANCE: 30 (Sun. only) 50 (CIRCLE ONE) RIDE DAY: SAT.
SUN. (CIRCLE ONE) FEE (see below)____________
NAME
_
____
ADDRESS
E-MAIL
_________________________________________
CITY
_______STATE
ZIP PHONE( )
___________
SENIOR JUNIOR (Please Circle One)
If Junior, age as of Nov.14, 2008_________
NJTRA MEMBER Y / N
ECTRA RIDER #__________ ECTRA HORSE #___________
AERC RIDER#_________ AERC HORSE#__________ AERC
OWNER'S#__________ RIDER’S WEIGHT DIV._________
HORSE
AGE SEX
BREED
REG.#
OWNER
_______________________________PHONE( )
________
OWNER ADDRESS
_______________
PRE-ENTRY: To encourage early entry, there is a discounted entry fee up to the Closing Date (11/5/08). After 11/5/08, the full entry fee applies.
Refunds will be made less a $25 processing fee if management is notified by 6 p.m. on Nov11, 2008.
A $25 deposit is required for each ride entered and must be postmarked by November 5, 2008 for the
discount.
Make checks payable to NJTRA. Space is limited and each
ride day will cap the number to ~60 riders total.
ALL RIDERS MUST SHOW A 2008 AERC
MEMBERSHIP CARD AT THE RIDE OR PAY A $15 AERC NONMEMBER FEE-
(A photocopy of the card may be sent with the entry form).
|
|
Early Entry |
Early Entry |
After Nov 5th |
After Nov 5th |
|
Ride Distance |
Senior
NJTRA member /
non-member |
Junior
NJTRA member /
non-member |
Senior
NJTRA member /
non-member |
Junior
NJTRA member /
non-member |
|
LD 30 |
80/85 |
75/80 |
130/125 |
125/130 |
|
One-day 50 |
95/100 |
90/95 |
145/150 |
140/145 |
MEALS: Riders will be served a hot meal the night before the ride entered. Snacks/breakfast available for volunteers, vets,
and riders. To order additional meals for your crew or yourself use the order form attached to Mustang Memorial Information
Sheet.
Order by Nov. 11 with payment
in full due at that time.
Corrals: Portable corral panels are available at $10/panel. Use the
order form attached to the Mustang Memorial Information sheet.
Orders must be received, with
payment in full, by Nov. 11.
COGGINS/RABIES: Proof of 2008 Coggins and current Rabies Certificates within 12 months of ride date REQUIRED – NO
EXCEPTIONS.
All companion animals must have
proof of current rabies vaccination.
Send Entry to:
Russ Lapierre
1080
W Bristol Rd
Warminster, PA 18974
215 956-0860
RussKB3DDM@yahoo.com
NJTRA MUSTANG MEMORIAL 50/50/30
NOVEMBER 15 –16, 2008
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, the EASTERN COMPETITIVE TRAIL RIDE ASSOCIATION, AMERICAN ENDURANCE RIDE CONFERENCE,
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, the EASTERN COMPETITIVE TRAIL RIDE ASSOCIATION, and the AMERICAN ENDURANCE
RIDE CONFERENCE.
I
consent to drug testing requirements according to ECTRA/AERC 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 the age of 18 )
NJTRA encourages family participation at all events and can use the support of “helping hands” to ensure a safe, enjoyable Ride. 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 2008 COGGINS, 12 MONTH RABIES CERTIFICATE, A COPY OF BREED PAPERS
(Optional) AND A CHECK MADE PAYABLE TO NJTRA, INC.
IF YOU PLAN TO ARRIVE PRIOR TO FRIDAY NOV.
14. YOU MUST NOTIFY THE RIDE SECRETARY IN ADVANCE.
Ride Secretary:
Russ Lapierre
1080
W Bristol Rd
Warminster, PA 18974
