Dept 22 ~ Horse Show Fun Challenge
You can now enter online at RochesterFair.com or send entries to Rochester Fair 72 Lafayette St. Rochester, NH 03867. If you have any questions or comments you can contact us at (603) 332-6585 or email us at
[email protected].
($25.00 Entry Fee)
First through fifth placement
Challenge Champion in each division
Rochester Fair
Horse Show Fun Challenge
Registration Form
Trot Race 13 and under
Trot Race 14-17
Trot Race adult
Barrels 13 and under
Barrels 14-17
Barrels adult
Flag Race 13 and under
Flag Race 14-17
Flag Race adult
Pole Bending 13 and under
Pole Bending 14-17
Pole Bending adult
Superintendents Choice 13 + Under
Superintendents Choice 14-17
Superintendents Choice Adult
Trail 13 and under
Trail 14-17
Trail adult
Gamblers Choice 13 and under
Gamblers Choice 14-17
Gamblers Choice adult
*Waiver on next page
Please Note: In classes where there is no competition, 1/2 premium will be paid only if the entry merits judging.
COMPLETE RELEASE FROM LIABILITY IN CASE OF INJURY OR LOSS, WAIVER and
INDEMNITY AGREEMENT
I/we understand that horseback riding and related activities such as eventing are dangerous and involve
risk of serious injury and/ or death and/or property damage including injury to horses, spectators and
others. Accordingly, I/we agree that any activity engaged in by me on premises owned by the Rochester
Fair. I/we release and agree to hold harmless the Rochester Fair and all officers, owners and directors,
and any and all persons or entities who are guarantors or indemnitors of the above, all agents, employees and promoters, sponsors, other riders, horse owners, advertisers, sales persons, photographers,
volunteers, (hereinafter called RELEASEES) from all liability for negligence or otherwise. I/we assume
all responsibility for the risk of bodily injury, illness, death of myself and/or my horse(s) and any property
damage due to the negligence of the Releases or otherwise while on or off the premises described
above, or heavily engaged in horseback riding-related activities, and/or while training, riding, competing,
officiating, observing, teaching, working for or for any purpose relating to horseback riding, eventing or
participating as rider, spectator or volunteer in such activities. I/we agree not to sue any Releasee, and I/
we release and agree to indemnify Releases from and for all liability to the undersigned, his/her personal
representatives, assigns, heirs and next of kin for any and all loss or damage, and any claims or demands thereafter on account of injury to the person or property or death of undersigned whether caused
by the negligence of the Releases or otherwise. I/we agree that this release, waiver and indemnity
agreement is intended to be as broad and inclusive as is permitted by the laws of the State of NH where
these activities are conducted, and if any part thereof is held invalid, it is agreed that the balance shall
continue in full force and effect. I/we have read and voluntarily signed this agreement and further agree
that no oral representations, statements or inducements apart from the foregoing written agreements
have been made.
WARNING
UNDER THE EQUINE LIABILITY ACT, EACH PARTICIPANT WHO ENGAGES
IN AN EQUINE ACTIVITY EXPRESSLY ASSUMES THE RISKS OF ENGAGING IN AND LEGAL
RESPONSIBILITY FOR INJURY, LOSS OR DAMAGE TO PERSON OR PROPERTY
RESULTING FROM THE RISK OF EQUINE ACTIVITIES.
I HAVE READ THIS ENTIRE RELEASE AND AGREE TO IT.
Rider or Parent of Minor Rider _______________________________________
Date_________________________________________________________
Name & Phone number of emergency contact_____________________________