Karen O'Connor Rider Application

Fields marked with an * are required

Rider First Name *

Rider Last Name *

Rider Age *

Horse/Pony Name *

Level *

Phone *

Email *

Street Address *

City *

State *

Zip *

Trainer Name *

Trainer Email *

Emer. Contact Name *

Emer. Contact Phone *

Check if you need to reserve:

$100: Stall for the weekend

Payment Method (Directions Below) *

How did you hear about this event? *

Fine print

Dry stall $100 for weekend. If event cancelled, refund minus $25 office fee. If rider cancels before closing date, refund minus $25. No refunds for cancellations after closing date unless spot able to be filled by another rider.

Payment options:

By PayPal @palmerriver:

Note RIDER NAME + KAREN OCONNOR and choose "Friends and Family" (not Goods and Services)

By mail or drop off: Make check out to PREC.

Address: 173 Pine Street, Rehoboth, MA 02769

Please contact us with any questions at prec173@comcast.net or call (508) 252-6347.

Visit our website, our Facebook page, or Instagram page for more information.

Waiver

Every entry shall constitute an agreement and affirmation that the person making it along with the owner, lessee, trainer, manager, agent, coach, rider and the horse 1) shall be subject to the rules of this show, 2) that every horse and rider is eligible as entered, and 3) that the owner and any of his representatives are bound by the rules of this show and will accept as final the decisions of the hearing committee on any question arising under such rules and agree to hold harmless Palmer River Equestrian Center, Dawn Cook, the directors, employees, agents of PREC, or the show. I hereby enter the above at my own risk subject to the rules of PREC, Dawn Cook, and engage to be responsible for any injury or damages that may occur to or be so caused by any animals, vehicles, or trappings, or any loss of any animals, vehicles, or trappings exhibited by me, and I further agree to be absolutely responsible for the physical condition of any animal under my control or ownership. I also certify that any animal exhibited by me is free of any infectious or contagious disease and possesses a current Coggins test. UNDER MASSACHUSETTS LAW, AN EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO, OR THE DEATH OF, A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES PURSUANT TO SECTION 2D OF CHAPTER 128 OF THE GENERAL LAWS.

Waiver Acknowledgment: Rider (or Parent/Guardian) First and Last Name *

Date *

I Agree to the Terms and Conditions *