Heritage Park Schooling Horse Trials, Combined Test & Dressage Show Entry
Entries Close 7 Days Prior to Event
Payment MUST be received by closing date. Ride Times will not be scheduled without payment.

Show Date:

     

Horse:
Age:
Classes:
One-Day Schooling Horse Trial
Schooling Combined Test
Pre-Beginner Novice
 
Pre-Beginner Novice
Beginner Novice
 
Beginner Novice
Novice
  
Novice
Training
  
Training
Preliminary
  
Preliminary
Schooling Dressage Show
Intro A
 
Intro B
Training 1
 
Training 2
Training 3
 
Training 4
First 1
 
First 2
Other dressage Test          please indicate:
       
Rider's Name:
Age:
Address:
City:
State:
Zip:
Phone:
E-mail:
 
Owner's Name:
Address:
City:
State:
Zip:
Phone:
 
Trainer:

WARNING INHERENT RISKS OF DOMESTIC ANIMAL ACTIVITIES

Under Kansas law, there is no liability for an injury to or the death of a participant in domestic animal activities resulting from the inherent risks of domestic animal activities, pursuant to K.S.A. 60-4001 through 60-4004. You are assuming the risk of participating in this domestic animal activity. Inherent risks of domestic animal activities include, but shall not be limited to:

•  The propensity of a domestic animal to behave in ways, i.e. running, bucking, biting, kicking, shying, stumbling, rearing, falling, or stepping on what may result in death of persons on or around them;
•  The unpredictability of domestic animal's reaction to such things as sounds, sudden movement of unfamiliar objects, persons or other animals;
•  Certain hazards such as surface and subsurface conditions;
•  Collisions with other animals or objects; and
•  The potential danger of participant to act in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the domestic animal or not acting within such participant's ability.

I have read the above warning statement and I state that I understand the nature of the inherent risks of this domestic animal activity. I understand that this is a high-risk sport and I am participating at my own risk. I hereby assume this risk and further do hereby release and hold harmless the Mid-America Combined Training Association (MACTA), MACTA volunteers, Johnson County Parks and Recreation District, Johnson County , and the City of Olathe, and its employees: from all liability for negligence, resulting in accidents, damage, injury or illness to myself and to my property, including the horse or horses which I ride .

Rider's Full Name (Parent/guardian if under 18):

Payment:
Upon submission of this form, you will be redirected to a page which allows you to complete the transaction through PayPal. You may pay on-line directly from your bank account, debit card or credit card. You do not have to have a PayPal account to utilize this service.

Solution Graphics

If you do not wish to complete your registration using this secure on-line payment service, please print a copy of the registration form, and mail with a check payable to MACTA to:  
Beth Stoker
2401 W. 25th St. Apt 2B3
Lawrence, KS 66047
Payment Method:
 

 
 
 
Photos courtesy Merrick Studios.