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Embed code for: 2017 QUEST show-- class list and entry form
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2017 QUEST EQUITATION SHOW – Page One
at New Bethesda Farms, 3301 Hopkins Road, Canandaigua NY 14424 / 585-623-0178
CLASS SCHEDULE – AUGUST 26, 2017
CLASS NO. TIME (approx.) CLASS NAME
1 9:05 Youth LL walk trot (group)
2 9:15 Youth LL Ground Pole/ Low Cavaletti (indiv.)
3 9:30 Adult LL walk trot (group)
4 9:40 Adult LL Ground Pole/ Low Cavaletti (indiv.)
(10:00 Ribbons awarded for the above)
5 10:05 Youth Independent Walk/Trot (group)
6 10:15 Youth Independent W/T/C (group; indiv canter)
7 10:30 Youth Independent GP/Low Cavaletti (indiv.)
(10:45 Ribbons awarded for the above)
8 10:50 Adult Independent Walk Trot (group)
9 11:00 Adult Independent GP/ Low Cavaletti (indiv.)
10 11:15 Adult Independent W/T/C (group; indiv. canter)
(11:30 Ribbons awarded for the above)
11:35 LUNCH BREAK / COURSE CHANGE (Jump Crew)
11 12:00 Youth LL WE Intro Course (indiv; timed)
12 12:25 Adult LL WE Intro Course (indiv; timed)
13 12:50 Youth Independent WE Intro Course (indiv; timed)
14 1:15 Adult Independent WE Intro Course (indiv; timed)
(1:30 Ribbons awarded for the above; Best Turn-Out; Other Awards; Closing Remarks)
LL= Leadline; GP= Ground Poles; W/T/C= Walk-Trot-Canter; WE= Working Equitation
2017 QUEST EQUITATION SHOW – Page Two
Rider __________________________________ Horse ____________
Rider’s INSTRUCTOR: ________________________________________________________
Rider’s contact phone number _______________ Email _____________________________
Rider’s address ________________________________________________________________
Rider’s AGE ______ (circle one) Youth Adult
PARENT/GUARDIAN’s printed name and phone __________________________________
PARENT/GUARDIAN’s email ___________________________________________________
PLEASE LIST CLASSES (see Page 1) IN WHICH YOU ARE RIDING, BY NUMBER:
____ ____ (MAXIMUM 2 CLASSES PER ENTRANT)
YN (circle one) I have signed a liability release form (Page Three) and included
it with this Entry Form in my submission.
YN (circle one) I have confirmed participation with my instructor.
Y N (circle one) I am aware that my HORSE is chosen only by my
instructor, and is dependent on many factors. I may not be able to
ride my favorite horse in the QUEST Horse Show.
Y N (circle one) Payment is included. My total is written in the grey box:
Rider’s signature _________________________________________ Date ___________
PARENT/GUARDIAN’s signature ___________________________________________
2017 QUEST EQUITATION SHOW – Page Three
I, (Participant’s name)________________________________would like to participate in the QUEST Horsemanship, Inc., (QUEST) organization. I acknowledge the risks and potential for risks of horseback riding and related activities. However, I feel that the possible benefits to myself/my son/my daughter/my ward are greater than the risks assumed. I hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators, waive and release forever all claims for damages against QUEST, its Head Instructor Megan Malan, other Instructor(s), any Assistants or Consultants, New Bethesda Farms, LLC (NBF), David Vittum, Eitel Malan, Boarders at NBF, Volunteers and/or Employees for any and all injuries and/or losses I/my son/my daughter/my ward may sustain while participating in QUEST Horsemanship activities.
The following describes some, but not all, of those risks inherent in general horsemanship activities: The propensity of an animal to behave in ways that may result in injury, harm, death, or loss to persons on or around the animal; The unpredictability of an equine’s reaction to sound, sudden movement, unfamiliar objects, persons, or other animals; Hazards, including, but not limited to, surface or subsurface conditions; a collision, encounter and/or confrontation with another equine, another animal, a person, or an object. The potential of an equine activity participant to act in a negligent manner that may contribute to injury, harm, death, or loss to the participant or to other persons, including but not limited to, failing to maintain control over an equine and/or failing to act within the ability of the participant. Horses are 5-15 times larger, 20-40 times more powerful, and 3-4 times faster than a human. If a rider falls from a horse to ground it will generally be from a distance of 3½ - 5½ feet, and the impact may result in injury to the rider. Horseback riding is an activity in which one much smaller, weaker predator animal (the human) tries to impose its will on, and become one unit of movement with, another much larger, stronger prey animal with a mind of its own (the horse) and each has a limited understanding of the other. If a horse is frightened or provoked it may divert from its training and act according to its natural survival instincts which may include, but are not limited to: Stopping short; spinning around; changing directions and/or speed at will; shifting its weight; bucking; rearing; kicking; biting; running from danger.
There are elements of nature and/or sudden and/or unfamiliar sights, sounds and/or sudden movements that can scare a horse, cause it to fall, or react in some other unsafe way. Some examples are: thunder, lightning, rain, wind; wild and domestic animals, insects, reptiles; which may walk, run, or fly near, bite or sting a horse or person; and irregular footing on outdoor groomed or wild land, subject to frequent changes in condition according to weather, temperature, and natural and man-made changes in the landscape.
QUEST Horsemanship’s Protective Headgear Policy: I understand and agree that QUEST Horsemanship requires ALL riders and horsemanship participants to wear SEI CERTIFIED ASTM STANDARD protective headgear/helmet with the exception of those clients with disabilities and/or equipment such as cranial stents which would be endangered by wearing a helmet. Exceptions must be approved in writing and signed by the client’s personal physician.
I am aware that any Equestrian Activity entails risk of injury or death to any participant. I understand the above description of these inherent risks is not complete and that other unknown or unanticipated inherent risks may result in injury or death. I agree to assume and accept full responsibility for the inherent risks identified herein and those inherent risks not specifically identified. My participation in this activity is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of and with full knowledge of the inherent risks.
2017 QUEST EQUITATION SHOW – Page Four
(continued: QUEST Liability Release Form)
… I acknowledge that engaging in this activity may require a degree of skill and knowledge different than other activities and that I have responsibilities as a participant. I acknowledge that the staff of QUEST
Horsemanship has been available to more fully explain to me the nature and physical demands of this activity and the inherent risks, hazards, and dangers associated with this activity.
I have carefully read, clearly understood and accepted the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon myself, my heirs, assigns, personal representative and estate and for all members of my family, including minor children.
Signature__________________________________ (Parent/ guardian if 18 or under)Date _______________
Printed Name (and TITLE, if not participant) __________________________________________________
PHOTO RELEASE (check one)
___ I Do / ___I Do Not –
consent to, and authorize, the use and reproduction by QUEST Horsemanship of any and all photographs and any other audiovisual materials taken of me/my son/my daughter/my ward for promotional printed material, educational activities or any other use for the benefit of the program.
Signature ______________________________________ Date _________________________
(Participant, Parent or Guardian)imited to, failing to maintain control over an equine and/or failing to act within the ability of the participant. Horses are 5-15 times larger, 20-40 times more powerful, and 3-4 times faster than a human. If a rider falls from a horse to ground it will generally be from a distance of 3½ - 5½ feet, and the impact may result in injury to the rider. Horseback riding is an activity in which one much smaller, weaker predator animal (the human) tries to impose its will on, and become one unit of movement with, another much larger, stronger prey animal with a mind of its own (the horse) and each has a limited understanding of the other. If a horse is frightened or provoked it may divert from its training and act according to its natural survival instincts which may include, but are not limited to: Stopping short; spinning around; changing directions and/or speed at will; shifting its weight; bucking; rearing; kicking; biting; running from danger.
consent to, and authorize, the use and reproduction by QUEST Horsemanship of an