April CT – Online registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Valinor Farm April 21 Combined Test with Cross-Country Schooling On-line RegistrationRiders Name *JR or SR *JRSRJR Riders DOB *Name of Horse *Name of trainer or barn that you ride withPhone contact for this entry *Email contact for this entry *April CT - Please select all that apply *Combined Test with X-Cty schoolingCombined Test onlyDressage only Test 1Dressage only Test 2Unjudged stadium roundStabling (confirm avaialability first)Late Fee (assesed after closing date of 4/14)please confirm availability by contacting the farm before paying for stabling. Select Level of Combined Test *Cross-Rails (2023 USDF Intro A / cross rails)Elementary (2023 USDF Intro B / 2')Starter (2022 Starter / 2'3")Beginner Novice (2022 BN A / 2'7)Novice (2022 Nov A / 2'11")Training (2022 TR A / 3'3")Modified (2022 Mod A / 3'5")Prelim (2022 Prelim A / 3'7")Select the Dressage tests(s) you wish to ride *2022 Eventing Starter Test2022 Eventing BN A2022 Eventing BN B2022 Eventing Nov A2022 Eventing Nov B2022 Eventing TR A2022 Eventing TR B2022 Eventing MOD A2022 Eventing Prelim AOtherTotal Payment Due$0.00List the Dressage Test(s) you wish to ride *Please enter any additional informationSection 1: Assumption of Risk and Waiver By signing this agreement you acknowledge that you and your guests are on the property at your own risk, and hereby specifically release, indemnify, and hold Valinor Farm, its owners and agents, harmless from liability for any claims which may arise out of your activities on the premises. In signing this contract, you are binding yourself, your survivors, your agents, or any other person seeking to assert claim on your behalf, which arises from an accident occurring at Valinor Farm, even if such accident results in a permanently disabling injury or death. You, by signing this agreement, also acknowledge that you have read and understand the following notification pursuant to Chapter 128, Section 2D of the Mass General Laws. Section 2: Valinor Farm Medical Information and Treatment Release If medical care is required for the rider/student named below in conjunction with any Valinor Farm activity or related transportation, and if normal permission is not available in a timely manner, the undersigned authorize appropriate medical care as deemed necessary by emergency medical personnel, a physician, or the medical facility providing treatment. Warning Under Massachusetts Law, an equine professional is not liable for injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Chapter 128, Section 2D of the General Laws. By signing this form I also acknowledge that I have read, understand and will adhere to the COVID restrictions put in place by Valinor Farm, as of the date signed below.Signature *Clear SignatureSignature of Rider (or parent / guardian if rider is under 18. I consent and agree that use of a key pad, mouse or other device to sign my electronic service constitutes my signature, acceptance and agreement as if actually signed by me in writing. Further, I agree that no certification authority or other third party verification is necessary to validate my electronic signature above; and that the lack of such certification or third party verification will not in any way affect the enforce-ability of my signature or resulting contract between myself and Valinor Farm or their agents. I understand and agree that my e-Signature executed in conjunction with the electronic submission of this form shall be legally binding and such transaction shall be considered authorized by me.Payment Method *Pay now with PayPalMailing a checkYour entry is accepted when your payment is received. Late fees will be assessed for payments not received before closing date. Submit