Powder Basin Equestrian Association
NEED A STALL?
Driving through Gillette and need an overnight stall for your horse? Camplex does not let you stable there, but across the road is:
Butch & Sherry Reynolds
or, a little south:
2013 Powder Basin Equestrian Association
Ø chapter member of Mountain States Eventing Association
Ø access to all MSEA/USEA shows, functions, databases, website, members
Ø Area 1X of United States Eventing Association
Ø USEA/US Equestrian Federation recognized horse trials annually
Ø cross-country course open year round
Ø schooling shows and clinics
Ø access to stadium and dressage arena at Equestrian Park
Ø club website (http://www.powderbasinequestrian,com
Ø Omnibus of all recognized competitions in Area IX if you join by January 31
Date: ________________ New: __________ Renewal: ________________
Additional names, if family membership: _____________________________________________________________________________
Address: ________________________________________ Phone: ______________________
City: __________________________ State: __________Zip: __________________________
Birthdate (s): _____________________________________________Age: _________________
Horses name(s): __________________________ E-mail address: ______________________
Family: ___________$35/year Individual: __________________$25/year
RELEASE OF LIABILITY FOR CAM-PLEX EQUESTRIAN PARK
PLEASE READ BEFORE SIGNING
CAM-PLEX Equestrian Park
By signing this form, I state that I understand that equine activities are inherently risky and potentially dangerous. I understand that riding is a potentially risky and potentially dangerous sport. I herby declare that I am participating in this activity entirely at my own risk I herby assume this risk and further do herby release and hold harmless Powder Basin Equestrian Association and my fellow riders, from all liability , including any negligence, resulting in accidents, damage, injury, illness and /or death, to myself and to my property , including the horse or horses which I will ride at the Equestrian Park This release will be considered valid any time I ride at CAM-PLEX Equestrian Park.
I further understand and accept the limitations applied by Wyoming State Law, specifically the “Recreation Safety Act” (W-S. 1-1-121 through 1-1-123) that participants in recreation activities, particularly including equine activities, accept full responsibility for the inherent risk, dangers and condition s which are characteristic of, intrinsic to, or an integral part of any sport or recreational opportunity.
I acknowledge that I am participating entirely at my own risk. RIDE AT YOUR OWN RISK!! Please use your own good judgment and ride safely!
(Signature of competitor, or parent if under 18 years of age)
Please make check payable to Powder Basin Equestrian Association and mail to:
(Membership is valid from January 1 - December 31of current year)
Updated October 13