SPHO Waiver and Release of Liability
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By signing this form the undersigned recognizes that horseback riding and participating in horse-related events have inherent risks and dangers and that the undersigned and any students, children or other persons for which the undersigned is responsible will hold harmless the EVENT OFFICIALS, EMPLOYEES AND ANY OTHERS INVOLVED IN THE HORSE-RELATED EVENT CONDUCT AND OPERATION from injury suffered during participating. Furthermore, the undersigned and those from whom the undersigned is responsible agree to release, indemnify and hold harmless EVENT OFFICIALS, EMPLOYEES AND ANY OTHERS INVOLVED IN THE HORSE-RELATED EVENTS CONDUCT AND OPERATION from any loss, damage or injury to persons, animal, property or thing which the undersigned owns or is responsible for at this event.

 
 
Rider/Driver Name
Signature
Home Address
Telephone Number
Email Address
 
 
Rider/Driver Name
Signature
Home Address
Telephone Number
Email Address
 
 
Rider/Driver Name
Signature
Home Address
Telephone Number
Email Address
 
  Team No. (to be completed by Event Official) [optional]:  
  Division (to be completed by Event Official) [optional]:  
 

After Completion, print and mail this form with check or money order to:
Cindy Alfaro, SPHO-NJ Secretary
849 Hulses Corner Road, Howell, New Jersey 07731

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