General Payment Form
Name(Required) First Last Phone(Required)Email(Required) Address(Required) City State / Province / Region What are you paying for?(Required) Capping Fee Donation Dues Other If other: Amount(Required) Credit
Name(Required) First Last Phone(Required)Email(Required) Address(Required) City State / Province / Region What are you paying for?(Required) Capping Fee Donation Dues Other If other: Amount(Required) Credit
Rider Release Adult and Minor (under 18) (Parents/Legal Guardian of minor must sign for participants under 18) REPRESENTATION, ASSUMPTION OF RISK AND RELEASE AGREEMENT I,
March 19, 2023 Wit’s End & Griswold Barn 1:00 pm Awards presentation & tea to follow in the Griswold barn. Main Menu Payment Form Rider
Entries must be received by Central Entry Office no later than noon on Monday, March 13th. Please review the 2023 Conditions for important information. All
Step 1 of 2 50% Please complete the following form. You can enter and pay for up to 5 horses at one time. Entries will
"*" indicates required fields Step 1 of 2 50% Please complete the following form. You can enter and pay for up to 10 horses at
REPRESENTATION, ASSUMPTION OF RISK AND RELEASE AGREEMENT I, the undersigned race rider, hereby sign the following representation and release in consideration of being permitted to
Parents or Guardian of Minor (under 18) GREEN SPRING VALLEY POINT-TO-POINT PERMISSION, REPRESENTATION, RELEASE, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT We are the parents or