PDate_____________											Entry#_________ 
				MOTDRA RIDE ENTRY AGREEMENT				Fee Pd_________
NAME OF RIDE__________________________________________________________________________________________________
NAME OF RIDER_________________________________________________________________________________________________
ADDRESS_______________________________________________________________________________________________________
CITY_______________________________STATE_______ZIP_____________EMAIL________________________________________
NAME OF HORSE________________________________________________BREED OF HORSE__________________________________
AGE______COLOR________________________________SEX___________DATE OF LAST COGGINS______________________________
OWNER OF HORSE (If different from rider) ____________________________________________________________________________
READ THIS CAREFULLY BEFORE SIGNING:
	I wish to participate in the above-named ride.  In participating, I fully understand and recognize the risks and dangers involved, as well as the fact that significant, uncontrollable and unexpected risks may arise during the ride.
	I agree to abide by the rules of the ride and MOTDRA, which incorporates the rules of AERC for endurance riding, and am familiar with these rules.  If I have any questions about those rules, I agree to ask ride management about them.
	I understand that competitive and endurance riding involves being in remote areas for extended periods of time, far from communication, transportation and medical facilities. Rides are subject to additional risks of adverse weather, terrain and wildlife beyond the control of ride management.  I recognize that ride management cannot eliminate or control all potential hazards to me or my horse or act to guarantee our safety.  I know and understand that competitive riding is an inherently dangerous sporting event and agree to assume the complete risk of personal property loss or damage, or personal injury or death which I or my horse might sustain in competing in this ride.  I agree not to assert a claim or litigation of any kind against the premise owners, sponsors, MOTDRA, MOTDRA’s officers, directors, or agents, ride management, volunteers, other MOTDRA members, or other ride participants ( hereinafter “the Released Parties”), including claims that arise from the alleged negligence of the Released Parties, and I will hold the Released Parties harmless for any injury or damage I might sustain in competition in this ride.  I do further authorize any officer, director, or supervisory personnel of this ride to consent in my behalf to any emergency medical treatment by a properly licensed person which may be required and do agree to indemnify and hold harmless any person giving such consent.
	I agree that any dispute arising out of the enforceability of this Agreement shall be submitted to binding arbitration before a neutral arbitrator mutually selected by the parties; conducted in accordance with the Rules of the American Arbitration Association, with venue and choice of law in the county in which MOTDRA headquarters are located.   MOTDRA shall be entitled to recover its attorneys’ fees and costs if deemed the “prevailing party” in any enforcement or defense of an enforcement action.
	In consideration of this agreement, ride management agrees to put on this ride in accordance with its stated rules, together with all applicable rules and guidelines of MODTRA and AERC.
I HAVE READ AND UNDERSTOOD THIS RELEASE AND UNDERSTAND THIS RELEASE CONTAINS A BINDING ARBITRATION CLAUSE.
RIDER’S SIGNATURE______________________________________________________ __________DATE__________________________

JUNIOR RIDER______________________________________________________________________AGE__________________________
Any rider under the age of 18 must have this Ride Entry Agreement signed by a parent and/or legal guardian in order to participate in the above-named ride.  As parent and/or legal guardian of the above-named junior rider, for and in consideration of this child’s participation in this ride, I agree to the terms as stated as well as on behalf of myself, my family, and this child, and will hold harmless anyone so consenting.  I do further authorize and officer, director, or supervisory personnel of this ride to consent in my behalf to any emergency medical treatment by a properly licensed person which may be required for my child/ward, and do agree to indemnify and hold harmless.
I HAVE READ AND UNDERSTOOD THIS RELEASE.
SIGNATURE______________________________________________________________DATE_________________________

RELATIONSHIP TO RIDER_________________________________________________________________________________
I have agreed to sponsor the above-named junior rider and promise to abide by all of the MOTDRA and AERC rules covering the sponsor-junior relationship.

SIGNATURE______________________________________________________________DATE_________________________

WARNING! Under Kansas law, there is no liability for an injury to or death of a participant in domestic animal activities resulting from the inherent risks of domestic animal activities pursuant to Section 1 through 4.  You are assuming the risk of participating in this domestic animal activity. K.S.A. 60-4001 through 60-4004

Waiver and Release:  By signing, I hereby for Myself, My Heirs, Executors and Administrators do waive and release any and all rights for damages or injury to myself, my equipment, or animals.  I agree to hold blameless MOTDRA, its agents, representatives, or volunteers for any and all claims 
of liability.

____________________________________________________                 __________________
Signature											Date

I grant my permission for ride management to arrange emergency medical treatment if I am unable to do so myself.
Signature of Rider: _______________________________________________________Date: _______________
Emergency Contact Person:______________________Relationship:________________Phone:______________
Rider Cell Phone Number: ________________________________
MOTDRA member: (Y/N) _________________________________
MOTDRA Mileage Program: Horse: ______________________________     Rider: ______________________
Competitive Miles: ________________________________________
Have you ever completed this distance?  Horse: ______________________ Rider: _____________________

Rider Weight with Tack: ________________               NOTES: 

ENTRY FEE: __________________________                 

NON-MEMBER FEE: ______________

EARLY ENTRY DISCOUNT: _______________

AMOUNT DUE: _______________________

Revised Feb, 2017