Registration Form Click the above Registration for to download the PDF Registration Form
Shenandoah Trail Riders & Horseman’s Association
2017 STRHA Judged Trail Ride (Crystal Crown Series participating ride) Walnut Hill Farm 145 Wetzel Hollow Lane, Maurertown, Virginia 22644 Saturday, May 6th, 2017 PRE-REGISTRATION ONLY Postmark deadline is April 30, 2017 (Event will be held RAIN OR SHINE, NO REFUNDS – NO RAIN DATE!!!)First Riders start at 10am – Last riders out by 12pm (no start times will be assigned)Approximately a 7 mile trail ride including 10 obstacles using natural objects on the trail. It is recommended that horses have shoes as the terrain is rocky. DIRECTIONS:
I-81 to Toms Brook Exit (Exit#291)
Turn onto Mt. Olive Road(Rt. 651) going west for one mile
Turn left onto Rt. 623 (Back Road) going south.
Go approximately 6 miles to Rt. 681 (Alonzaville Road) on the right.
Alonzaville Road is a gravel road and very narrow road - go slow please and watch for oncoming traffic for just .5 mile. As the gravel road makes a sharp left, Walnut Hill Farm is straight ahead.
Current Coggins Required WITH Pre-Registration and Fees!!!!
PRE-REGISTRATION FEES: Age 18 & under - FREE Age 19 & over - $ 45 (lunch is included) All riders must register, sign wavier and pay, even if not judging. Fees are non-refundable. Entry fee allows you to enter three divisions of your choice. AWARDS: Overall Champion and Reserve Champion awards will be given, plus 1st place through 6th place ribbons for each division. Ribbons will be awarded after last rider has checked in from trail and standings have been calculated on day of ride only. PLEASE NOTE THAT RIBBONS WILL NOT BE MAILED.
BACK BY POPULAR DEMAND – each rider will be given free raffle tickets for chances to win GAS CARDS. Winners to be announced during ribbon awards. MUST BE PRESENT TO WIN!!!!
STRHA Website and Facebook will be used for updates – STRHA.net and Shenandoah Trail Rider’s and Horseman Association(STRHA) for Facebook
For questions contact Ride Secretary - Susan Markofski at email@example.com or 304-874-3424 home phone and 703-785-7649 cell phone for day of the ride emergencies call her cell.
Shenandoah Trail Riding & Horseman’s Association
2017 STRHA Judged Trail Ride Entry Form (Crystal Crown Series participating ride) Event Date: Saturday, May 6, 2017 – Held RAIN OR SHINE, NO REFUNDSMail Pre-entries to: STRHA, 312 Oak Ridge Rd, Edinburg, VA 22824 Check Payable to: STRHA
Name __________________________ E-mail _______________________________________
Phone __________________________ Rider’s Age __________________
Horse’s Registered Name ________________________________________
Horse’s Common/Barn Name ______________________ Horse’s Breed_____________________
Entry Fee $___________ (Fees are non-refundable.) Age 18 & under - FREE Age 19 & over - $ 45 LUNCH IS INCLUDED
To help us in planning for FOOD and DRINK, please indicate if you plan to partake in any food and drink while at the ride. Thanks for your input!
YES _______ NO ___________
GUEST RIDER’S and/or MEMBER’S WAIVER OF CLAIMS AND COVENANT NOT TO SUEThis agreement is entered into as a condition of registration in the Crystal Crown Series Judged Trail Ride held by the Shenandoah Trail Riding and Horseman’s Association, Inc (STRHA) and participation in its activities on May 6, 2017. With this waiver I accept notice of the provisions of Section 3.1-796.130 through 3.1-796.133 of the Code of Virginia, which state in part ‘That there are inherent risks in equine activities including (I) propensity of an equine to behave in dangerous ways which may result in injury to the participant: (II) the inability to predict an equine’s reaction to sound, movements, objects, persons, or animals; and (III) hazards of surface or subsurface conditions.’ I understand and acknowledge that any involvement with horses can be hazardous and that riding involves numerous risks of injury and that horses are often unpredictable and difficult to control. I knowingly and voluntarily assume all risks and dangers of such involvement. I agree not to sue STRHA or its officers, directors, agents or employees, the owners of Walnut Hill Farm, Maurertown, Virginia, or any landholders who have given permission to STRHA to ride over their property during this event, including, but not limited to any claims alleging negligence, breach of contract, strict liability or otherwise of STRHA, the owners of Walnut Hill Farm, Maurertown, Virginia, or any such landholders. This covenant not to sue, waiver, and release includes but is not limited to bodily injury, death, property damage, loss, contribution, indemnity or any other claims which I may ever have against STRHA, the owners of Walnut Hill Farm, Maurertown,Virginia, or any such landholders. This agreement shall be binding upon the undersigned, and if applicable, any of their minor children who shall participate in this STRHA event. Signature of Rider: ___________________________________________________________________________ Signature of Horse Owner if Different From Rider: _____________________________________________________________ Signature of Guardian: _____________________________________________________________________________________ Rider(s) 18 and under must have permission of Guardian to enter event and must be accompanied by an adult on the trail. COGGINS PAPERS MUST BE SENT IN WITH REGISTRATION AND FEES!!
Entry fee allows you to enter three divisions of your choice. Please circle your choice of three divisions:
Novice Rider (3 or less judged rides)
Novice Horse (3 or less judged rides)
Non-registered Horse or Pony
Rider age 18 or under
Rider age 19 – 39
Rider age 40 -59
Rider age 60 & over
Registered Quarter Horse
Other Reg. Horse/Pony
Double check and enclose the following information:
Copy of negative Coggins Test. Must be current on day of ride
Application that is completed and signed
Signed Release of Liability
Check made payable to STRHA
Mail to: STRHA, 312 Oak Ridge Rd, Edinburg, VA 22824
STRHA.net and Facebook To be used for latest updates the week of the ride.