Entry Form

USEA developing rider coach

Olympic Gold Medalist Leslie Law

Falconwood in Winnie,Tx

March 5th and 6th , 2016 (Sat and Sun)

Mail registration to W J and Kelley Kays-Everett, 46718 IH 10 E. Winnie,Tx 77665 

kkaysvet@aol.com 409-656-3822 

Or 409-296-9811 fax 409-296-6087 

See our place click on the gate on www.Dowlenroadvetcenter.com  

 

Name of horse_______________________________  

 

Name of rider________________________________Email___________________________

 

Address______________________________________  Phone #______________________

 

Greater Houston Combined Training Association Member? ______________________

Adult rider member or other association _?______________________________________

Rider Level (circle one):   Beginner novice    Novice      Training   Preliminary / intermediate

           

Haul in fee if not stabling……………………………………………………………………..….$ 25.00 __________

FEES:

Rider participation fee for 2 days  ..................................................................................$400.00 ___________

Deposit to hold spot until Feb15 , then bal due……………...........................................$100.00 ___________

Audit fee  (1 guest FREE)................................................................................................. $15.00   ____________

Stall fee for clinic  ...........................................................................................................  $50.00   ____________

Hookups for trailer $20 per night  ..........................................................................$20.00/night   ____________ 

There will be a group dinner one night, fee $25 wine included      ...............................$25.00  ____________

Mail your Coggins copy in with entry please!    Unless you were in the most recent clinic   

And is your coggins still current. Yes _____  (or mail in a new coggins) 

           ­­­­­­­­­­­

(Make checks payable to Dowlen Rd Veterinary Center )                                  TOTAL DUE: ______________   

All proceeds go to Leslie Law Eventing

CURRENT COGGINS TEST REQUIRED – mail with entry

 

WARNING:

Under Texas law (Chapter 87, civil practice and remedies code), an equine professional is not liable for an injury to or to the death of a participant in equine activities resulting from the inherent risks of equine activities.  

I HEREBY RELEASE Dowlen Road Veterinary Center, DRVC or Falconwood (WJ Everett and Kelley Kays-Everett),Leslie Law and Leslie Law Eventing,LLC from any liability and all claims of every kind (including costs, expenses, or attorney's fees)  that might result from damages, injuries or losses to my person or property during or in connection with the horse event, whether or not such damages, injuries or losses result directly or indirectly from negligent acts or omissions DRVC and/or Falconwood (WJ Everett and Kelley Kays-Everett)or Leslie Law.  AND I ACKNOWLEDGE THAT I HAVE READ, UNDERSTAND AND AGREE BY THE RULES.   

 

Rider’s signature_____________________________________date___________________________

 

Parent/Guardian if minor signature____________________________date______________________

 

DIRECTIONS:  From Houston, take I-10 E to Exit #829 and stay on feeder road past the  stop sign. Staying on the feeder drive past The Quality Inn  and Hunan Restaurant go approximately 3/4 mi. Turn Right at end of a 4 board black fence where at a line of Pine trees into the driveway of the Winnie Veterinary Clinic, then go to the Gate and I will send you a code after you register .

 

Holiday Inn  Express 409-296-2250    Pet friendly,$25.00 fee

*Hampton Inn, 409-296-3525 pets yes,$25.00 fee

*Days Inn- 409-296-2866 or 1-800 Holiday  $20 per pet per night.

*Winnie Inn Suites & RV Park 409-296-2947   mention  Falconwood    winnieinn@msn.com $10 per pet per night.

*Hotel 6- 409-296-9292  yes pets

  Comfort Inn and Suites 409-296-6200    gm.tx939@choicehotels.com NO PETS

*La Quinta  409-296-8800     lq0872gm@laquinta.com     yes pets

 *Holiday Inn  Express 409-296-2250    Pet friendly,$25.00 fee