Falconwood Entry Form

USEA Developing Rider Coach

Olympic Gold Medalist Leslie Law

                                                                         Falconwood in Winnie, Tx

Saturday March 2nd & Sunday March 3rd

Mail registration to 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 __________

Privates IF TIME………………………………………………………………………….$125.00 ____________

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

Deposit to hold spot until February 1st , then bal due…………….................... $100.00 ___________

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

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

Hookups for trailer $25 per night ............................................................ …… $25.00/night _______

There will be a group dinner Saturday 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 (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 (Kelley Kays-Everett)or Leslie Law. AND I ACKNOWLEDGE THAT I HAVE READ, UNDERSTAND AND AGREE BY THESE and Usea 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 Holiday Inn and Hunan Restaurant go approximately 3/4 mi. Turn Right at end of a 4 board black fence where there is 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