Treasure Coast Stables IEA Team

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1 Treasure Coast Stables IEA Team Thank you, and congratulations on joining the Treasure Coast Stables IEA Team. Completing this packet will provide us with all of your necessary information as well as the liability releases we need for participation. Please be sure to complete and initial each page. Please note that the completion of this packet along with your payment will complete your child s enrollment on the team, but in order to participate in competitions, you must also register with the IEA itself. Instructions to do so are on the website: by clicking on the IEA tab. Thank you, JP Roukis & Shanna Shachenbacher- Coaches

2 Treasure Coast Stables IEA Team Treasure Coast Stables LLC. Client Information Sheet Name of team member: Phone number of team member (optional) of team member (optional) Name of parent/guardian: Phone number of parent/guardian of parent/guardian Emergency Contact Name and Phone Number: Team members grade level as of the 20 /20 school year is Team member attends school Team members date of birth Billing Information: I authorize Treasure Coast Stables LLC to provide my credit/debit card information to horse show competitions that my son/daughter is scheduled to compete at. (Initials of parent/guardian) Please circle: MASTER CARD VISA AMEX Number: Expiration: / CCV (Security) code: Billing Zip: Name on Card: Billing Address: **Coaches Will Fill out USEF and IEA info. Please leave the bottom of this page blank. USEF and IEA info: Rider Name (as listed in USEF) Rider USEF # Rider IEA #:

3 IEA Team Member Registration Packet Treasure Coast Stables IEA Team The following document provides all necessary details regarding the TCS IEA Team. Please read each section to be sure you understand the details or the program before enrolling your son or daughter. Rider Name: Parent Print Name: TCS IEA TEAM 101: Where: Lessons and clinics will take place at: Hollow Tree Ln Wellington FL When: Lessons and clinics will be offered Tuesday-Sunday. The season runs December 16 th - April 30 th. How Often: The membership fee includes two lessons per week and one clinic per month. How Much: $2200 for the season. Who: Trainers are JP Roukis and Shanna Shachenbacher. Team members are middle and high schoolers from schools from Vero Beach to Boca Raton. Contact information: JP Roukis- Treasure Coast Stables/ /jroukis@tcshowseries.com Mailing Address: Wimbledon Circle Unit 441 Wellington FL About IEA: IEA is a nationwide middle and high school riding program aimed at providing a relatively low cost method of allowing students to compete in the show jumping sport. Teams are formed all over the country and riders take regular lessons to practice for competitions. At competitions, riders use horses assigned at random that are provided by the competition, not their own horse or horses from their riding program. About the Instructors: The 2016/2017 school season is the inaugural season for the TCS team. Treasure Coast Stable s head trainer JP Roukis has partnered with Shanna Shachenbacher to provide the most comprehensive program of any IEA team. Shanna has an expertise in developing grass roots riders in a way that gives them the strongest foundation possible in a positive atmosphere. JP Roukis has a track record of developing young riders to the top of the sport. Riders training with JP have reached the Grand Prix level in show jumping, ribbons in regional equitation finals, championships at major competitions including multiple champions at WEF, and participation in national equitation finals including ASPCA Maclay finals. Riders from Treasure Coast Stables have also gone on to receive significant scholarships to ride in the NCAA program in college. Section I: Winter Season- Dates The winter season will run December 16 th -April 30 th. Should a rider qualify for Zone, Regional, or National finals, those will be held in April. Next year a fall season will be offered as well. Section II: Fees The fee per season (4 ½ months per season) will be $2,200 payable via check to Treasure Coast Stables LLC at Wimbledon Circle Unit 441 Wellington FL This will include 38 lessons and 4 clinics. Details on lessons and clinics are provided below. There are additional fees should a rider want to participate in a competition. Details are provided below. Team

4 members must also pay $60 (as of 9/28/16) to register with IEA prior to going to a show by going on the IEA website and submitting a rider member form. Section III: Lesson Details Lessons will be offered Tuesday-Friday of every week of the season. Shanna Shachenbacher will provide all lessons. Riders are responsible for scheduling their own lessons directly with Shanna. Scheduling lessons one week prior, or keeping a regular scheduled lesson time is advisable. Lessons will be provided on school horses provided by Shanna Shachenbacher. Riders will be responsible for grooming their horse before and after their lesson as well as tacking and untacking their horse. Assistance with this will be provided for beginner or inexperienced riders. Shanna may put riders in groups or single lessons depending on schedule and horse availability. Lessons will range from 30 minutes to one hour. Please arrive at least 15 minutes prior to your scheduled lesson and plan on staying at least 30 minutes after the completion of the lesson. All riders will be guaranteed time availability for two lessons per week. If a rider is unable to take two lessons in a given week, the rider may take additional lessons on a subsequent week only if schedule availability allows. If Shana is unable to offer two lessons to a rider in a given week due to her unavailability, the rider will be offered a make-up time the following week. Make-up lessons will not be guaranteed if missed due to inclement weather, but every effort will be made to re-schedule lessons if inclement weather forces a cancelation. If a rider does not take 38 lessons in a season no refund will be provided, the lessons are not credited towards a future season, and the missed lessons may not be credited towards shows. Riders are encouraged to take as many lessons as possible in a season. If a rider is expected to exceed 38 lessons in a season, the parent will be notified when the rider reaches approximately 34 lessons. With parental permission, if a rider then exceeds 38 lessons, any additional lessons will be billed at the end of the season at a discounted rate of $50 per lesson. Clinics: The seasonal registration fee includes participation in 1 clinic per month (4 per season) provided by JP Roukis. Clinic dates will be announced at least 30 days prior. Each rider will be guaranteed space in one clinic per month. If a rider is unable to attend a clinic, no refund or credit will be issued. Clinics will last for 1-1.5hrs of riding time and it is recommended riders arrive minutes ahead of time and stay for 30 minutes after. A lecture or other additional educational activity may be included on some clinic days. Section IV: Attire All team riders must wear a tucked in collared shirt, long pants, a closed toed shoe, and a belt. Hair must be in a neat braid on put up inside the helmet. It is recommended that jeans or riding pants be worn and paddock boots or other riding boots be worn. A safety approved helmet will be provided by Shanna Schachenbacher, but riders may purchase and use a personal helmet if they so choose. Section V: Horse show competition fees The following costs are associated with attending an IEA show: Coaching fee: $75 per day for coaching at an IEA competition. Most competitions are one day. Trainer Hotel and Travel Splits: If a show s location requires coach(s) to need hotel and/or airfare, attending riders will split associated costs. Parents may request an estimate of the above fees prior to signing up for a show. Show Fees: Riders will be responsible for show fees to the competition. These fees are typically about $80 per show. An estimate may be requested prior to each show. Split Horse Fee: Shows may require a lease fee for horses used in competition. An expected range for this fee would be $50-$75/rider. An estimate may be requested prior

5 to each show. Section VI: Horse show competition information A completed show sign-up form available on the TCS website must be completed in order to attend each competition. Treasure Coast Stables IEA Team will announce the shows we will be attending approximately 90 days prior to each competition. Information about competition format and individual show details can be found on the IEA website. Each show has a reservation deadline. Some shows may have a maximum number of riders so signing up at least 30 days prior is advisable. JP Roukis will be scheduled to act as the trainer at all competitions. 5 riders must sign up in order to guarantee the IEA team s attendance at a show. If less than 5 riders sign up, JP Roukis will announce 7 days prior if the team will be attending the show with less than 5 riders. Section VII: Riders with private horses If a rider owns or full leases a horse with either Shanna Shachenbacher or JP Roukis, he/she will be exempt from enrolling in the seasonal package and will be entitled to be on the team for only the IEA membership fee. Section VIII: Riders enrolling after the start of the season: Any rider interested in joining the team after the start of the season should contact JP Roukis for availability of a custom lesson/clinic package. If enrollment is towards the end of the season and a custom package is not available, services will be billed on an a-la-cart basis at $65/lesson, $125/clinic, $100 coaching fee/show. Section IX: Rules and Regulations All riders must abide by rules set forth either verbally or in writing by either Shana Shachenacher or JP Roukis. Any rider who fails or comply with the directions of the coaches or shows the potential to harm themselves, a team mate, or an animal may be immediately removed from the team without a refund of membership fees. X: Billing and Registration Treasure Coast Stables LLC shall be paid for all seasonal membership fees by check. In order to complete registration, this completed packet and a check for the full seasonal membership amount ($2,200) must be received by JP Roukis prior to the start of each season unless other arrangements are made. The credit card information provided shall be run for any show associated costs including coaching, trainer hotel and travel splits, and horse lease splits. I have read and understand all the terms and conditions of riding on the Treasure Coast Stables IEA Team. Parent Print Name Parent Signature Rider Print Name Date

6 LIABILITY WAIVER AND RELEASE AND INDEMNITY AGREEMENT Participant s Name (Printed): ( Participant ) Participant s Age: WHEREAS, Participant desires to participate in equestrian and equine related activities with Treasure Coast Stables, LLC (hereafter TCS ) and its affiliates, including, but not limited to: Dream Believer Stables, Inc., Dream Believer Stables, LLC and Andrea Columbino; Hart- Woods Equestrian and Loring and Tim Hart-Woods; and Free Spirit Riding Academy, Inc. and Shanna Sachenbacher (hereafter, collectively, TCS Affiliates ) and their officers, owners, employees, shareholders, agents, representatives, and volunteers on, at or near locations owned, leased, rented or used by TCS, TCS Affiliates, Box Ranch of Martin County, Ltd., Sunlight Saddle Club, LLC and their officers, owners, partners, employees, shareholders, agents, representatives, volunteers, heirs, and assigns (collectively hereafter Released Parties ); WHEREAS, the undersigned understands that engaging in equine related activities involves the risk of personal physical injury, including, but not limited to, lacerations, bruises, fractures, head injuries and death, and Participant has full knowledge and awareness of these and all other dangers inherent in and related to the sport of horseback riding and equine activities; WHEREAS, the undersigned understands that horseback riding and other equine-related activities are a rigorous and physically demanding activity for both horse and rider; NOW, THEREFORE, in consideration of the foregoing and for permitting Participant to participate in equine-related and other activities of TCS and TCS Affiliates, the undersigned, for themselves and their respective heirs, personal representatives, and assigns agrees as follows: Recitals Incorporated: Recitals and prefatory phrases and paragraphs set forth above are hereby incorporated in full and made a part of this Liability Waiver and Release and Indemnity Agreement (hereafter Agreement ). Assumption of Risk: The undersigned understands that there are risks inherent in equine and equine-related activities, including, but are not limited to: (1) the propensity of equines to behave in ways that may result in injury, harm or death to persons on or around them and/or damage to property in their vicinity; (2) the unpredictability of a equine s reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals, regardless of its training and past behavior; (3) certain hazards such as surface and subsurface objects; and (4) collisions with other horses, animals, people and/or objects. Disclosures/Rules/Attire: The undersigned has fully disclosed Participant s riding experience and has not misrepresented any condition or ability of either Participant and/or Participant s horse (the term horse as used throughout this Agreement shall be deemed to include any equine).

7 The undersigned has fully disclosed any and all physical, mental or other conditions of Participant, including Participant s use of any medications or other substances, which may affect Participant s ability to safely participate in equestrian and equine-related activities. If at any time Participant feels unfit or unsure about proceeding with any riding activity, or if the horse or equipment appears to Participant to be deficient in any manner, Participant will inform his/her instructor of his/her concern before proceeding with the activity. Participant understands and agrees to follow any and all rules of riding conduct and safety established by TCS and TCS Affiliates and those of TCS and TCS Affiliates agents, employees, owners, shareholders, volunteers and representatives. The undersigned agrees to equip Participant with appropriate riding attire, including but not limited to an ASTM approved and fastened riding helmet and approved riding boots or shoes. Waiver of Liability: In consideration for participating in instruction and/or equine-related or other activities, the undersigned and anyone legally entitled to act on Participant s behalf, agrees to RELEASE, WAIVE, DISCHARGE and COVENANT NOT TO SUE the Released Parties from and for any liability resulting from any personal injury, accident, or illness (including death), and/or property loss, including injury to or death of Participant s horse, however caused, arising from or in any way related to horseback riding, instruction, handling horses or any other activities whatsoever, whether equine-related or not, on, at, or near facilities owned, leased or used by the Released Parties, including those claims related to or arising from the negligence of the Released Parties. Indemnification and Hold Harmless: The undersigned further agrees to forever HOLD HARMLESS, DEFEND and INDEMNIFY the Released Parties from any and all claims, actions, suits, costs, expenses, damages, and liabilities, including, but not limited to, attorney s fees, arising from or in any way related to Participant s involvement in riding, handling, instruction, training, or showing, or any other activities, whether equine-related or not, including boarding Participant s horse with the Released Parties or their agents, employees, representatives, or instructors. This includes, but is not limited to, claims for any economic or non-economic losses due to negligence, bodily injury or property damage sustained in connection with or arising from or in any way related to, any and all activities, whether equine-related or not, including but not limited to, riding, handling, boarding, showing or otherwise being in the vicinity of equines, whether or not owned by or in the care, custody and control of the Released Parties. Permission to Use: The undersigned hereby gives permission for TCS and TCS Affiliates to use, without compensation, Participant s likeness and/or name in any material, regardless of media form and including any reproduction of same, for promoting TCS and/or TCS Affiliates and acknowledges and agrees that same remains the sole and exclusive property of TCS. Severability and Venue: The undersigned expressly agrees that this Agreement is intended to be as broad and inclusive as the laws of the State of Florida allow and that if any portion hereof is held invalid, the remainder of the Agreement shall continue in full legal force and effect. The undersigned further agrees that if legal action is brought, it must be brought in Palm Beach County, Florida.

8 THE UNDERSIGNED HAS READ AND UNDERSTANDS THAT THIS AGREEMENT IS A LIABILITY WAIVER AND RELEASE AND AN INDEMNIFICATION AGREEMENT AND THAT THE UNDERSIGNED IS GIVING UP SUBSTANTIAL RIGHTS IN CONNECTION HEREWITH. THE UNDERSIGNED HAS HAD AN OPPORTUNITY TO ASK QUESTIONS ABOUT THIS AGREEMENTAND ACKNOWLEDGES THAT HE/SHE IS SIGNING THIS AGREEMENT FREELY AND VOLUNTARILY. IF THE UNDERSIGNED IS SIGNING THIS AGREEMENT AS A PARENT OR GUARDIAN, THE UNDERSIGNED CONSENTS TO THE MINOR CHILD S PARTICIPATION AND AGREES TO ASSUME ALL THE OBLIGATIONS OF THIS RELEASE ON THE MINOR CHILD S BEHALF. WARNING Under Florida law, an equine activity sponsor or equine professional is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities. Signature of Participant Date: Signature of Parent/Guardian of Minor (if Participant is under the age of 18) Date: Address Phone Number(s) Address Emergency Contact - Name and Phone Number