Annual Team Declaration

Team Name

Have all element in your team completed an assesment?

Are there any Stand-In elements in your team?

Boarder HBUK ID Number

Boarder Name

Horse Rider Name

Horse Rider HBUK ID Number

Horse Name

Horse HBUK ID Number

By clicking below you confirm that the owner of the horse has full knowledge and has given consent for you to compete in Horseboarding, and has given you permission to make any & all decisions about the welfare of the horse/pony whilst at a Horseboarding competition or event.

For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I, on the behalf of my team and all of its Elements, agree as follows: I agree to be photographed, recorded and videotaped by Horseboarding UK Ltd and its agents (“HBUK”) in connection with my participation in any Horseboarding UK Ltd ran event or competition in which I am a volunteer or competitor. I hereby irrevocably authorize HBUK and its affiliates to copyright, publish, reproduce, exhibit, transmit, broadcast, televise, digitize, display, otherwise use, and permit others to use, (a) my name, image, likeness, and voice, and (b) all photographs, recordings, videotapes, audio-visual materials, writings, statements, and quotations of or by myself (collectively, the “Materials”), in any manner, form, or format whatsoever now or hereinafter created, including on the Internet and future technologies, and for any purpose, including, but not limited to, advertising or promotion of HBUK, its affiliates, or their services, without further consent from or payment to me. It is understood that all of the Materials, and all films, audiotapes, videotapes, reproductions, media, plates, negatives, photocopies, and electronic and digital copies of the Materials, are the sole property of HBUK, I agree not to contest the rights or authority granted to HBUK hereunder. I hereby forever release and discharge HBUK, its employees, licensees, agents, successors, and assigns from defamation, invasion of privacy, right of publicity, copyright infringement, or any other personal or property rights from or related to any use of the Materials. I understand that HBUK is under no obligation to use the Materials.

Thanks for submitting!

Tem ID Number

Name of person filling out this form

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