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New Hampshire High School Equestrian Teams

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Online NHHSET Team Registration Form

 

School Information:

NHHSET District:    North       South      Central

Name of School:

Address:

City:     Zip:

Phone:

School Activity Director:

Phone:

Email:

High School Administrator approving Team Participation

Name:

Phone:

Email:

 

School Contact Person

Phone:

Email:

This school is participating as    varsity sport        activity     club

 

Advisor Information (21 or Older)

Name:

Home address:

City: Zip:

Phone:

Email:

Insurance Information
 ( required for all participants per NH school sponsored events)

            Company:

            Subscriber:

            ID:

Co-op Advisor Information (21 or Older)

Name:

Home address:

City: Zip:

Phone:

Email:

Insurance Information
 ( required for all participants per NH school sponsored events)

            Company:

            Subscriber:

            ID:

Primary Coach Information (21 or Older)

Name:

Address:

City: Zip:

Phone:

Home:

Other:

Fax:

Email:

Assistant Coach (21 or Older)

Name:

Address:

City: Zip:

Phone:

Home:

Other:

Fax:

Email:

2nd Assistant Coach (21 or Older)

Name:

Address:

City: Zip:

Phone:

Home:

Other:

Fax:

Email:

Barn Information
Every school must list a practice barn even if no formalized group practices will be taking place per the NHHSET insurance binder.

Barn Name:

Address:

City: Zip:

Phone:

Fax:

Email:

In the event that this barn needs to be changed after binding the school will be charged a $40.00 fee to add a new barn to the NHHSET insurance binder

Code of Conduct 

    As a participant associated with NHHSET, I understand the goal is to endorse and promote the values and conduct expected. My signature below, signifies that I have read, completely understand and agree to adhere to the NHHSET Code of Conduct Standards and will accept the consequences of noncompliance as outlined in the Violation Procedures. By my signature below, I agree that entry and participation in New Hampshire High School Equestrian Teams activities:

.. is made at my own risk, and that the officers, management, its agents, or facilities assume no responsibility for accidents or injuries,

.. is subject to the standards, polices, rules and bylaws of the high school and New Hampshire High School Equestrian Teams

.. waives all claims against New Hampshire High School Equestrian Teams, its officers, management, agents or facilities.

   I have reviewed the Code of Conduct and Release Form

Confidentiality Policy and Pledge

   Any information that an affiliate learns about NHHSET, or its members or donors, as a result of working with NHHSET that is not otherwise publicly available constitutes confidential information. Affiliates may not disclose confidential information to anyone who is not affiliated with NHHSET or to other persons affiliated with NHHSET who do not need to know such information to assist in rendering services. The disclosure, distribution, electronic transmission or copying of NHHSET's confidential information is prohibited. Any affiliate who discloses confidential NHHSET information will be subject to disciplinary action (including possible separation), even if he or she does not actually benefit from the disclosure of such information.

  I understand the above policy and pledge not to disclose any confidential information.

Photo Release

             I give permission for NHHSET to use any photographs obtained during competition for any purposes the organization wishes pertaining to advertizing, result scoring or fundraising activities.

             I grant permission for use

             I deny  permission for us

 

Please copy the text on the right into the box on the left.

  

     

Monday, 06 September 2010

© 2010 New Hampshire High School Equestrian Teams