Sunset Jumpers at Fox Chase Reserved Space Order Form 2015 Gates open at 5:30 pm Show Starts at 6:30 pm Mini-Prix starts at 7:30 pm Requested Date: ________________________ (One night boxes and tail gates are available on a first come, first serve basis). _____Rail Box next to show arena $250 private box includes 6 chairs; and 15 general admission car passes. ______Season Rail Box next to the show arena $700 for three shows ($233.00 per show) includes 15 general admission car passes. _____ One Night Tailgate $150 _____ One Night General Admission Car Pass $30 _____ Hanley Pavilion $750 –One night use of the Hanley Pavilion for private party from 6pm to 11pm includes 25 general admission car passes. Use of the Pavilion is exclusive for your guests. Pavilion has lights and fans with speaker where music and announcements are heard. Hanley Pavilion seats 50 comfortably or 75 standing. Tables and chairs are included. Please fill out this form including your contact information, email with cell number which will be used to notify you in the event of schedule changes and weather delays Name as to appear on Space: ___________________________________________________ Purchaser Name: _____________________________________________________________________ Mailing Address: ______________________________________________________________________ Phone (cell): __________________________ FAX: _________________________ Email (required for weather/event alerts) _______________________________________ Sunset Jumpers at Fox Chase PAYMENT FORM Total Amount Enclosed $_______ Signature: (required) ______________________________ Please make checks payable to “Fox Chase Farm” and mail this form and payment to Fox Chase Farm, P.O. Box 743 Middleburg, VA 20118 For payment by Credit Card, there is a $10.00 convenience fee added to your bill. Credit Card: (circle one): Visa MasterCard Name on the card___________________________________ Card Number ________________________________________ Expiration Date ________ Three digit code on the back of card: _____ Zip Code associated with card _________ By this payment, you agree to accept the Terms and Conditions on the reverse side of this form. SUNSET JUMPERS TERMS AND CONDITIONS. Sunset Jumpers at Fox Chase Rules and Regulations: Fox Chase Farm, LLC is allowing guest and spectors and riders to participate in a “Sunset Jumpers Evening Jumper Show” at the farm located at 23320 Foxchase Farm Lane and those who participate and other guests agree to the terms below: In a matter of public health and safety regulation, I do understand and agree by my reservation payment as follows: 1. TICKETS- Valid May 22, 2015, July 17, 2015, and September 11th, 2015-- Each vehicle must have and display an official Sunset Jumpers pass. Purchaser will issue no other form of ticket to admit vehicles or guests to the grounds. Sublease of and/or admission charge to any amenity is strictly prohibited. Additional tickets may be purchased (if available) by calling Fox Chase Farm at (540) 687-5255. Any caterers or service personnel will be provided car passes as needed. 2. FOOD AND BEVERAGES. –Picnics are allowed or food may be purchased on the grounds. Fox Chase Farm will also provide the names of our approved caterers for your party. Any alcoholic beverages must be purchased in Virginia, as required by law. Guests must be 21 years of age to consume alcoholic beverages. Purchaser will provide any needed water supply, ice, food, and non -alcoholic beverages. 3. WOOD OR COAL BURNING STOVES, BARBECUES, AND GROUND FIRES ARE NOT PERMITTED. 4. GLASS AND LITTER-In consideration of the safety of people and horses, purchaser and guests will use only shatterproof, (not glass), drinking containers. Glass bottles are strictly prohibited on the grounds and are subject to confiscation. Trash must be left bagged and/or taken away upon leaving. Purchaser is subject to fine and future loss of space for violation of this provision. Please note that there is a $500 fine for littering or use of glass bottles. 5. PERSONAL CONDUCT-Purchaser understands that this is a family-oriented event, and that conduct infringing upon neighboring spaces or the rights of others is prohibited. Drunk or disorderly conduct is subject to arrest and eviction. Guests accept responsibility for conduct of all people in their party. 6. PETS INCLUDING DOGS ARE NOT PERMITTED ON THE GROUNDS- Service animals are welcome. 7. SIGNAGE, MUSIC AND PROMOTIONAL CONDITIONS–Purchaser’s space will be identified by a standard sign provided by Fox Chase Farm with your space name located on front of the space. Flags, balloons, flapping ribbons or signage or other promotional materials may not be placed outside of Purchaser’s space, nor any banner placed on the perimeter fence. Public solicitation, leafleting, posters, and political activities outside of Purchaser’s space are prohibited. Any musical entertainment, boom box or electrical generator is prohibited. 8. ADVANCE SETUP AND SECURITY–Space will be ready for advance preparation and decoration at 4:00 on Event day. All vehicles must be moved to the general parking area by 6:00 p.m. 9. CURFEW/TEARDOWN 10:00 P.M–In the interests of safety on the roads and grounds security, Purchaser agrees to close down space activities, to remove personal property, and leave the grounds by 11:00 p.m. Fox Chase Farm chairs, tables and other property may not be removed from the grounds. 10. LIABILITY–Purchaser releases Fox Chase Farm, LLC, its staff and owners and any neighboring Landowner from any liability for personal injury, damage or loss of personal property. Purchaser accepts responsibility for repair or replacement of items if Guests cause any damage. Purchaser understands and agrees that violation of any of the above lawful provisions applicable to this private property may result in action to stop such activity as well as future non-renewal of Purchaser’s space, and a fine or other actions as permitted by law. 11. RESERVATION BOOKINGS–Due to the limited number of spaces available, reservations received after deadline will be accepted based upon date of payment receipt. After deadline spaces will be assigned on a first-come-first-served basis. 12. PERSONAL TENTS, CANOPIES, SUN UMBRELLAS are prohibited on the farm.
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