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Chalk Rock June 7th, 2008 Name_____________________________________________Age_____AERC#___________ Address_________________________________Phone______________Fax______________ ___________________________________________E-mail___________________________ CIRCLE WEIGHT DIVISION Feather (under 160) Light (161-185) Middle (186-210) Heavy (over 211) Horse _____________________Horse
AERC# __________Owner_____________________ Junior Riders Riders, 16 years and under,
entered in the ride will be accepted and allowed to ride only
if accompanied by an adult whose name and entry have been submitted
on a proper entry form for this ride. Riders, 16 years and under,
will not be allowed to start or continue on form any point of
the ride without sponsor present. Must finish ride within one
minute of sponsor. Minors Under 18 Years must have the following liability signed by their PARENT/GUARDIAN. We the undersigned parents or guardians of _____________________ ________________________________________________,
For in consideration if our child's participation in the above
named ride, do hereby release all persons charged with official
capacity in the execution of such Ride from all claims, defends,
suits or liabilities which might otherwise arise by virtue of
injury to our child, and so further agree to indemnify and hold
harmless each and every one of them from any and all claims,
demands, suits or liabilities which might otherwise arise by
virtue of injury to or occasioned by our child or any horse under
such child's direction or control. We do further authorize any
officer, manager, director or supervisory personnel of the above
named Ride, to consent in out behalf to any emergency medical
treatment by a properly licensed person, which may be required
for our child, and so agree to indemnify, and hold harmless anyone
giving such consent. Signature__________________________________________________Date___________ Relationship to above Minor__________________________________ RELEASE FOR ALL RIDERS I wish to participate in the above Ride, which is sponsored by the Redwood Empire Endurance Riders (REER). I have read the rules, conditions and regulations of the ride and agree to comply with them. I am aware that an endurance ride covers difficult terrain on trails where the footing for horses may be unsure. I further acknowledge that competitive or "endurance" horse riding is over considerable distances and contains inherent risks of injury and damage to me personally, to my horse and my equipment. Knowing these facts I none the less, in consideration of your accepting this entry, do hereby for myself, heirs, executors and administrators, waive and release the above named Ride, the American Endurance Ride Conference, The Redwood Empire Endurance Riders, and all other persons and organizations, regardless of their capacity in any way connected with the above named Ride or their representatives, heirs, executors and assigns from any and all right, claim or liability for damages, or for any and all injuries that may be sustained by me including injuries to animals, or from any kind or nature that I might have. Furthermore, I do hereby acknowledge that said release will extend to any accidents, damages or claims arising out of my entry caused by my own act or by the acts or anyone or any animal within my control. I do acknowledge that I have read the forgoing paragraph, know and understand the contents herein. Signature____________________________________________________Date_________________ Your check must accompany your application to ensure a place in the ride. All entry fees include the dinner, California State Drug Testing Fee, AERC sanctioning fee, completion certificate and routine veterinary examinations before and during the ride should a horse require special or emergency treatment, payment is the responsibility of the rider and will be handled individually by the attending veterinarian. 50 MILE
RIDE $90.00 (Deduct $10 if postmarked by June 2nd)______________
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