ALPEA

                

                  

 

 

TRAIL RIDE  REGISTRATION AND RELEASE

 

I hereby register to participate in the ALPEA Trail Ride and present the following to be true.

 

Name

Age

Address

City

State

Zipcode

Cost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                                                                     

                                                                                             Total Cost:  ________________

 

            Phone Number: _________________________________________________________

 

            In case of emergency call: _________________________________________________

 

            Email: _________________________________________________________________

 

 

COGGINS TEST-REQUIRED

 Horses Name

 Lab Name

 Date Reported

 Accession No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

           

Yes!!  Send me an ALPEA and/or PHBA Membership Application!!

 

Circle one:   Both ALPEA & PHBA,    only ALPEA,     only PHBA

 

In consideration of my acceptance to participate in the ALPEA Trail Ride, I hereby release the ALPEA Trail Ride, all organizations and individuals aiding or assisting on the ride or its activity, their officers, agents, servants and employees, from any and all claims for damage of any kind or character for personal or bodily injury to me, for injury or damage to my livestock and equipment, and I hereby assume all risk involved in any activities in which I participate or that may be sponsored or approved by any of the above named organizations or individuals.

 

This release shall be binding upon me and all others for whom I am representing and responsible for, and I hereby indemnify the above named organization and individuals against the claims of all persons for which I am responsible on the trail ride or other activities conducted by said organizations and individuals.  I agree to abide by all by-laws, rules and regulations of the ALPEA including orders of the trail ride officials during the complete ride.

 

Warning:  Under Texas Law (Chapter 87, civil practice and remedies code) an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risk of equine activities.

 

 

Date:__________________          Signature:____________________________________

 

Date:__________________          Guardian (if under 21) __________________________

 

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