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Spring Trail Ride     April 28, 2012     Registration Form

Ride Registration (with lunch) Pre-register by April 21st @$20 ea. Post-Registration $30. 
Registration for _________ @ $20  Each _________ {kids ½ (12 & under ) _______}  Poker _______@ $5 each ____________    

Breakfast: __________$5 donation each ___________ {kids ½
(12 & under) _______}  Other:______________________________

                                        Total Payable to MVBCH:$_____________

            Sign Release and send with funds to: MVBCH - 972 Twisp River Road Twisp, WA 98856

                Recognizing the fact that there is a potential for an accident where ever horse use is involved, which can cause injuries to horses, riders, and spectators and also recognizing the fact that Backcountry Horsemen of Washington, Inc., including chapters, officers, directors, or members cannot always know the condition of trails or the experience of riders or horses taking part in Trail rides or other BCHW or chapter functions, I do hereby release the above named from any claim or right for damages which might occur to me, my minor children or horses.  Under Washington law, an equine sponsor or equine professionals is not liable for any injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities, pursuant to
RCW 4.24.530 (Equine Activity Liability Act)
 

Signed:                                                                                                                                Signed                                  __________________________________

Names: ____________________________________________________________________________________________Tel:____________________________________     Please Print

            _____________________________________________________________________________________

 Address:                                                                                              City______________________________________Zip:_____________________________

Please include your email address in case we need to contact you! email:_________________________________