3rd Annual Fun In The Forest Trail Ride
A benefit for First Descents
Saturday, October 22, 2011
Natchaug State Forest
Registration: 9 am All Riders On Trail by 10 am
City: _______________ State: ________ Zip: __________
Is The Rider a Youth ________ or Adult __________
Horse’s Name: ____________________________________
Horse’s Age: __________ Breed: ___________________
A copy of Current Rabies and Coggins Are Required With Registration
Registration Fee: $20 for adults and $10 for youth (under 18)
Checks should be made payable to First Descents.
Additional fundraising is appreciated. Lunch is provided!
Prizes will be awarded for: first to register, most fundraised, longest distance traveled, youngest rider, fundraisers of $25 and more, best behaved horse, and many others!
Send completed registration with check and health papers to:
440 Mansfield City Road
Storrs, CT, 06268
(860) 377-6314 firstname.lastname@example.org
Fun In The Forest Trail Ride
A Benefit for First Descents
Name Address Amount Donated
All donations are tax deductible!
Please make all checks payable to First Descents and bring this form and all money to the trail ride on October 22nd.
RELEASE OF LIABILITY
READ AND UNDERSTAND THIS BEFORE YOU SIGN IT!
In consideration for _________________________ (the “Rider”) being permitted to participate in a benefit trail ride sponsored and organized by Stacey Stearns, as a benefit for First Descents on October 22, 2011 at Natchaug State Forest in Eastford, Connecticut, the Rider and his/her parents (if Rider is under 18 years of age) agree that Stearns, Natchaug State Forest, First Descents, and their agents, members, volunteers and assistants shall not be liable for, and agree to hold them harmless from, any accident, personal injury, death or property damage that may be sustained by any person or entity, including without limitation the Rider, as a result in whole or in part from the Rider’s participation in the trail ride. This agreement is binding on the Rider and his/her parents whether or not said accident, personal injury, death or property damage is due in whole or in part to the negligence of Stearns, Natchaug State Forest, and First Descents or any of their agents, members, volunteers or assistants. The Rider and his/her parents (if Rider is under 18 years of age) agree to defend and indemnify Stearns, Natchaug State Forest, and First Descents and their agents, members, volunteers and assistants for any claims, demands, or suits arising from the Rider’s participation in the trail ride, including without limitation those arising in whole or in part from the negligence of Stearns, Natchaug State Forest or First Descents or their agents, members, volunteers or assistants.
This release is signed on ________________, 2011.
RIDER SIGNATURE or RIDER’S PARENT (IF RIDER IS LESS THAN 18 YEARS OLD)