Pacific NW Endurance Rides, Inc. Official Entry Form
Please fill out all Information Neatly & Completely
Please make checks payable to the named ride. Entry Fee:__________ Rider # __________
_______ _____ ________________________________________Ride
_____Miles
Weight Division: (Combined weight of rider and tack)
___ Featherweight (0 - 160) ____ Lightweight (161 - 185) ___ Middleweight (186
- 210) ___ Heavyweight (211 + ) ___
Rider ___ ____________________________ Age ___PNER # _____ AERC # ______
Address __________________________ City______________ ___ State
___ Zip _____
Horse's
Name:____________________________ Age __ Foaled _____ AERC # _______
Breed ________________ Reg # ____________________ Sex ____ Color _________
Owner ____ _____________________________ Address
______________________________________
This Is A Release. It Contains Limitations on Liability. READ IT!!!
I understand that endurance riding is a hazardous activity
which involves being in remote areas for a long time; that
these areas have many natural and man made hazards which ride management cannot
anticipate, identify, modify, or
eliminate; that horses can be excitable, difficult to control, and
unpredictable; and that accidents can happen to anyone at anytime, and that
there is NO ambulance or medical help present. I UNDERSTAND THAT I AM ENTERING
THIS RIDE AT MY OWN RISK and upon acceptance of my application for entry in the
above-described ride, I acknowledge that I assume FULL RESPONSIBILITY for my
own safety. I and my heirs, executors, and administrators, will hold PNER,
Inc., and all officers and directors thereof, any member of the ride management
and ride personnel, and all property owners/tenants whose land the ride crosses
BLAMELESS for any injury or loss to myself or my horse which occurs due to my
participation and free from all liability for such injury or loss. In short, I
will not sue the ride management, their personnel, landowners or tenants, and
PNER, for ANY REASON!
I am fully aware of all ride rules and agree to abide by those rules set down
by the ride management, PNER and AERC.
I understand AERC rule #13: "Drugs of any kind are prohibited in horses
participating in AERC sanctioned endurance
rides." I fully understand the consequences for not following ride rules.
As a participant in this ride, I have read the above liability release and will
agree to abide by ALL rules.
MINORS OR JUNIORS MUST HAVE THE FOLLOWING RELEASE SIGNED:
We, the undersigned parents or guardians of
_________________________________ born on__________________
understand that endurance riding can be a hazardous activity, that injuries or
accidents can occur, and that this ride has no medical aid or insurance for my
child. We have entered our child in the above named ride AT THEIR OWN RISK and
understand that we will assume full responsibility for the child's safety.
We have read the above release that our child, as a rider, has signed and fully
understand the release and ride rules. We agree to release the PNER and all
officers, directors and all member of ride management and personnel, and all
landowners/tenants, from all claims, demands, law suits or liabilities which
might otherwise arise by virtue of injury to our child or child's horse, no
matter who is at fault.
We do further authorize any ride personnel of the above ride to consent in our
behalf to any emergency medical
treatment by a properly licensed person, which may be required for our child,
and do agree to indemnify and hold
harmless anyone giving such consent.
SIGNED ___________________________________________________________ DATE
___________________
Relationship to the above named minor __________________________________
SPONSOR NAME & RIDER #:________________________________________ DATE ___________________
SPONSOR SIGNATURE _____________________________________________