Trinity Trail Preservation Association Taste of Endurance
Saturday April 19, 2008

Entry Number:__________________ (to be assigned by ride management)

Rider Information:          Name _______________________________

Phone: ______________  Email: _____________________________

(Circle)  Distance       16                    10                    6

Division: (circle one):       Junior (14 & younger)          Senior (15 & older)
*Junior Rider: Age: ______ Birthdate: ___________________  Helmet Required
Accompanying Rider, 18 or older:  ____________________________________

Equine Info:
Horse’s  name: ________________________________                    Age: _____________
Breed:_______________________________________                    Sex: _____________

Entry Fee:
Pre-registered:   (circle one)                  $25                  Day of ride       $35

If it rains on the day of the ride, I would like to donate my entry fee to TTPA   X    (circle X and initial) If not circled, you entry fee will be refunded. NO REFUNDS FOR NO SHOWS. Make checks payable to TTPA.  NO DOGS ALLOWED ON THE TRAILS.  THEY MUST REMAIN AT THE TRAILHEAD, TIED UP OR IN A CRATE.
                                                                                                                                                                                                                           

RELEASE: Sign liability and medical release on the bottom of page.

Legal Release: As a participant in the Taste of Endurance Ride, I understand that Endurance riding involves being in remote areas for extended periods of time, far from communications, transportation, and medical facilities. I understand that these areas have many natural and man-made hazards that ride management cannot anticipate, identify, modify or eliminate. I understand that horses can be excitable, unpredictable, and difficult to control and that accidents can happen to anyone at any time. I assume full responsibility for my animals and myself. I will hold the ride management, all ride personnel, and all property owners over whose land the ride takes place or crosses blameless for any accident, injury, or loss that might occur due to my participation in the ride and free from any liability for such loss or injury. I acknowledge that I have read, understand, and agree with the conditions of this legal release.

Medical Release: I give consent for, and will be financially responsible for, emergency medical treatment for myself if I’m unable to give informed consent. I acknowledge that I’ve read and understand and agree with the conditions of this release.

Drug Allergies:
________________________________________________________________________

Rider Signature:
                                                                                                        Date: