AERC CAJA DEL RIO ENDURANCE RIDE and Run - Saturday and Sunday, May 26-27, 2018
Rider’s Name ___________________________________ Rider's AERC# ____________
Rider’s e-mail address ________________________________________
Address ____________________________________________________
City ______________________ State _____________________ Zip____________
Telephone ________________________ Age, if Junior______ DOB Junior________
Weight Division (Check One) Junior__________ FWT_______ LWT__________ MW_________ HW____________
PLEASE PROVIDE INFORMATION BELOW FOR EACH DAY YOU'LL BE RIDING:
Ride Day: Saturday, May 26, 2018
Horse Name_____________________________ Horse AERC #___________
Breed__________________ Age________ Color________ Sex_________ (Mare/G/S)
Check One (50 miles)__________ Limited Distance (25 miles)__________ Intro/Fun Ride (12 miles) ________
Ride Day: Sunday, May 27, 2018
Horse Name_____________________________ Horse AERC #___________
Breed__________________ Age________ Color________ Sex_________ (Mare/G/S)
Check One (50 miles)__________ Limited Distance (25 miles)__________ Fun Ride (12 miles) ________
For registration prior to May 26th:
Entry Fee (Adult) $110/day ________
Entry Fee (Junior) $85/day ________
Introductory (Fun) Ride $50/day ________
AERC Non-member fee $15/day ________
Extra dinner (per person) $10/day ________
Extra Camping ($20/day) ________ Payable to the HIPICO Santa Fe
Total Due ________
Make checks payable to: ___________________
Refund policy: in event that rider must cancel, a full refund (minus the fee for dinner) will be given up until 1 weeks prior to ride.
A full refund, minus $15, will be given if your horse does not vet in.
There is no charge for camping Friday, May 25 through Monday morning, April 28th. If you wish to camp additional days, you will be responsible for $25 per day, payable to HIPICO Santa Fe. Check in Friday, May 25 between 2–5pm. Dogs must be leashed at all times. Absolutely no equines or dogs on the polo field at any time. Equines must be 60 months (5 years) old to enter the 50-mile ride and 48 months (4 years) old to enter the limited distance 25-mile ride. Foot protection is recommended. Helmets are required for juniors and highly recommended for others.
Return To:
Deirdre Monroe
15 Camino del Ojito
Santa Fe, NM 87506
505-670-4925
[email protected]
Medical and Legal Release Form
Read carefully: this pertains to you. Ask if you have questions
As I participate in the Caja del Rio Endurance Ride, I understand that my safety and the safety of other participants are dependent on my own ability and judgment. I understand that endurance riding involves riding on or near traffic and obstacles, being in the mountains, desert or uninhabited areas for long periods, out of communication, and possibly under adverse weather conditions. I further understand that professional medical or veterinary attention is not available on the trail, and that considerable delays are likely to be encountered in rescue and treatment of injured riders and their horses. I understand that horseback riding involves risk and I ride at my own risk. I agree to take full responsibility for my safety and for my horse’s safety. Furthermore, I agree not to hold the Caja del Rio ride management, veterinarians, officers of the ride, AERC, HIPICO Santa Fe equestrian center, ride workers or land managers (BLM and USDA Forest Service) responsible for losses or injuries that I might suffer in or in conjunction with the ride.
I understand that I may be disqualified without refund for inappropriate behavior to ride management, vets, volunteers, other riders or crew, or to their equines before, during, and after the ride. I and my crew will keep equines and dogs under control at all times. I and my crew will be safe in handling my equine(s) and will be safe around other equines at all times. I understand that it is my responsibility to be aware of potential hazards all times, both on the trail and in camp. Riders will be traveling both clockwise and counterclockwise on the same loop. I understand it is my responsibility to be aware of and to avoid oncoming horses.
I agree to obey the rules of the AERC, HIPICO Santa Fe and the Caja del Rio Ride.
I have read, understand, and agree with the conditions of this release.
Signature of rider ______________________________________ Date _________
Signature of Parent (If Applicable)___________________________ Date_________
Signature of Sponsor (if Applicable) __________________________ Date_________
HIPICO Santa Fe Equestrian Center Waiver Form
Read carefully: this pertains to you. Ask if you have questions
1. Rider agrees to assume any and all risks involved in or arising from rider's use of the HIPICO Santa Fe equestrian center (hereinafter "HIPICO"), and the facilities included thereon, including but not limited to, risks of death, bodily injury, property damage, falls, kicks, bites, collisions with vehicles, other horses, or stationary objects, fire explosion, limited emergency medical care availability, or negligence or deliberate act of any other person. Rider acknowledges that horses, by their very nature are unpredictable and subject to animal whim. Rider assumes all risks in connection therewith, and expressly waives any claims for any injury or loss arising therefrom, pursuant to New Mexico's Equine Liability Act, N.M.S.A. 1978, Section 42-13-1, et seq., as posted at HIPICO. Rider agrees to abide by and follow the rules and regulations of HIPICO. Rider further acknowledges that the behavior of any animal is contingent to some extent upon the ability of the rider. Rider assumes all risks therefore and warrants a full and fair disclosure of rider's ability has been made to HIPICO and/or its members, employees, contractors, agents and/or independent third parties.
2. Rider agrees to hold harmless, indemnify and defend HIPICO against, and hold harmless from any and all claims, demands, causes of action, damages, judgments, orders, costs of expenses, including attorney's fees, whether actually incurred or not, which may in any way arise from or be in any way connected with Rider's use of or presence upon the property of HIPICO and facilities located thereon.
3. In the event Rider is using Rider's own horse, or a horse or horses not owned HIPICO or its contractors, Rider warrants said horse(s) shall be free from infection or contagious or transmittable diseases. HIPICO reserves the right to refuse access or use of any horse upon the premises if same does not appear to HIPICO to be in good health, or is deemed dangerous or undesirable.
4. Any action brought under this Agreement shall be brought within (1) year of the incident or accident giving rise to said claim. Rider agrees that damages shall be limited to $250 for property damage, actual expenses incurred, and a maximum of $10,000.00 for non-consequential damages such as pain and suffering.
5. Rider agrees to waive the protection of any applicable statutes in this jurisdiction whose purpose, substance and/or effect is to provide that general release shall not extend to claims, materials or otherwise, which the person giving the release does not know or suspect to exist at the time of executing said release.
Participants Hold Harmless Agreement
The Undersigned states as follows:
I, the undersigned, hereby acknowledge that competitive and pleasure horse riding and training contain inherent risks of injury and damage to me personally, to my horse, and to my equipment. Knowing these facts, I nevertheless, in consideration to your acceptance of this form, hereby, for myself, my heirs, executors, and administrators, waive, release, discharge and hold harmless Los Alamos National Bank, doing business as HIPICO, all employees, contractors, agents and/or independent third parties, and all other persons and organizations in any way affiliated with the events, property, boarding, lessons or any other activity described herein, their representatives, heirs, executors, administrators, and assignees from any and all right, claim, or liability for damages or for any and all injuries that might be sustained by me including injuries to animals from any and all claims of any kind or nature that I might have as a result of, or arising out of my participations, cause by my own act, or the acts of anyone or any animal within my control. I further agree that I will defeat, indemnify and hold harmless Los Alamos National Bank, its shareholders, employees, contractors, agents and/or independent third-parties or any of them against all claims, demands and causes of action including court costs, attorneys' fees, directly or indirectly arising from any action or other proceeding brought by or prosecuted for my benefit, contrary to this release extended to all claims of every kind and nature whatsoever whether known or unknown, and expressly waive any benefits that I may have.
I do acknowledge that I have read the foregoing paragraph and know and understand the content thereof.
________________________________________________ ________________________________________________ Signature Guardian (if under 18 years of age)
_________________________________________________ _____________________________________
Print Name Print Name
Street __________________________________
City _______________________Zip_____________
Telephone:_________________________________
Read carefully: this pertains to you. Ask if you have questions
As I participate in the Caja del Rio Endurance Ride, I understand that my safety and the safety of other participants are dependent on my own ability and judgment. I understand that endurance riding involves riding on or near traffic and obstacles, being in the mountains, desert or uninhabited areas for long periods, out of communication, and possibly under adverse weather conditions. I further understand that professional medical or veterinary attention is not available on the trail, and that considerable delays are likely to be encountered in rescue and treatment of injured riders and their horses. I understand that horseback riding involves risk and I ride at my own risk. I agree to take full responsibility for my safety and for my horse’s safety. Furthermore, I agree not to hold the Caja del Rio ride management, veterinarians, officers of the ride, AERC, HIPICO Santa Fe equestrian center, ride workers or land managers (BLM and USDA Forest Service) responsible for losses or injuries that I might suffer in or in conjunction with the ride.
I understand that I may be disqualified without refund for inappropriate behavior to ride management, vets, volunteers, other riders or crew, or to their equines before, during, and after the ride. I and my crew will keep equines and dogs under control at all times. I and my crew will be safe in handling my equine(s) and will be safe around other equines at all times. I understand that it is my responsibility to be aware of potential hazards all times, both on the trail and in camp. Riders will be traveling both clockwise and counterclockwise on the same loop. I understand it is my responsibility to be aware of and to avoid oncoming horses.
I agree to obey the rules of the AERC, HIPICO Santa Fe and the Caja del Rio Ride.
I have read, understand, and agree with the conditions of this release.
Signature of rider ______________________________________ Date _________
Signature of Parent (If Applicable)___________________________ Date_________
Signature of Sponsor (if Applicable) __________________________ Date_________
HIPICO Santa Fe Equestrian Center Waiver Form
Read carefully: this pertains to you. Ask if you have questions
1. Rider agrees to assume any and all risks involved in or arising from rider's use of the HIPICO Santa Fe equestrian center (hereinafter "HIPICO"), and the facilities included thereon, including but not limited to, risks of death, bodily injury, property damage, falls, kicks, bites, collisions with vehicles, other horses, or stationary objects, fire explosion, limited emergency medical care availability, or negligence or deliberate act of any other person. Rider acknowledges that horses, by their very nature are unpredictable and subject to animal whim. Rider assumes all risks in connection therewith, and expressly waives any claims for any injury or loss arising therefrom, pursuant to New Mexico's Equine Liability Act, N.M.S.A. 1978, Section 42-13-1, et seq., as posted at HIPICO. Rider agrees to abide by and follow the rules and regulations of HIPICO. Rider further acknowledges that the behavior of any animal is contingent to some extent upon the ability of the rider. Rider assumes all risks therefore and warrants a full and fair disclosure of rider's ability has been made to HIPICO and/or its members, employees, contractors, agents and/or independent third parties.
2. Rider agrees to hold harmless, indemnify and defend HIPICO against, and hold harmless from any and all claims, demands, causes of action, damages, judgments, orders, costs of expenses, including attorney's fees, whether actually incurred or not, which may in any way arise from or be in any way connected with Rider's use of or presence upon the property of HIPICO and facilities located thereon.
3. In the event Rider is using Rider's own horse, or a horse or horses not owned HIPICO or its contractors, Rider warrants said horse(s) shall be free from infection or contagious or transmittable diseases. HIPICO reserves the right to refuse access or use of any horse upon the premises if same does not appear to HIPICO to be in good health, or is deemed dangerous or undesirable.
4. Any action brought under this Agreement shall be brought within (1) year of the incident or accident giving rise to said claim. Rider agrees that damages shall be limited to $250 for property damage, actual expenses incurred, and a maximum of $10,000.00 for non-consequential damages such as pain and suffering.
5. Rider agrees to waive the protection of any applicable statutes in this jurisdiction whose purpose, substance and/or effect is to provide that general release shall not extend to claims, materials or otherwise, which the person giving the release does not know or suspect to exist at the time of executing said release.
Participants Hold Harmless Agreement
The Undersigned states as follows:
I, the undersigned, hereby acknowledge that competitive and pleasure horse riding and training contain inherent risks of injury and damage to me personally, to my horse, and to my equipment. Knowing these facts, I nevertheless, in consideration to your acceptance of this form, hereby, for myself, my heirs, executors, and administrators, waive, release, discharge and hold harmless Los Alamos National Bank, doing business as HIPICO, all employees, contractors, agents and/or independent third parties, and all other persons and organizations in any way affiliated with the events, property, boarding, lessons or any other activity described herein, their representatives, heirs, executors, administrators, and assignees from any and all right, claim, or liability for damages or for any and all injuries that might be sustained by me including injuries to animals from any and all claims of any kind or nature that I might have as a result of, or arising out of my participations, cause by my own act, or the acts of anyone or any animal within my control. I further agree that I will defeat, indemnify and hold harmless Los Alamos National Bank, its shareholders, employees, contractors, agents and/or independent third-parties or any of them against all claims, demands and causes of action including court costs, attorneys' fees, directly or indirectly arising from any action or other proceeding brought by or prosecuted for my benefit, contrary to this release extended to all claims of every kind and nature whatsoever whether known or unknown, and expressly waive any benefits that I may have.
I do acknowledge that I have read the foregoing paragraph and know and understand the content thereof.
________________________________________________ ________________________________________________ Signature Guardian (if under 18 years of age)
_________________________________________________ _____________________________________
Print Name Print Name
Street __________________________________
City _______________________Zip_____________
Telephone:_________________________________