SUNDAY SEPTEMBER 28, 2008

Bring this form with you the day of the ride

I release all rights and claims for damage against Harry Hughes Horseman’s Haven, Inc. Maumee State Forest, Toledo Metro parks, as well as any person connected with this event for any and all injuries, which my horse or I may suffer while taking part in this event.

Persons under the age of 18 must have the registration form signed by a parent or guardian.

Children who are under the age of 10: must be accompanied by an adult while at this event.

Participant Signature: ___________________________________________

Parent Signature: _______________________________________________

Registration at 9:00 a.m.

Ride Starts at 10:00 a.m.

Lunch will starts at 11:00 a.m. - Until food runs out

Participant Name:______________________________

Age (If under 18):

Address:____________________________________________________

City State: Zip

E-mail Address:

Sponsor Name Address Pledge