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Last Name _______________________________ First Name_______________ (One form must be completed by each applicant.)
Frontier Pack Train GUIDED PACK TRIP REGISTRATION, WARNING, AND RELEASE AGREEMENT PLEASE READ CAREFULLY BEFORE SIGNING SERIOUS INJURY MAY RESULT FROM YOUR PARTICIPATION IN THIS ACTIVITY THIS STABLE DOES NOT GUARANTEE YOUR SAFETY NAME OF BUSINESS PROVIDING GUIDED PACK TRIP: Frontier Pack Train Complete outfitting-Trail Rides - Pack Trips__(Hereinafter referred to as "THE MANAGEMENT”. P. O. Box 656, June Lake, CA 93529 Summer: (760) 648-7701 Winter: (760) 873-7971 SECTION I. REGISTRATION A. APPLICANT'S NAME _________________________________ B. NAME OF PARENT OR LEGAL GUARDIAN ____________________________________________ (if applicant is a minor or under legal guardianship) C. MAILING ADDRESS _______________________________________________________ D. PHONE NUMBER 1. ( ) - 2. ( ) -
E.
AGE___________SEX_____________HEIGHT___________WEIGHT ________ __________________________________________________________________________________________________________________________________________________H. TRIP DESIRED_____________________ PURPOSE OF TRIP _________________
I. DATES
PREFERRED ____________SECOND DATE CHOICE ________________ SECTION II. WARNINGS AND ASSUMPTION OF RISK AGREEMENT
I/WE, THE UNDERSIGNED, do understand that the trip the applicant is requesting to participate in, and is being offered by THE MANAGEMENT is classified as "ADVENTURE RECREATION SPORT ACTIVITY." I/WE further understand there are inherent elements of risk always present in an "ADVENTURE RECREATION SPORT ACTIVITY," despite all safety precautions. I/WE accept fully all such risks and do hereby agree to accept total responsibility for all p-r-sonal injury and/or property damage sustained during any such "ADVENTURE RECREATION SPORT ACTIVITY" by myself and/or the non-legal age minor or person under guardianship applicant stated above. I/WE further understand that applicant will be participating in a "WILDERNESS EXPERIENCE" and that the meaning of this term is defined as follows: THE PURSUIT OF ADVENTURE TYPE ACTIVITY IN A WILD, RUGGED, AND UNCULTIVATED AREA OR REGION, AS OF FOREST and/or HILLS and or MOUNTAINS and/or PLAINS and/or WETLANDS, WHICH WOULD LIKELY BE UNINHABITED BY PEOPLE AND INHABITED BY WILD ANIMALS OF MANY TYPES AND SPECIES TO INCLUDE, BUT NOT LIMITED TO, MAMMALS, REPTILES, AND INSECTS, WHICH ARE NOT TAME, MAY BE SAVAGE AND UNPREDICTABLE IN NATURE AND ALSO WANDERING AT THEIR WILL. SECTION III. STATEMENT OF SIGNATURE ON ADDITIONALLY REQUIRED FORMS
I/WE, THE UNDERSIGNED, have read and signed the following forms additional to this form, which are required in relation to guided pack trips offered o THE MANAGEMENT:
1. HORSE RENTAL AGREEMENT AND LIABILITY RELEASE FORM #08. 2. _______________________________________________________ 3. _______________________________________________________ All Riders and Parents or Legal Guardians must sign below after reading this entire document. SIGNER STATEMENT OF AWARENESS: I/WE THE UNDERSIGNED HAVE READ AND DO UNDERSTAND THE FOREGOING AGREEMENT WARNINGS RELEASE AND ASSUMPTION OF RISK I/WE FURTHER ATTEST THAT ALL FACTS RELATING TO THE APPLICANT'S PHYSICAL CONDITION. EXPERIENCE, AND AGE ARE TRUE AND ACCURATE
SIGNATURE OF applicant (Spouse must sign for themselves)_____________________ DATE SIGNED SIGNATURE OF PARENT, GUARDIAN AND/OR SPOUSE _________________ DATE SIGNED SIGNATURE OF PARENT, GUARDIAN AND/OR SPOUSE _________________ DATE SIGNED
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