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1 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 International Mountain Trail Challenge Association Buckle Series “Building bold and confident Trail Horses!” 2016 Schedule 1st Sunday, April 17th Grateful Pine Farm, Snohomish WA 2nd Sunday, May 1st Wild Horse Mountain Farms, Sherwood, OR 3rd Sunday, June 12th BHP, Silvercreek WA 4th Sunday, July 10th Wild Horse Mountain Farms, Sherwood, OR 5th Sunday, August 14th Grateful Pine Farm, Snohomish, WA 6th Sunday, September 25th BHP, Silvercreek WA End of the year Championship Ban- quet held at Mossyrock Horse and Rider (Date TBD) To register, pages 9,10,12,13

International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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Page 1: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

1

IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

International Mountain Trail

Challenge Association

Buckle Series

“Building bold and confident Trail Horses!”

2016 Schedule

1st Sunday, April 17th Grateful Pine Farm, Snohomish WA

2nd Sunday, May 1st

Wild Horse Mountain Farms, Sherwood, OR

3rd Sunday, June 12th

BHP, Silvercreek WA

4th Sunday, July 10th

Wild Horse Mountain Farms, Sherwood, OR

5th Sunday, August 14th

Grateful Pine Farm, Snohomish, WA

6th Sunday, September 25th

BHP, Silvercreek WA

End of the year Championship Ban-

quet held at

Mossyrock Horse and Rider

(Date TBD)

To register, pages 9,10,12,13

Page 2: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

Dear Participants,

Welcome to the International Mountain Trail Challenge Association Buckle Se-ries! We’re glad you’ve decided to join us in the exciting sport of Mountain Trail riding and to participate this exciting new Sport!

Any rider can participate in the Challenge. IMTCA membership fees can be paid at the time of registration. This discipline is open to all equines and riders of all skill levels.

Mountain Trail Challenge is a unique way to help build a solid partnership be-tween a horse and rider. When this partnership is developed, you can plainly see its re-sults as horse and rider navigate obstacles safely, boldly and confidently.

The IMTCA Buckle Series is open to everyone.

The IMTCA Awards banquet will be held at the MossyRock Horse & Rider Club: Date to be announced.

Please read the information carefully. If you have any questions, don’t hesitate to call or email us!

Welcome aboard!

Mark Bolender

IMTCA President

With sincere thanks to our generous Sponsors

International Mountain Trail

Challenge Association

Buckle Series

“Builing bold and confident Trail Horses”

Page 3: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

Important Contacts : For Bolender Horse Park /IMTCA

Office Management:

Lee Bolender (Bolender Horse Park): (360) 269-6156, [email protected]

Lodging and Stalls other Venues contact

Linda Wagner (Wild Horse Mountain Farms): [email protected]

Kelly Munro(Grateful Pine Farm): [email protected]

Show Secretary: Danielle Skeeters-Lindsey (360)490-5765

Concession Hours

Sunday 11am to 2pm

International Mountain Trail

Challenge Association

Buckle Series

“Building bold and confident Trail Horses!”

Page 4: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

Aerial Views of Bolender Horse Park and the Course

International Mountain Trail

Challenge Association

Buckle Series

Page 5: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

Driving Directions to Bolender Horse Park

If you get lost on the way, feel free to call Mark (360) 269-5699 or Lee (360) 269-6156

From I-5

Bolender Horse Park is located half way between Portland, OR and Seattle, WA. Take exit 68 off of I-5 (US Hwy 12 / White Pass Hwy) east. Proceed east approx. 15 miles to mile marker 81 and turn left on the Filbert Rd. Go one block and turn right on the Rockwood Rd. – go one block and turn left in front of the Bolender sign (Crater View Dr. is un-marked). Go to top of the hill and turn left into Bolender Horse Park. Drive completely around the big barn and pull into a parking space if you have a horse trailer.

East on HWY 12

If you’re traveling from the east on US Hwy 12 – when one crosses the Lake Mayfield Bridge going west then take the first road to the right (Filbert Road). Go one block and turn right on the Rockwood Rd. – go one block and turn left in front of the Bolender sign (Crater View Dr. is unmarked). Go to top of the hill and turn left into Bolender Horse Park Drive completely around the big barn and pull into a parking space if you have a horse trailer.

International Mountain Trail

Challenge Association

Buckle Series

“Building bold and confident Trail Horses!”

Page 6: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

About the Challenges

Refer to the IMTCA 2015 Official Handbook of Rules and Regulations

What to expect at a Challenge

A competitive event for Mountain Trail and Extreme Mountain Trail is known as a chal-

lenge. A challenge tests a horse and rider’s ability to navigate both natural and man-made

obstacles in a safe manner and with technical skills that demonstrate great horsemanship.

There will be up to three levels of difficulty that are designed to challenge but not intimi-

date riders. Attire and tack required for participating must be neat, clean and in good

working order.

The overall purpose of the Trail Challenge is to promote good horsemanship skills and

provide an educational venue for equestrians. Trail Challenge tests an equine and rider

on their ability to work as a team and navigate obstacles which they might experience on a

trail.

The horse and rider will encounter various obstacles during a Trail Challenge. Sometimes

they will encounter difficult trail situations which will better prepare the equine and rider

in the real world. Through education and experience, riding becomes more pleasurable,

while safety and fun are encouraged.

Judges: All challenges must be judged by IMTCA certificated judges. A judge must have

the ability to evaluate horsemanship skills such a rider’s skill in controlling and maintain-

ing the equine. The judge should be also familiar with the natural movement of the eq-

uine.

International Mountain Trail

Challenge Association

Buckle Series

“Building bold and confident Trail Horses!”

Page 7: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

Page 8: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

General Rules and Regulations for Bolender Horse Park

There is no smoking in the buildings or stables or around the concessions at Bolender

Horse Park. Please observe the 5 mph limit on the property.

>Upon Arrival: Please check in at the office for stall and parking assignments. Be sure to sign

the Release of Liability Agreement.

>Entries:

Important Class Entry Information: Circle the number of the class you plan to enter.

Trainers may only enter open classes and money classes.

FAX your completed registration form page to (360) 985-2420.

A rider can enter up to 2 Levels. Within each Division, a rider can choose In Hand or Riding,

or both. See restrictions for Classes within each “Classes” box on Page 10 & 11. Novice are ex-

cluded from Money, Open and Level 3 Classes.

Payments: No entries/stall reservations accepted unless accompanied with payment.

Add/Drop/Change Class: Classes can be added or dropped by informing our office up until

the first exhibitor in the class has started.

Refunds: Requests for refund can be made up to 10 days prior to challenge and are charged a

$25 office fee.

>Dogs: There is a $25 fee charged per dog, per day. You are responsible for picking up after your

pet. Dogs must be kept leashed at all times and kept away from people, horses, dogs, the conces-

sion area and the course. Owners are financially liable for any dog-related incidents.

>Parking: Please park only in designated areas and not next to the buildings.

>RV/Camping: Spots are assigned based on vehicle/trailer length. There is a limited number of

spaces available. Dry camping and limited lodging is also available.

>Practice/Walk Through: Exhibitors will not be allowed to practice on the competition cours-

es on the day of the event. Warm up obstacles will be set up to use through out the show. If room

allows. A obstacle walk through (without horses) will be done at 8:00am prior to the competition.

Competition starts 30 minutes after the last walk through.

>Disputes not covered by rules: Any dispute not covered by the IMTCA will be referred to

management, who’s decision will be final. We reserve the right to adjust the schedule or to substi-

tute judges if necessary. Changes and corrections will be posted in the office.

International Mountain Trail

Challenge Association

Buckle Series

“Building bold and confident Trail Horses!”

Page 9: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

IMTCA Challenge Registration Form FAX this completed Form (Plus Pages 10,12) to: 360-985-2420 Tel: (360) 269-6156

Please circle the 2016 dates you are registering for:

April 17 May 1 Jule 12 July 10 Aug 14 Sept 25

End of the year Championship Banquet : TBD

Riders Name: _________________________________ Name of Horse:______________________

IMTCA Member No._____________ Equine Age _________ Equine Breed ___________________

Phone Number: ___________________________ E-Mail Address: _________________________

Lessons (day before challenges, not on show days) -2 Hour Group—$70.00

-Semi Private Lesson (1-2 people) $75 per hour/ per person

(Times To Be Determined) Novice and Youth _______ 11:00—1:00 Adult _________

1:30—3:30 Open ________ 4:00—6:00 Private Lessons _______

Lessons: Group or Private (please circle) $_________

Adult Classes: $35 per class or 10 for $200 _____X $35 $_________

Youth Classes: $25 per class or 10 for $200 _____X $25 $ _________

10 for $200 in adult and youth (Gamblers Choice excluded) $_________

Gamblers Choice: $40 ($200 for 1st place, must have 5 riders) $ _________ Lodging: $50 per person, per night $_________ RV Hookups: First Person $25/night Additional persons $15 each/night $ _________ Youth free with parent Dry Camping: First Person $20/night Additional persons $10 each/night $_________ Youth free with parent Dogs: $25/dog/day (must be leashed, you are responsible for clean up) $ _________ Stalls: $25/day or $70 for 3 days $_________ Shavings/Bedding (mandatory): $15.00 $ _15.00____ Stall Cleaning: $15/day (will pick 1x/day) $ _________ Stall Stripping: $20/stall $ _________ Haul In: $20/horse (day of challenge) $ _________ $10 one-time charge to track scores for 2016 No Charge for IMTCA members $ _________ $20 fee for day of challenge entry $_________ TOTAL $ _________

Credit Card Payment Card # ___________________________ Exp Date ___________ CVC _____

*** Make checks payable to IMTCA ***

International Mountain Trail

Challenge Association

Buckle Series

“Building bold and confident Trail Horses!”

Page 10: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

Youth Division

In Hand Riding

8. Level 2 9. Level 2

10. Level 3 11. Level 3

Adult Division

In Hand Riding

12. Level 2 13. Level 2

14. Level 3 15. Level 3

Open Division In Hand Riding

16. Level 1 17. Level 1

18. Level 2 19. Level 2

20. Level 3 21. Level 3

Junior Horse Division

(Level 2 only)

(5 and under) (this is an Open Class)

In Hand Riding

6. All levels 7. All levels

Money Classes

Gamblers Choice (except from Novice)

22. All Levels

Within each Division, a rider can choose two Levels, In Hand or Riding, or both. See restrictions for Divisions within each box below. Novice are excluded from level #3,Money and Open Classes.

Lead Line Division

1. Level 1 In Hand Only

International Mountain Trail

Challenge Association

Buckle Series

“Building bold and confident Trail Horses!”

Novice Division In Hand Riding

2. Level 1 Only 3. Level 1 Only

Please circle the number of the class or classes you are entering.To regis-

ter, pages 9,10,12 must be returned by email, Mail or FAX

(360-985-2420).

Print Your Name:__________________________

Minuature Equine Divison

In Hand

4. Level 1

5. Level 2

Page 11: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

ELEGIBILITY CLASSES PER DIVISION (AND FOR TRAINERS):

Novice

2,3,4,5,8,9,12,13

Youth

4,5,6, 7, 8,9,10,11,16,17,18,19,20,21,22

Adult

4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22

Open/Trainers

4,5,6,7,16, 17,18,19,20,21,22

International Mountain Trail

Challenge Association

Buckle Series

“Building bold and confident Trail Horses!”

CATEGORIES:

Novice: Walking over obstacles/lesser degree of difficulty than Level 1

Level 1: Training, walk only, in hand or riding.

Level 2: Intermediate, walk and trot, in hand and riding. 180 degrees on some obstacles.

Level 3: Masters, walk, trot and canter , 360 degrees on some obstacles.

Lead Line: Rider on the ground, horse on line with person in saddle.

DEFINITONES:

Novice: Limited exposure to mastering Mountain Trail obstacles. No more than 3 blue

ribbons in a qualifying Trail Challenge or in the first 2 years of riding.

Youth: Any rider under 18 years of age.

Adult: 18 years of age and over.

Open: All riders qualified except for Novice

Trainers: Any rider who is paid to train or give lessons, can Only go in Open classes

Junior Horse: Horses 5 years and under (this is an Open Class)

Money Classes: Gamblers Choice, $200 price 1st place

Novice riders may not ride in a

level 3 , Open or Money classes

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

Bolender Horse Park, Inc.

Horse Riding and Spectator Agreement and Liability Release Form

For Individuals Riding Horses at “This Facility”

This Form Must Be Completed By and For Each Participant

Bolender Horse Park and Mark H Bolender, hereinafter known as “This Facility”. 360-269-6156

PLEASE READ CAREFULLY BRFORE SIGNING

SERIOUS INJURY MAY RESULT FROM YOUR PARTICIPATION IN THIS ACTIVITY. THIS FACILITY DOES NOT GUARAN-

TEE YOUR SAFETY OF THAT OF YOUR HORSE.. IT IS HEREBY AGREED TO AS FOLLOWS: THAT AGREEMENT OF RIDERS

AND AGREEMENT PURPOSE the following listed individual hereinafter known as the “RIDER”, and the parents or legal guardians thereof if a

minor, do hereby voluntarily request and agree to participate in horse riding on THIS FACILITIES promises, and that RIDER will ride his/her

own horse or one borrowed or leased by RIDER’S own arrangement, today and on all future dates:

RIDER NAME _____________________________ AGE (IF UNDER 21)

___________________________

ADDRESS _______________________________CITY ________________ WA __________

ZIP ________________

AGREEMENT SCOPE AND TERRITORY This agreement shall be legally binding upon me the registered RIDER, and the parents or legal guardians thereof if a

minor, my heirs, estate, assigns, including all minor children, and personal representatives; and it shall be interpreted according to the laws of the state and county

of “THIS FACILITY’S” physical location. Any disputes, by the RIDER shall be litigated in and venue shall be the county in which THIS FACILITY is physically locat-

ed. The term “HORSE” HEREIN SHALL REFER TO ALL EQUINE SPECIES. The term “HORSEBACK RIDING” or “RIDING” herein shall be refer to riding or oth-

erwise handling of horses, ponies, mules, or donkey’s whether from the ground or mounted. The term “RIDER” shall herein refer to a person who rides a horse

mounted or otherwise handles or comes near a horse from the ground. The term “I” , “me”, “my” shall herein refer to the above registered rider and the parents or

legal guardian thereof if a minor.

ACTIVITY RISK CLASSIFCATION Horseback riding is classified as a RUGGED ADVENTURE RECREATIONAL SPORT ACTIVITY, and that there

are numerous obvious and non-obvious inherent risk always present in such activity despite all safety precautions. According to NEISS (National Electronic Injury

Surveillance Systems of United States Consumer Products) horse activities rank 64th among the activities of people relative to injuries that result in a stay in U.S.

hospitals. Related injuries can be severe requiring more hospital days and resulting in more lasting residual effects than injuries in other activities.

RIDER RESPONSIBILITY Upon mounting a horse and taking up the reins the RIDER is in primary control of the horse. The RIDER’S safety largely depends

upon his/her ability to carry out simple instructions, and his/her ability to remain balanced aboard the moving animal. The RIDER shall be responsible for his/her

own safety.

CONDITIONS OF NATURE THIS FACILITY is not responsible for total or partial acts, occurrences, or elements of nature that can scare of horse, cause it to fall,

or react in some other unsafe way. SAME EXAMPLES ARE: Thunder, lightning, rain, wind, wild and domestic animals, insects, reptiles, which may walk, run, fly

near, bite and/or sting a horse or person; and irregular footing on out-of-door groomed or wild land which is subject to constant change in condition according to

weather, temperature, natural and man-made changes in landscape.

INSPECTION OF PREMISES RIDER has inspected THIS FACILITY’S and trails and is satisfied that all premises conditions are reasonable safe for RIDER’S

intended purpose, usage and presence upon THIS FACILITY’S premises.

ACCIDENT/MEDICAL AND PERSONAL LIABILITY INSURANCE Should medical treatment be required, I and/or my own accident/medical insurance

company shall pay for all such incurred expenses. My accident/medical insurance company is _____________________________. Should my actions or that

of my horse cause injury or damage of any kind I and/or my own personal liability shall pay for such damages. My personal liability insurance company is

______________.

PROTECTIVE HEADGEAR WARNING I have been fully warned and advised by THIS FACILITY that the rider should purchase and wear protective headgear

(riding helmet), and that the wearing of such headgear while mounting, riding, dismounting, and otherwise being around horses, may prevent or reduce severity of

some head injuries and even prevent death from happening as a result of a fall or other incurrence.

PHOTO AGREEMENT The RIDER agrees to allow Bolender Horse Park, the IMTCA or Unique Horsemanship to use the RIDER’S likeness in a photograph in any

and all publications, including website entries without payment of any consideration, and understand and agree these materials will become the property of BHP,

and the IMTCA. RIDER waives the right to inspect or approve any images or approve any images or alterations, including written or electronic copy, wherein like-

ness appears. Additionally, RIDER waives any rights to royalties or other compensation arising or relates to the use of the photograph.

LIABILITY RELEASE In consideration of THIS FACILITY allowing my participation in this activity, under the terms set forth herein, I, the RIDER, and the par-

ent or guardian thereof if a minor, do agree to hold harmless and release THIS FACILITY, it’s owners, agents, employees, officers, members, premises, owners,

insurers, and affiliated organizations from legal liability due to THIS FACILITY’S ordinary negligence; I do further agree that except in the event of THIS FACILI-

TY’S gross and willful negligence, I shall bring no claims, demands, actions and causes of actions, and/or litigation, against THIS FACILITY and its associates as

stated above in this clause, for any economic and non-economic losses due to bodily injury, death, property damage, sustained by my/or my minor child or legal

ward in relation to the premises and operations of THIS FACILITY, to include while riding, handling, or otherwise being near horses owned by or in the care, custo-

dy and control of THIS FACILITY.

ALL RIDERS AND PARENTS OR LEGAL GUARDIAN MUST SIGN AFTER READING THE ENTIRE DOCUMENT

RIDER SIGNATURE:_______________________________ DATE:___________________________

Parent or Guardian: _________________________________ DATE:

___________________________

In Case of Emergency Contact: _____________________ PHONE:

_________________________

Email __________________________ I agree to be added to email system to get update on up-

coming events yes no

Page 13: International Mountain Trail Challenge Association · 2017-03-30 · 2 IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585 Dear Participants, Welcome to the International Mountain

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IMTCA.org - 131 Crater View Drive - Silver Creek, WA 98585

IMTCA, LLC.

International Mountain Trail Challenge Association, LLC.

Horse Riding and Spectator Agreement and Liability Release Form

For Individuals Riding Horses at “This Facility”

This Form Must Be Completed By and For Each Participant

IMTCA Host Facilities and Mark H Bolender, hereinafter known as “This Facility”. 360-269-6156

PLEASE READ CAREFULLY BRFORE SIGNING

SERIOUS INJURY MAY RESULT FROM YOUR PARTICIPATION IN THIS ACTIVITY. THIS FACILITY DOES NOT GUARAN-

TEE YOUR SAFETY OF THAT OF YOUR HORSE.. IT IS HEREBY AGREED TO AS FOLLOWS: THAT AGREEMENT OF RIDERS

AND AGREEMENT PURPOSE the following listed individual hereinafter known as the “RIDER”, and the parents or legal guardians thereof if a

minor, do hereby voluntarily request and agree to participate in horse riding on THIS FACILITIES promises, and that RIDER will ride his/her

own horse or one borrowed or leased by RIDER’S own arrangement, today and on all future dates:

RIDER NAME _____________________________ AGE (IF UNDER 21)

___________________________

ADDRESS _______________________________CITY ________________ WA __________

ZIP ________________

AGREEMENT SCOPE AND TERRITORY This agreement shall be legally binding upon me the registered RIDER, and the parents or legal guardians thereof if a minor, my heirs, estate, assigns, including all minor

children, and personal representatives; and it shall be interpreted according to the laws of the state and county of “THIS FACILITY’S” physical location. Any disputes, by the RIDER shall be litigated in and venue shall be the

county in which THIS FACILITY is physically located. The term “HORSE” HEREIN SHALL REFER TO ALL EQUINE SPECIES. The term “HORSEBACK RIDING” or “RIDING” herein shall be refer to riding or otherwise

handling of horses, ponies, mules, or donkey’s whether from the ground or mounted. The term “RIDER” shall herein refer to a person who rides a horse mounted or otherwise handles or comes near a horse from the

ground. The term “I” , “me”, “my” shall herein refer to the above registered rider and the parents or legal guardian thereof if a minor.

ACTIVITY RISK CLASSIFCATION Horseback riding is classified as a RUGGED ADVENTURE RECREATIONAL SPORT ACTIVITY, and that there are numerous obvious and non-obvious inherent risk

always present in such activity despite all safety precautions. According to NEISS (National Electronic Injury Surveillance Systems of United States Consumer Products) horse activities rank 64th among the activities of

people relative to injuries that result in a stay in U.S. hospitals. Related injuries can be severe requiring more hospital days and resulting in more lasting residual effects than injuries in other activities.

RIDER RESPONSIBILITY Upon mounting a horse and taking up the reins the RIDER is in primary control of the horse. The RIDER’S safety largely depends upon his/her ability to carry out simple instructions, and his/

her ability to remain balanced aboard the moving animal. The RIDER shall be responsible for his/her own safety.

CONDITIONS OF NATURE THIS FACILITY is not responsible for total or partial acts, occurrences, or elements of nature that can scare of horse, cause it to fall, or react in some other unsafe way. SAME EXAMPLES

ARE: Thunder, lightning, rain, wind, wild and domestic animals, insects, reptiles, which may walk, run, fly near, bite and/or sting a horse or person; and irregular footing on out-of-door groomed or wild land which is

subject to constant change in condition according to weather, temperature, natural and man-made changes in landscape.

INSPECTION OF PREMISES RIDER has inspected THIS FACILITY’S and trails and is satisfied that all premises conditions are reasonable safe for RIDER’S intended purpose, usage and presence upon THIS FACILI-

TY’S premises.

ACCIDENT/MEDICAL AND PERSONAL LIABILITY INSURANCE Should medical treatment be required, I and/or my own accident/medical insurance company shall pay for all such incurred expenses. My acci-

dent/medical insurance company is _____________________________. Should my actions or that of my horse cause injury or damage of any kind I and/or my own personal liability shall pay for such damages. My

personal liability insurance company is ______________.

PROTECTIVE HEADGEAR WARNING I have been fully warned and advised by THIS FACILITY that the rider should purchase and wear protective headgear (riding helmet), and that the wearing of such headgear

while mounting, riding, dismounting, and otherwise being around horses, may prevent or reduce severity of some head injuries and even prevent death from happening as a result of a fall or other incurrence.

PHOTO AGREEMENT The RIDER agrees to allow Bolender Horse Park, the IMTCA or Unique Horsemanship to use the RIDER’S likeness in a photograph in any and all publications, including website entries without

payment of any consideration, and understand and agree these materials will become the property of BHP, and the IMTCA. RIDER waives the right to inspect or approve any images or approve any images or alterations,

including written or electronic copy, wherein likeness appears. Additionally, RIDER waives any rights to royalties or other compensation arising or relates to the use of the photograph.

LIABILITY RELEASE In consideration of THIS FACILITY allowing my participation in this activity, under the terms set forth herein, I, the RIDER, and the parent or guardian thereof if a minor, do agree to hold harm-

less and release THIS FACILITY, it’s owners, agents, employees, officers, members, premises, owners, insurers, and affiliated organizations from legal liability due to THIS FACILITY’S ordinary negligence; I do further

agree that except in the event of THIS FACILITY’S gross and willful negligence, I shall bring no claims, demands, actions and causes of actions, and/or litigation, against THIS FACILITY and its associates as stated above in

this clause, for any economic and non-economic losses due to bodily injury, death, property damage, sustained by my/or my minor child or legal ward in relation to the premises and operations of THIS FACILITY, to

include while riding, handling, or otherwise being near horses owned by or in the care, custody and control of THIS FACILITY.

ALL RIDERS AND PARENTS OR LEGAL GUARDIAN MUST SIGN AFTER READING THE ENTIRE DOCUMENT

RIDER SIGNATURE:_______________________________ DATE:___________________________

Parent or Guardian: _________________________________ DATE:

___________________________

In Case of Emergency Contact: _____________________ PHONE:

_________________________

Email __________________________ I agree to be added to email system to get update on up-

coming events yes no