Sponsors of the Kerr Country Trail Ride

P.O. Box 790635
San Antonio, Texas 78279

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Trail Ride Registration

Phone Number ____________________________________________ If a minor, parent must sign and if not on the ride should send a medical release.

In Case of Emergency Contact: _______________________________Phone # ______________________

 DATE: __________________SIGNATURE: _______________________________________________

 Name(s)

Age

Address

City

State

Zip

Days

Cost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 TOTAL

 

 

 In consideration of my acceptance to participate in Alamo Kountry Kickers, Inc., Trailride, I hereby release the AKK, San Antonio Livestock Show and Exposition, all organizations and individuals aiding or assisting in the ride or its activities, their officers, agents, servants and employees from any and all claims for damage of any kind of character for personal or bodily injury to me, or injury or damage to my livestock and equipment, and I hereby assume ALL risks involved in any activities in which I participate or that may be sponsored or approved by any to the named organizations or individuals. This release SHALL BE BINDING upon me and all others for whom I am representing and responsible for, and I hereby indemnify the above name organizations and individuals against the claims of any and all persons for which I am responsible on the trail ride or any other activity conducted by said organizations and individuals. I agree to abide by all the bylaws, rules and regulations of Alamo Kountry Kickers, Inc., including orders to the trail ride officials during the trailride.

COGGINS TEST REQUIRED    HORSE/MULE CHECKED BY: __________________________________________________________________

 

Horses Name

#21 Lab Name

#18 Date Reported

Accession #