Gold Country Horseman’s Association Mission: To provide a means for bringing horse enthusiasts together. To preserve, maintain and acquire riding trails. To support legislation that will benefit horsemen in general. To sponsor activities, play-days, trail rides and campouts. To encourage, aid and conduct activities which promote the education of those interested in horses.
Names: ________________________________________________________________
Address: _______________________________________________________________
City: _________________________ State: _______ Zip:______________________
Phone #: ________________________________ Cell #: _____________________
Email: _________________________ May we list address on club roster? Yes / No
Do you wish to be notified of special events or schedule changes via email? Yes / No
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Membership Types:

Family Membership / $45. ( adults ____ juniors ____)
(family membership is limited to parents or guardians and children under 18)

Adult Membership / $35.

Junior Membership / $25. (birthdate: ______ ____must be under 18 yrs)

Senior Membership / $25. (must be over 65 years)

New Membership / 2009 -or- Renewal Membership / 2009

Please complete the following information for ALL members

Name
Birthdate
Wedding Anniversary Date
     
     
     
     
Make checks payable to . . Gold Country Horseman’s Association
Mail to . . . . . . . .. . . . . . . . . . . . . . . . . . . . . P O Box 1586
Murphys CA 95247
Date: _______________________________________
Name: ______________________________________
Address: _____________________________________
City: ___________________________ State: _______ Zip: _________
Phone #: _______________________ Cell #: ______________________

I acknowledge that horseback riding is a sport which carries inherent risks of injury and damage to me, my horse and property. I knowingly assume all risks, whether known or unknown, regarding horseback riding. I hereby release the Gold Country Horseman’s Association (hereinafter referred to as G C H A) from all liability for any act of negligence or want of ordinary care on the part of GCHA or any of its agents.

In consideration of my participation in events organized or sponsored by GCHA, I waive, release and discharge GCHA, its directors, officers, agents and members, their representatives, heirs, executors and assigns from any and all claims of liability for injury or damage to myself, my animals or my property arising out of my participation. This agreement is binding upon my executors, heirs and assigns.

I expressly waive any rights I may have under California Civil Code 1542, which states: “A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him might have materially affected his settlement with the debtor.”

I agree that I will indemnify and hold harmless GCHA, its officers, directors, members and agents against all claims, demands and causes of action, including court costs and actual attorney fees, arising from any proceeding or lawsuits brought by or prosecuted for my benefit in which this release is upheld. GCHA, its agents and employees shall not be liable for any damage which may accrue from any cause or as a result of fire, theft, running away, state of health, injury to person, horse or property.

I acknowledge that I have read this Release of Liability and I understand the contents.

Signature(s) of adult members: ______________________________________
_____________________________________

Parent or Legal Guardian must complete this section for all family members who are Minors: I, the undersigned parent or guardian of the minor participant, agree that the terms and conditions of this Release of Liability shall be binding as to damage or injury to my minor, his/her animal(s), and property arising out of his/her participation.

I acknowledge that I have read this Release of Liability and I understand the contents.

Name(s) of Minor(s): _________________________________________________________ ___________________________________________________________

Signature of Parent or Legal Guardian:___________________________________