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Kensington Trail Riders Association

membership application

 

Please make your check payable to:

Kensington Trail Riders Association

 

mail to:

 

BILL TERIAN
145 Land Lane
Milford, MI 48381

 

 

 

 

_____

Individual Membership

$20

_____

Family Membership

$25

_____

Business Membership

$50

_____

One Time Donation

_____

               

Name(s): _________________________________________________

 

              __________________________________________________

 

Address: __________________________________________________

 

City, State, Zip: _____________________________________________

 

Phone(s): _________________________________________________

 

E-mail: ___________________________________________________

 

I prefer to receive communications by _____ e-mail _____ mail

 

I the undersigned, having read and understood the contents of this statement, agree to; RELEASE, ABSOLVE, FORGIVE and HOLD HARMLESS the Kensington Trial Riders Association, its members, its officers, and board members from all and any liabilities, connected to, any claims, judgment losses, costs or expenses, resulting in, but not limited to, death, physical injury, property damage or theft, to myself or my family members, pets and/or livestock, in connection with any event sponsored or organized by the Kensington Trail Riders Association.  I and my family members agree, to participate in these activities fully understanding that horses can, and do act unpredictably at times, which is inherent to their nature.  I further understand these activities could result in permanent injury or death to me or my family members and agree to participate in these events, knowing these activities are potentially dangerous and hazardous.

 

Will you or any family member be wearing helmets when you ride?  Please circle:  YES      NO

 

I further agree to register at the Kensington Metropark Office before riding a horse at Kensington Metropark facility, as required by the Kensington Metropark Authority.

 

Signature: ___________________________________ Date: ___________   

 

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