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4H PEPPERELL TRAILBLAZERS FUNDRAISER PLEASURE TRAIL RIDE
October 10, 2010 ~ 5/10/15 miles ~ NEHT Ride
Beautiful Trails with Scenic Views! Off Quimbley Road in Brookline, NH
4H PEPPERELL TRAILBLAZERS FUNDRAISER PLEASURE TRAIL RIDE
October 10, 2010 ~ 5/10/15 miles ~ NEHT Ride
24 Quimby Rd. Brookline, NH .
Easy access right off Rte. 13 *Big trailers welcome* * plenty of parking and water*
Well marked, Beautiful Trails followed by delicious meal after ride!
***Judged Division (optional) must pre-enter – postmarked, faxed or emailed with signature by 10/6/10***
*** Non-Judged must also pre-enter to guarantee Meal - postmarked, faxed or emailed with signature by10/6/10***
There is no need to send money to Pre-enter, Pay only if you attend the ride!
Directions to 24 Quimby Rd. Brookline, NH. From Rte 13 in Brookline, NH - heading Rte 13 North take left onto Quimby Rd at Rte 130 intersection or heading Rte 13 South take right at Quimby Rd ( at Fine Lines Auto body). Attendant will direct parking.
Check in 8:15am - Ride out by 9:30am ~ Refreshments before ride ~ Hot meal after ride!
Pre-entry-$30 by 10/6/10 Post- $35 after 10/6/10 Extra Meal Tickets-$8 includes breakfast & lunch
( 4H members-18 yrs and younger- $15 pre-entry $20 post entry)
Make checks payable to: 4H Pepperell Trailblazers
Name ____________________________________________________________________________________
Address__________________________________________________City______________________________
State______ Zip ________ Phone __________________Email address ________________________________
Horse’s Name ____________________________________ Age __________ Coggins Date _______________
Division: Judged __________ Non Judged ____________ # Extra Meal Ticket’s __________
Adult Novice __________ Adult Advanced ___________
Youth Jr. (8-13) __________ Youth Sr. (14-18) ___________
4H Member Jr. (8-13) _______ 4H Member Sr.(14-18) ___________
All donations to the 4H Pepperell Trailblazers are tax deductible, receipts are available upon request.
Under NH law a participant in equine activities assumes the risk of any injury, harm, damage or death and any legal responsibility that may occur to participant from the inherent risks associated with equine activities. Pursuant to R.S.A. 508:19 Equine Professionals are not liable for damages resulting from the inherent risks of equine activities.
I enter this ride at my own risk. I understand that trail riding can be a dangerous sport, and that it can take place in remote areas far from help. I am responsible for the physical condition of the animal under my control or ownership and for any injury or damages caused by or to my animal, vehicle and personal belongings whether negligent, intentional or willful. I agree to indemnify and hold harmless the 4H Pepperell Trailblazers its members, volunteers and agents, Thomas and Marge Moran, John Hancock and Skillings and Son (Norman Skillings) , Camp Tevya, Brookline Conservation, and all their employees, volunteers and agents and all abutting or surrounding property owners and their family members from any and all claims, liabilities, injuries, damages, costs and expenses to me, my animal and vehicles arising out of or relating to the trail ride.
It is further understood that ALL participants under the age of 18 must wear an ASTM/SEI approved helmet with a secured chin harness at all times when mounted. It is strongly suggested that ALL riders wear helmets. Negative Coggins Report required with all entries. ** I further agree that use of trails is permitted by land owners today only.
Participants Signature______________________________________________________
Parent or Guardian if under 18 yrs._____________________________________________
Mail Pre-entries: Suzanne Ferris 153 Hollis Street Pepperell, Ma. 01463
Or Fax (978) 433-9502 or Email: info@4Hpepperelltrailblazers.org
Questions: Suzanne Ferris 978-835-0465 or Cindy Lou Dougherty 603-620-5771
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