Registration

__ Lee Stream Trail Ride __ Where: Rocklands Station Rocklands New Date: Sunday 24 May 2009 Track opening 10.00am Closing 3.30pm Fee: $40 seniors; $15 juniors Barbecue Lunch provided 11.30 – 1.30pm

__Requirements for Safety Purposes:__ Approved safety helmet; Clothing suitable for all weather conditions Suitable boots – no gumboots or gym shoes Water bottle Spark arresters fitted

Name: .. __Address:__

**Contact Phone No** --.. Payment enclosed: .. Please make cheques payable to: Lee Stream School BOT Lee Stream, 2RD Outram Phone: 03 - 4891452 I acknowledge that I attend the Trail Ride at Rocklands Station [‘the Trail Ride’] knowing that the activities involved have an element of risk associated with them; and do so at my own risk. I agree to abide by the rules of the Trail Ride and follow any and all instructions given by the Trail Ride organisers. I acknowledge that I am using my own judgement as to whether participation in the Trail Ride is safe or appropriate for me and I waive any and all claims I may have arising out of harm, loss or injury arising out of the Trail Ride, and indemnify Lee Stream School and the property owners of Rocklands Station [whether or not different from Lee Stream School and Rocklands Station] and any company, partnership or similar formed by those parties and their agents against such claims, howsoever arising.

__Signed:__ - __Date:__