Natchez Trace Trail Riding Club Application for membership

New ___ Existing ___ (check one)

Membership runs from October 1 – September 30. Memberships must be renewed before October 31 each year to avoid $5.00 late fee. Make checks payable to: Natchez Trace Riding Club Mail to: Larry Marsman, 503 Pat Luckett Rd, Canton, MS 39046

Date of Application: ____________ Name: _________________________________________________________________ If this is a family membership, please list other family members that are joining: _______________________________________________________________________ _______________________________________________________________________ Complete Mailing Address: _________________________________________________ _________________________________________________ _________________________________________________ Phone: ___________________ Cell Phone: ___________________ E-Mail Address: ___________________________________________________ How many horses do you own? ______ Which breed/s? __________________________ Under Mississippi law, an equine activity or equine sponsor is not liable for an injury to or death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to this chapter. Chapter 11 Sec, 99-11-1, 95-11-5, 95-11-7 Signature: ___________________________ Parent Signature if Under 18: ___________________________ (Internal use only: Check # ________ Cash _______ Received by: _____ Date _______

Natchez Trace Stables Liability Release

I, _________________________________ have read this liability release, understand and do hereby release the owners of this facility of liability of any injury or death of person or horse that might occur at this property. By signing this release, I understand that the owner or owners of the Natchez Trace Stables are not liable for injury or death associated with any event, work, or visiting of this property. Signed _________________________________ Date ________________ Signed by Parent of any person under 18 _______________________________________ Date __________________ Address _______________________________________________________ Auto Tag _______________________ The Natchez Trace Stables is also covered by State Law: STATE LAW; Under the Mississippi law, an equine activity or equine sponsor is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to this chapter. Chapter II Sec, 95-11-1, 95-11-5, 95-11-7 STATE LAW SIGNS ARE POSTED AND CLEARLY VISIBLE AROUND THE BARN AREA