11th ANNUAL AHCCW HOSTED WINE TOUR October 3, 2015-ready to ride by 10:30am Two Mountain Winery Attached please find the registration form for the 2015 wine ride. If you are registering/enclosing payment for multiple participants please attach a list of names for our records. Each participant must sign a liability release prior to the October 3rd ride. Forms must be signed prior to your participation. We request no dogs on the trail for safety reasons. If you are traveling with your canine companion please make arrangements for their care if you are on the trail with your horse. We have an excellent road crew. Those of you wishing to participate horseless are welcome to follow/join the road crew. They provide safety for the horses while crossing roads and meet us at each winery, providing snacks and non-alcoholic beverages. The number of horses on the trail is limited for safety of the group, in addition, we have limited parking space for rigs at the host winery. Most of the parking will be in the orchards for large rigs. Some participants have pre-registered from last year, leaving limited space for the number of horses on the trail. Please register soon. If you would like to spend the night, either arriving early on Friday or stay over on Saturday, we recommend Hart Ranch as they have accommodations for your horse and/or RV. Please make your arrangements direct with Sue Hart. Sue needs your requests in advance in order to accommodate you. Hart Ranch Contact: Sue Hart 151 Ray Symmonds Road Yakima, WA 98901 509-452-3184 If you prefer a motel for the night, Sue Hart also has arrangements for discounts rates at The Clarion Motel in Yakima; she will provide the information at the time you reserve your stall. For additional information please contact: Sandy Bourgeois: 509-877-4509 bsbourg1@aol.com Directions to Winery: From Yakima traveling East bound on I-82, Take Exit 52 toward Zillah, Turn left onto the Zillah/Toppenish Road (.4), and turn left at Cheyne Road (2.1 mi). Turn right into driveway of Two Mountain Winery, 2151 Cheyne Road From West Bound on I-82, Take exit 54 toward Zillah, turn right onto Yakima Valley Hwy (2.7 mi), turn right onto Cheyne Road (1.3 mi), turn right into the driveway of Two Mountain Winery, 2151 Cheyne Road From Winery to Hart Stables (27 miles). Head south on Cheyne Road (2.1 mi), turn right at Toppenish/Zillah Road (.3), turn right to merge onto I-82 west bound (22.7 mi), take exit 29 for E. Selah Road, turn right onto E. Selah Road, turn right at Ray Symmonds Road. 11th ANNUAL AHCCW HOSTED WINE TOUR October 3, 2015 Two Mountain Winery Registration Form The fee of $20.00 includes wine tour, snacks, water & soda available at each winery and the BBQ after the ride. Bring a salad or dessert to share. Please bring your own water bucket for your horse and chairs to use during the BBQ/Bonfire. Please be aware several wineries charge a tasting fee which is waved if purchasing wine. You may choose not to taste at those wineries if desired. ________ Horse & Rider – includes BBQ - $20.00 Each ________ Number of those attending BBQ (not riding) - $20.00 Each $_______ Enclosed AHCCW ASSUMPTION OF RISK, RELEASE AND IDEMNIFICATION Under Washington State Law RCW 4.24.540 “an equine activity sponsor or an equine professional is not liable for an injury to, or the death of, a participant engaged in an equine activity. In consideration for AHCCW permitting me to participate in the event, and by signing the registration form, I agree as follows: I agree that I choose to participate voluntarily in this event, as a rider, handler, lessee, owner, and youth or as a parent or guardian. I AM FULLY AWARE AND ACKNOWLEDGE THAT HORSE SPORTS AND EVENTS, INVOLVE SERIOUS RISK OF HARM INCLUDING BUT NOT LIMITED TO, RISKS OF ACCIDENT, SERIOUS BODILY INJURY, INCLUDING DEATH, BROKEN BONES, HEAD INJURIIES, TRAUMA, PAIN AND SUFFERING, AND PROPERTY DAMAGE. I ASSUME ALL RISKS OF HARM TO ME, MY HORSE OR MY PROPERTY. I AGREE for myself, my heirs, executors, administrators, successors and assigns to release AHCCW, The event, the Winery Owners, the Farm Land Owners, and all of their respective officers, officials, directors, employees, agents, personnel, volunteers, affiliated Organizations and insurers (collectively, the “Released Parties”) from any and all claims for damage, loss, or injury to myself, other persons, horses or other property belonging to me to the fullest extent permitted by the law that arises out of or relates in any way to the Event and my participants in the Event INCLUDING, BUT NOT LIMITED TO, DAMAGE, LOSS, OR INJURY RESULTING FROM ANY ACTS, FAILURE TO ACT, NEGLIGENCE OR NEGLECT OF OTHER ENTRANTS, THE RELEASED PARTIES, THEIR CONTRACTORS OR INVITEES, as well as for the theft, vandalism, fire, other casualty damage, or damage arising out of any defects in the premises. By signing below as a parent or guardian of a junior participant, I consent to the child’s participation and agree to all the above provisions, and further agree to assume all the obligations of the AHCCW Assumption of Risk, Release and Indemnification personally and on the behalf of the child. ___________________________________________ Signature _________________________ Date ___________________________________________ Print Name _________________________ Phone Number _______________________________________________________________________ Address, City, State, Zip Code ___________________________________________ Email Return with payment to: Sandy Bourgeois 831 Parker Heights Road, Wapato, WA 98951 11th ANNUAL AHCCW HOSTED WINE TOUR October 3, 2015 Two Mountain Winery Registration Form DEADLINE FOR RESERVATIONS: SEPTEMBER 20, 2015