WOLF CREEK VALLEY
RIDERS CLUB AGREEMENT
2014 MEMBERSHIP APPLICATION
_______ NEW _______ RENEWAL
($400.00 a year or $35.00 a month, individual or family membership)
General Release and Assumption of the Risk
I agree to accept the monthly newsletter via email: YES/No
MAKE CHECK PAYABLE TO: WOLF CREEK VALLEY,
Mail to: Lori Donnelly, 11600 Santa Rosa RD,
Camarillo, CA 93012
805-444-7379
Because equestrian activities are dangerous, all participants must assume all risk of injury and
death by signing this release if they wish to participate in any activities of the
WOLF CREEK VALLEY RIDERS CLUB
In consideration of my participation in the equestrian activities of the Wolf Creek Valley Riders and its individual
members (collectively called “WCV” in this release), and in order to obtain WCV’s permission to participate in such
activities and to occupy WCV’s premises, I hereby assume all risk of injury or death to myself during or as a result of
my participation in such activities and occupancy of such premises. I further assume all legal responsibility for any
and all damages to or loss of my personal property which may occur during or as a result thereof; and I will bear any
and all medical, dental, hospital and similar expenses and fees that may occur during or as a result thereof; and I
waive any and all liability of WCV and its members for any and all of the foregoing risks, responsibilities, and
damages whether caused by negligence or otherwise.
I understand that the activities of WCV are equestrian activities. I understand that horses are sensitive
creatures with minds and wills of their own. I understand that it is not possible for any human being to exercise
total control over any horse so as to prevent the animal from injuring others. I understand that WCV is physically
incapable of preventing injury or death to any participant, including myself. I understand that the activities of WCV
are inherently hazardous because of the foregoing and, that my participation in those activities subject me
to an ever present risk of injury or death.
I understand and I intend that by signing this document, I am giving up all my rights to: (a) make claims
against; (b) file lawsuits against; and/or (c) receive any money from WCV and/or its members because of any
injury, death or loss of any kind occurring during any WCV’s activity.
This release shall remain in effect for any and all future activities of WCV and whenever I may occupy
WCV’s premises, until and unless WCV has actually received from me a written notice that I revoke my
agreement to these conditions.
I have carefully read and understand each paragraph above. I freely and voluntarily agree to all
of the terms above without any reservations whatsoever.
_________________________________________________________________
Signature of Participant Signature of parent for participants
Under 18 yrs
_________________________________________________________________________________
First name Last Name Phone number Date
_________________________________________________________________________________
Address City State Zip
Email address: ______________________________ Birthdate (month & day): _____________________
Permission to release phone/email address to other WCV members only: YES / NO
2010 Membership Application