Pilares 2026 Registration
Registrant Information
First Name
*
Last Name
*
Email Address
*
example@example.com
Street Address
*
State
*
Zip Code
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Riders under 16 years:
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Liability Waiver
As a participant in the FCER Pilares Canyon Arches Trail Ride I acknowledge the risks and potential for the risks of a horseback-riding. I hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrations, waive and release all claims for damage against Four Corners Equine Rescue, their employees, volunteers, agents, administrators, or their representatives for any and all injuries and/or losses I may sustain while participating in the Pilares Canyon Hike and Ride.
Warning!
All activities involving horses, donkeys, mules or ponies have inherent risks for the participants. New Mexico state law protectsoperators, owners, trainers, promoters and others from liability for injuries which are the result of an equine animal's behavior.(NMSA SS 42-13-1 et.seq. 1993).
Waiver and Release Signature
*
Waiver and Release Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Photo Release
Consent to and authorize the use and reproduction by FCER and assigns of any and all photographs and other audio-visual materials taken of me for promotional material, educational activities, exhibits, electronic publications (including web sites and social media) or for any other use for the benefit of the program.
Photo Release Consent
I DO consent
Photo Release Non-Consent
I DO NOT consent
Photo Release Signature
Photo Release Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: