R-WILD HORSE RANCH

AGREEMENT AND RELEASE FROM LIABILTY OWNER / GUEST / ADULT / MINOR

I, the undersigned, acknowledge that I have voluntarily applied to participate in the use of

Motorized Off Road Vehicles including but not limited to motorcycles, all terrain vehicles, or any other 4x4 vehicle on the RWild Horse Ranch Owners Association Property.

I, the parent/legal guardian of the minor child named herein, acknowledge that I have voluntarily applied for such child to participate in the legal use of any vehicle described in paragraph 1, above with R-Wild Horse Ranch Owners Association or its members on the premises of R-Wild Horse Ranch or elsewhere in connection with R-Wild Horse Ranch sponsored activities.

I am aware that there is inherent risk and danger in the use of the vehicles described in paragraph 1, above. Riding and related activities with these vehicles, among other things, can be unpredictable, cause collisions with other vehicles and/or objects, and/or persons that may fail to maintain control of their vehicles, that hazardous surface and/or subsurface conditions may exist on the riding trails, and/or roads and other property, and that all such may cause serious injury and/or death. I or this child are voluntarily participating in these activities with knowledge of the danger involved, and do hereby agree to accept any and all risks of injury and/or death and represent that I or this child are physically fit and able to engage in such activities

and verify this statement by initialing here: ______. Date: ______.

As consideration for being permitted by the R-Wild Horse Ranch and/or one of its affiliated organizations to participate in these activities and use of their facilities, I hereby agree that I/we, my/our assignees, heirs, distributes, guardians, and legal representatives will not make a claim against, sue or attach to property of R-Wild Horse Ranch Owner's Association, members of the Association, owners of individual interests, employees, agents, representatives or any affiliated individuals or organizations hereinafter R-Wild Horse Ranch. I/we hereby release R-Wild Horse Ranch from all actions, claims, or demands that I/we, my/our assignees, heirs, distributes, guardians, and legal representatives now have or may hereafter have for injury, death or damage resulting from my/our participation.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS 1S A RELEASE OF LIABILTY AND A CONTRACT BETWEEN R-WILD HORSE RANCH AND MYSELF, AND SIGN IT OF MY OWN FREE WILL.

MINOR CHILD NAME/DOB (PLEASE PRINT) 1. ______

2. ______3. ______

4. ______5. ______

PARENT/GUARDIAN (PLEASE PRINT) ______

OWNER # ______PLEASE CHECK ONE: OWNER _____ GUEST ______

RELEASOR (PLEASE PRINT) ______

RELEASOR (PLEASE PRINT) ______

EXECUTED AT PLATINA, CA ON THIS DAY (DATE) ______