MAIL IN RESERVATION FORM

Please have each person in your party complete and sign a reservation form. Send reservation forms with a 25% deposit check for the entire party and travel itinerary to:

Jim Allen, Twin Creek Ranch
Post Office Box 243
Lander, Wyoming 82520

~ PLEASE PRINT ~

Name ____________________________________________________________
               First                                       Middle                                Last

Amount Enclosed for Party Deposit $______________________

Address __________________________________________________________

e-mail ________________________ Phone _____________

City ________________________ State _______________

Country _________________ Zip ______________

Age _______ Sex ________ Weight __________ Height ______

Health Insurance Policy # ________________

How did you discover us? ______________________________

Special Interests? ____________________________________

Date of Arrival ______________ Date of Departure _____________
= _____________ Number of nights at ranch.

Number of guests in your party _________

Food Allergies or Dietary Requests _____________________________

Please enclose customary deposit check of 25% payable to Twin Creeek Ranch. Balance due on or before the first day of your stay. Guests are booked on a first come - first serve basis, so immediate response is recommended. Full deposit returned only if cancellation notice is received 60 days before your stay begins. If guest cancels after this time, Twin Creek Ranch will keep deposit and apply it to a stay the following year.

Waiver

First, I completely understand that travel and living on a ranch can be risky and dangerous. For example, I realize that the weather can drastically change, trails may not be maintained, horses are unpredictable, travel and conditions are rough, dangerous, and tiring, and we will be many miles from roads where help and medical attention would be available. Second, I understand that these risks, dangers and hardships cannot be controlled or eliminated, even with careful planning, experience, foresight, and alertness on your part. I understand that you cannot guarantee my safety or well-being. Completely understanding this and more, I assume all dangers and risks involved in my trip with you. Further, I totally release and discharge you, your business, employees, and the like from liability and damages as a result of any bodily or personal injuries or property damage or death incurred by me on our trip, regardless of whose fault or negligence, if any, it is. WARNING: Under Wyoming Law, an equine professional 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 W.S. 1-1-126.