Courtney Carlson's Hunters & Jumpers
Client Information, Stable Rules & Policies, and Equine Activity Release & Hold Harmless Agreement
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Email *
Participant's Name: *
Address: *
Age: *
Grade Level (only if under 18):
Phone Number: *
Email Address: *
Emergency Contact Name: *
Emergency Contact Phone Number: *
Allergies: *
Medications: *
Horseback riding experience and stable/trainer: *
Participant's signature (or Parent/Guardian if under 18 years of age): *
Date: *
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Stable Rules & Policies
Date:
*
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DD
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Participant's signature (or Parent/Guardian if under 18 years of age) agreeing to uphold the Stable Rules & Policies:
*
Equine Activity Release and Hold Harmless Agreement
Person voluntarily entering into the Equine Activity Release and Hold Harmless Agreement - Participants Name:

*
Participants Signature (or Parent/Guardian if under 18 years of age) acknowledging that they are entering into the Equine Activity Release and Hold Harmless Agreement :

*
Date:

*
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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