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