WAIVER OF LIABILITY

PLEASE READ CAREFULLY Date: _______________

· I understand and am aware that horseback riding can be a hazardous activity.

· I understand that the sport of horseback riding and the use of horseback riding equipment involves risk of injury to any and all parts of my, or my child’s body.

· I understand that horses are unpredictable by nature; that when frightened or angry their instincts are to jump forward or sideways, to run away from danger, to kick, to rear up in front or to bite.

· I understand that some of the risks inherent and incidental to the sport of horseback riding include, but are not limited to: loosening of the saddle, loosening of the saddle cinch straps, loosening of leather straps and related equipment. I also understand that from time to time part of the riding equipment, including but not limited to the leather saddle, cinch strap, and stirrups may break.

· I hereby agree to freely and expressly assume all risk of danger or injury that I or my child may sustain, for whatever reasons, and that I am entirely responsible for any damages or expenses incurred.

Riders Duties:

1. I agree that I or my child will NOT ride if I or they are under the influence of alcohol and/or drugs.

2. While the guides may inspect the riding equipment from time to time, I agree that I will be ultimately responsible for checking my equipment, including the saddle, and if there are any problems, or if the saddle becomes loose, I will tell the guide IMMEDIATELY.

3. I agree to follow the guide’s instruction at all times.

4. I agree that I or my child will be responsible for all injuries to the rental horse, damages to the premises, property owned by others, injuries to any riders or pedestrians, which I may cause by negligent, reckless or irresponsible conduct.

By signing my name below, either in person or by one of my representatives, I hereby agree to comply with all of the terms and conditions stated above.

I HAVE CAREFULLY READ THIS WAIVER OF LIABILITY AND RELEASE. I UNDERSTAND IT, AND VOLUNTARILY AGREE TO ALL OF ITS TERMS.

CHILD NAME ______________________________ PARENT SIGNATURE ___________________________

REGISTRATION FORM

___ Basic Camp ___ Intermediate Camp ___ Explorers Camp ___ Home School Camp

Child’s Name ______________________________________________________________________________

Mother/Father’s Name _________________________________________ Phone (H) ____________________

Address ____________________________________________________ Phone (W) ____________________

City ______________________ State _________ ZIP ____________ Phone (Cell) ___________________

Age at Camp Date ______ Grade Completed ________________ Phone (Cell) ___________________

Camp Date First Choice _________________________ Camp Date Second Choice ______________________

How did you hear about Roselawn Stables? ______________________________________________________

A $100 non-refundable deposit must accompany this registration. Any monies received above the deposit may be

transfered to a different camp date but will not be refunded. Balance due on the first day of camp.

T-Shirt size (circle one) Youth: 10/12 14/16 Adult: S M L XL

MEDICAL RELEASE FORM

If I cannot be reached, I give permission to the physician selected to hospitalize, secure proper treatment for, and order injection, anesthesia or surgery for this child.

Any allergies? ____________________________________________________________________

Signature ________________________________________________________________________