Registrations

Use this registration form to register for any of the Roselawn Stables camp programs. 
Please read the form carefully.  

Send the completed form and any registration fees to the address below.

Roselawn Stables
24069 Rum River Blvd.
St. Francis, Mn. 55070

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) __________________

Email address______________________________________________________________________

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 transferred 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  ________________________________________________________________________