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Colorado Horse Rescue Liability Release Waiver

WARNING

Under Colorado 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 section 13-21-119, Colorado Revised Statutes.

By signing below, I hereby agree to release Colorado Horse Rescue (CHR) and its officers, directors, agents, insurers, employees and volunteers from any and all claims and causes of action which I have now or which may arise at any time in the future from any activity associated with CHR, which occurs on any property occupied, leased or used by CHR (CHR Property), while traveling to or from CHR Property, or in connection with any CHR operation, activity or event.  Through this release, I agree to extinguish all present and future claims against CHR whether arising from negligent or non-negligent activity or other tortuous conduct including claims of injury or death of any person or animal and damage or destruction of any property, vehicle or equipment.  This agreement and general release sets forth my entire agreement with CHR and fully supersedes any prior agreements or understandings between CHR and me.  By signing this agreement, I acknowledge that I have entered into it voluntarily and with full opportunity for reflection and consultation.

PHOTO RELEASE

By entering this area, you agree to be photographed and/or videotaped to help promote Colorado Horse Rescue’s mission. You may later see yourself on printed documents, websites, television, and/or in any other types of media in perpetuity and for any purpose, including for fundraising purposes. If you do not want to participate, please do not enter this area.

Date: December 2, 2021 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
How did you hear about CHR?*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Reason for Visit (Check all that apply): *
Adoption Appointment
Donor Visit
1st time visitor
Mane Event at the Ranch
LeadChange Experiential Learning
Other - please specify below
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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