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Rocking Horse Ranch Waiver And Riding Lesson Registration

In case of emergency, I hereby authorize Rocking Horse Ranch, its employees &/or volunteers to secure medical treatment.

LIABILITY RELEASE: I forever release, acquit, discharge, & hold harmless Rocking Horse Ranch, their officers, directors, trustees, board members, agents, employees, representatives, volunteers, successors, & assigns for all manner of claims, demands, & damages of every kind & nature whatsoever which the undersigned may now, or on the future, have against the program & their officers, directors, trustees, board members, agents, employees, representitives, successors, volunteers, or assigns on account of personal injuries, physical, or mental condition, know or unknown, to the person & treatment thereof, as a result of, or in any way growing out of the acts including negligence or gross negligence of the Ranch, their officers directors, trustees, board members, agents, employees, representatives, volunteers, successors, or assigns.

WARNING: Under Florida Law & equine activity sponsor or 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.

PHOTO RELEASE: I hereby consent to & authorize the use & reproduction by Rocking Horse Ranch of any & all photographs or other audio visual materials taken of me/the minor for whom I have signed for the promotional material educational activities, exhibitions or any other use for the benefit of the program.


LESSONS MUST BE PAID FOR AT THE TIME OF ARRIVAL.

PLEASE BE ON TIME! IF YOU ARE MORE THAN 5 MINUTES LATE YOUR LESSON WILL BE CANCELLED.

PLEASE GIVE AT LEAST 24 HOURS NOTICE OF CANCELLATION,

RIDING BOOTS WITH A HEEL OR CLOSED TOE SHOES, LONG PANTS, & HELMETS (SUPPLIED) ARE REQUIRED.

NO DOGS ON PREMESIS; CERTIFIED SERVICE DOGS PERMITTED.

First Participant's Name
First Name*
Last Name*
Phone*
Select Gender
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Select Gender
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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:*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
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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