| Registration for new students Registration-one student per form Name_________________________________ Address_______________________________ City_____________________ Zip__________ Ph# (H) ________________ (cell) __________ (W)mom ______________dad_____________ Age_______ HT________WT______ SEX___ Birthdate: _____________________________ Where did you hear about HorseCreek? ________________________________________ Which riding lesson day (s) is preferred? ______________________________________________ Student Release Form Horse Creek Stables Warning Under Georgia law, an 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, pursuant to Chapter 12 of Title 4 of the Official Code of Georgia Annotated. 1. No suit shall be instituted by the student or the parents or guardian of a student, jointly or severally, against any owner or employee of Horse Creek Stables, to recover damages or loss actually or allegedly resultant to parents of the student or to either of them by reason of any injury or fatality which, while on the premises or off the premises, either for instruction or in connection with instruction, such student shall sustain. 2. The student or parents of a student at Horse Creek Stables agrees to save the stable, or any owner or employee of the stable harmless against any and all claims, demands, or suits which shall be brought by anyone not signatory hereto and which shall be predicated upon any such injury or fatality so sustained by a student of Horse Creek Stables. 3. This combined pledge against suit and promise of indemnification shall be effective immediately and shall automatically terminate if and when Horse Creek Stables receives written notice of termination signed by either or both of the students parents. Termination, however, shall not affect the application of the foregoing provisions, (1) and (2), for any mishap which shall have previously occurred. |
Student: (PRINT) ___________________________________________________________________ I herby agree to the foregoing as student/parents of said student ________________________________ And wish my/his/her lessons to commence on (date) ____________________________ Signatures: (Adult Student) _________________________________________ DATE:________________ Father of Student __________________________________________________DATE:____________ Mother of Student __________________________________________________DATE:____________ Address: ___________________________________________________________________ Phone Number ( ) __________________ ( ) ________________________ E-mail address:_______________________________________________________ |
 |
 |
 |
 |
 |
 |
 |
 |