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PLEASE PRINT AND MAIL TO: Claudia Harris 320 Moccasin Hollow Rd Lithia, FL 33547 Release and Hold Harmless AgreementWHEREAS, the UNDERSIGNED acknowledges the inherent risks involved in riding and working around horses, which risks include bodily injury from using, riding or being in close proximity to horses, among other risks, and further, that both horse and rider can be injured in normal use or in competition and schooling; IN CONSIDERATION, therefore, for the privilege of taking riding lessons and/or working around horses with _______________________located at ____________________________________ the Undersigned does hereby agree to hold harmless and indemnify __________________________ and further release him/her from any liability or responsibility for accident, damage, injury, or illness to the undersigned or any horse owned by that Undersigned or to any family member or spectator accompanying the Undersigned while under the direction and instruction of ____________________________. Date: _______________________ Signature:____________________ Print Name:__________________ Signature of Parent or Guardian: ___________________________ |