PLEASE PRINT AND MAIL TO:
Claudia Harris
320 Moccasin Hollow Rd
Lithia, FL 33547

Release and Hold Harmless Agreement



WHEREAS, 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:
___________________________

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