Demander Equestrian Release Form

Demander Equestrian

Hold Harmless Agreeent
Date*

MonthDayYear
Date
Rider*

First NameLast Name
Parent if Rider is Minor

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Please sign in the signature box below with your mouse or if you have a touch-screen you can also sign with your finger.
Signature of Rider or Parent (if rider is under 18)*
Emergency Contact*

First NameLast Name
Emergency Contact Phone*

Area CodePhone Number
Should be Empty: