TownLine Membership Form

I do for myself and/or on behalf of my minor child or legal ward hereby voluntarily request to be permitted to come upon the property of Jill Dryke and/or her assigns/TownLine Farms and Stable Stables for the purpose of general recreation or the buying, boarding, viewing, care of, or riding of horses and/or other farm animals.

I am fully aware and understand that horses are unpredictable by nature: that when frightened or angry or under stress, a horse’s natural instincts are to jump forward or sideways, to run away from danger at a trot or a gallop, to kick, to buck, to rear up in front, or to bite: that horses are extremely powerful; and this if a rider falls to the ground, the fall distance will be generally from 3-1/2 to 5-1/2 feet. I understand that I, or my minor child or legal ward, could be injured as a result of any of these or other actions of a horse. I understand these risks, and I voluntarily assume these risks and dangers.

I further understand that upon mounting a horse and taking up the reins, the rider is in primary control of the horse, and that neither Jill Dryke and/or her assigns/TownLine Farms and Stable Stables or any trainer or employee of the boarder or horse owner at TownLine Farms and Stable Stables is responsible for the rider’s actions or inactions, or for the actions of the horse. I am aware that the wearing of an approved riding helmet can reduce the chance of injury to me or my minor child or legal ward and agree to wear such helmet at all times while mounted on a horse at TownLine Farms and Stable Stables.

I fully understand and agree that I, alone am to be responsible for any bodily injury or property damage which I or my minor child or legal ward should sustain on TownLine Farms and Stable Stables’ premises and/or trails while engaged in general recreation or the riding viewing or caring for a horse, and for any time I or my child or legal ward should lose form employment or school or other activity, and for the medical expenses or any other expenses incurred because of such bodily injury or property damage. In acknowledgement of the above, I hereby, for myself, my heirs, administrators and assigns, RELEASE AND DISCHARGE AND AGREE TO HOLD HARMLESS TownLine Farms and Stable Stables, Jill Dryke and/or her assigns, trainers, servants, agents, employees, officers, clinicians, instructors, boarders, horse owners and all other participants of and from all claims, demands, actions and causes of action for such injuries sustained to my person or property, or to that of my minor child or legal ward, whether or not such injury or property damage resulted from the negligence or gross negligence of TownLine Farms and Stable Stables, Jill Dryke and/or her assigns or their servants, agents, clinicians, instructors, employees, boarders, horse owners or officers, or resulted from any defect in tack or equipment that might be used on or around a horse.

I understand and agree that, in exchange for being permitted to participate in general recreational activities and/or the boarding, viewing, caring for or riding of horses at TownLine Farms and Stable Stables, I am voluntarily assuming the risks of any kind of injury or property damage that might occur for ANY REASON and canceled my agreement that I may not bring lawsuit or a claim of any kind against TownLine Farms and Stable Stables, its owners, lessees, trainers, servants, agents, clinicians, instructors, employees, boarders, horse owners or officers for such injuries and/or property damage. If I should bring such claim or lawsuit in violation of this agreement, I agree that I shall be liable to TownLine Farms and Stable Stables for any and all reasonable attorneys’ fees and expenses that may be incurred by TownLine Farms and Stable Stables and/or Jill Dryke and/or her assigns in defending against any such suit.

I understand and agree that this Agreement and Liability Release is being entered into in the state of Minnesota, and the laws of the State of Minnesota shall govern its terms and conditions. The parties agree that any term or condition is found to be invalid under the laws of Minnesota, such offending term or condition shall be stricken from the Agreement without affecting the other terms and conditions.

WARNING: MINNESOTA STATUTE 604A.12 EXPLAINS INHERENT RISK OF LIVESTOCK ACTIVITIES.

Adult Participant or Parent/Guardian*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Date (Today's Date)*

Date

Signature of Adult Participant/Parent/Guardian*

I understand that any guest I bring on the property with my horse's membership is my responsibility and that they must have a Liability Release on file. *

I attest that this waiver is made voluntarily*

Name of Horse (Show name and Barn name if applicable)*

Basic Description of Horse (breed, height, color, markings)*

Name of Horse's Owner (if different from Participant)

Horse Owner's phone number

Please enter a valid phone number.

Image of the Horse - upload here*

Current Coggins - upload here*

Proof of Most Recent Vaccinations*

Must include 5-way or equivalent and Flu/Rhino.

Name of Minor Participant

First NameLast Name

Minor Participant Date of Birth

Date

Name of Minor Participant

First NameLast Name

Minor Participant Date of Birth

Date

Name of Minor Participant

First NameLast Name

Minor Participant Date of Birth

Date

Name of Minor Participant

First NameLast Name

Minor Participant Date of Birth

Date

Photo Release - I understand that the image(s) may be used in print publication, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.*

TownLine Farms has my permission to use images of myself or my children publicly.NO, Townline Farms does NOT have my permission

Policies:

We are building a family-like community that encourages each other where people feel safe to become their absolute best. We encourage camaraderie, congratulating each other, and asking for solutions when you are stuck. And the horse always comes first.

Alternatively, we have a zero tolerance for any bullying, gossipy, or mean-spirited behavior. Management reserves the right to refuse services, for behaviors deemed inappropriate and or if we cannot provide care for your horse (ie, Horse is violent, Horse has extensive medical care, Horse has change in diet we no longer can accommodate)

Our prices are STANDARD rates, and we will remain to keep them standard for
our area. From time to time you will see that purchasing access to our services
offered will increase as the economy and agricultural impact increases.
When you do business with us, You are buying Access to our Services
offered. We will not do any services if it is not prepurchased. We hope that we
can always provide these services and will always try to accommodate you and
horses’ needs when we can. If there is a change in Services a NEW contract
must be updated the time before the change implemented and NEW RATES will
be adjusted at the time prior to change and prorated.

I understand and Agree to TownLine's Policies as stated above and Agree to conduct ourselves in accordance with these policies while on premises and at events with the TownLine Farms and Stable Team.*

I agree

Emergency Contact Name*

First NameLast Name

Emergency Contact Phone Number*

Please enter a valid phone number.

My Products

TownLine MembershipAccess to TownLine Farms Facilities for ONE horse. Additional Horses require separate memberships to maintain records and safety for all horses on the property. All memberships require approval before the horse is allowed on property.

$80.00 for each month

Total

$0.00

Email

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration