I, First Name* Last Name* , hereby affirm I am the legally responsible for First Name* Last Name* , the participant. I hereby release and discharge The STABLES Equine Therapeutic Foundation, Owners, staff, instructors, volunteers, funding partners and sponsors who are associated with The STABLES Equine Therapeutic Foundation in any capacity. I assume all fault, liabilities, expenses, claims, demands, causes of action, lawsuits, damages, judgments, or any other actions of any kind or nature whatsoever arising out of or in any way related to my failure to the recommended attire, while in attendance or participation while receiving Equine Assisted Services, Riding lessons, equine/livestock handling, or any act of omission of the undersigned, including any personal injury to myself or the participant such as, skin tears, bruises, lacerations, cuts, any and all damages to my body or the body of the participant, which may result from participation or attendance.This release is binding upon my legal representatives, heirs and assigns.Street Address* Address Line 2* City* State* Zip* Area Code* Phone Number* Email* Date*
I, First Name* Last Name* , representing myself and/or the legal custodial parent/guardian hereby, DO DO NOT * authorize The STABLES Equine Therapeutic Foundation, Inc, it's advertising agencies or the news media to have photographs, films, or other audio-visual materials taken of First Name* Last Name* , the participant for promotional or educational material, exhibitions or activities or for any other use for the benefit of The STABLES Equine Therapeutic Foundation, Inc.Further, I hereby indemnify and hold The STABLES Equine Therapeutic Foundation and it's agents harmless against any and all claims of damage arising out of the use of any such photographs, films, or audio-visual materials containing min or the participants image or likeness. Date*