2025 Aiken - Equine Clinician / Mustanger Form

2025 Aiken - Equine Clinician / Mustanger Form

Submission Deadline: June 1, 2025
I am a

Clinician With HorseClinician Without HorseMustanger - Invitation Only
Name

First NameLast Name
Cell Phone Number
Please enter a valid phone number.
Email
example@example.com
Farm or Non-Profit Representing
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Facebook
Instagram
You-Tube
Other Social Media
Please provide a short "About You" paragraph for the program:
Please uploas a photo of yourself (ok with your horse)

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Please Up-Load Your Logo

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Horse Name
Horse Breed
Do you need stabling?

YesNo
I, the undersigned as representative of the above-mentioned Author or Artists, hereby release and agree to hold harmless EQUUS Film Fest, LLC, its officers, directors and employees, Halfway to Heaven Mustang Rescue, its officers, directors and employees and William L. Finger, individually, from any damage to my property or any personal injury which I and/or any person assisting on my behalf, may sustain while participating at the EQUUS Film & Arts Fest | The Mustang Summit event. Further, I agree to abide by the guidelines for participation and all policies established by EQUUS Film & Arts Fest | The Mustang Summit. I agree that failure to follow these guidelines can mean expulsion from future EQUUS Film & Arts Fest | The Mustang Summit events.
Signature

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Name

First NameLast Name
Date

MonthDayYear
Date
Notes and additional info and horses:
South Carolina Equine Liability Act

WARNING: Under South Carolina law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in an equine activity resulting from an inherent risk of equine activity, pursuant to Article 7, Chapter 9 of Title 47, Code of Laws of South Carolina, 1976.
I agree to the above "South Carolina Equine Liability Act"

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Please verify that you are human*
Should be Empty: