I First Name Last Name , (parent date of birth)Date reside at Street Address City State Zip acting as parent or legal guardian of First Name* Last Name* (camper name) hereby affirm that I have read the agreement. I understand the agreement and understand that the agreement is a release of all claims for injury, death, or property damage and understand and consent to its terms on behalf of myself and on behalf of the minor and agreeto indemnity and hold harmless Houston's Horseback Riding, its agents, heirs, and assigns from any claim or cost incurred as a result of any defect or lack of capacity to act on behalf of the minor in executing this agreement.