2026 Tennessee Wild Horse Summit - Mustanger / Equine Clinician Form

2026 Tennessee Wild Horse Summit Mustanger / Equine Clinician / Presenter Form
Mustanger - Invitation OnlyClinician - With HorseClinician / Presenter - Without Horse
Name

First NameLast Name
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Farm, Business 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
YesNo
Tennessee Equine Liability Act

WARNING Under Tennessee Law, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Tennessee Code Annotated, title 44, chapter 20.
Signature of Paricipant or Parent,(if Participant is under 18 years old)

Clear
I, the undersigned as representative of the above-mentioned person, or a parent of a child under 18 years old, hereby release and agree to hold harmless EQUUS Film Fest, LLC, Wild Horse Summit, their officers, directors and employees, 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 | Wild Horse Summit event.

Further, I agree to abide by the guidelines for participation and all policies established by EQUUS Film & Arts Fest | Wild Horse Summit event.

I agree that failure to follow these guidelines can mean expulsion from future EQUUS Film & Arts Fest | Wild Horse Summit events.
Signature of Participant

Clear
Signature of Parent,(if Participant is under 18 years old)

Clear
Name

First NameLast Name
Parent name (if participant is under 18 years old)

First NameLast Name
Parent phone number (if participant is under 18 years old)
Please enter a valid phone number.Format: (000) 000-0000.
Date

MonthDayYear
Date
Notes and additional info and horses:
Please verify that you are human*
Should be Empty:

2026 Tennessee Wild Horse Summit Mustanger / Equine Clinician / Presenter Form

Tennessee Equine Liability Act