Atlanta Equestrian Policy & Release Form
Please review and complete all sections to acknowledge policies, provide emergency contact information, and sign required agreements.
I agree to all policies - Signature
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I agree to all policies - Date
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Month
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Day
Year
Date
Release and Hold Harmless - Date
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Month
-
Day
Year
Date
Student Name
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Address
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Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Emergency Contact Name
*
Emergency Contact Cell
*
Please enter a valid phone number.
Format: (000) 000-0000.
Acknowledgement Signature (Must be over 18 years of age)
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Parent or Guardian Signature (if Rider is under 18)
Opt out of social media photo use
Check here if you DO NOT want your picture or a child's used on our social media
Client Print Name (Acknowledgement section)
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Client Signature (Acknowledgement section)
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Client Signature Date (Acknowledgement section)
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Month
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Day
Year
Date
Client Print Name (Monthly Package Agreement)
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Client Signature (Monthly Package Agreement)
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Client Print Name Date (Monthly Package Agreement)
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Month
-
Day
Year
Date
Client Signature Date (Monthly Package Agreement)
*
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Month
-
Day
Year
Date
Submit
Submit
Should be Empty: