Equine Activity Release & Hold Harmless Agreement
Please read carefully and complete all required fields to acknowledge and accept the terms of participation at Blue Horizon Eventing at The Green Barn, LLC and Loyalhanna Investments, LLC.
Participant Signature
*
Participant Printed Name
*
Participant Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is the Participant a minor (under 18 years of age)?
*
Yes
No
Parent/Guardian Signature
*
Parent/Guardian Printed Name
*
Parent/Guardian Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency Contact Name / Phone
*
Known Allergies / Medical Conditions
Submit Release Form
Submit Release Form
Should be Empty: