Clone of Summer Farm and Horseback Riding Camp

One time Membership

Club Days

Camper's Information

Camper’s Name

First NameLast Name

Birth Date

MonthDayYear

Grade

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent/Guardian Information

Name

First NameLast Name

Home Number

Area CodePhone Number

Cell Number

Area CodePhone Number

E-mail

American Dream Stables Wavier Form

I,

agree to release for all purposes American Dream Stables, (collectively, the "Equine Activity Sponsors") from any liability related to riding, training, grooming or equestrian activities provided by American Dream Stables. I understand, acknowledge and affirm the limitations of liability provided by New Hampshire law (See RSA 508:19) for Equine Activity Sponsors.Each participant in an equine activity expressly assumes the risk of and legal responsibility for any injury, loss or damage to person or property which results from participation in an equine activity. Each participant shall have the sole responsibility for knowing the range of his or her ability to manage, care for, and control a particular equine or perform a particular equine activity, and it shall be the duty of each participant to act within the limits of the participant's own ability, to maintain reasonable control of the particular equine at all times while participating in an equine activity, to heed all posted warnings, and to refrain from acting in a manner which may cause or contribute to the injury of any person.In signing this release I agree that I am aware of the risks and dangers involved with horseback riding and the related equine activities. I understand that horses/ponies are large and unpredictable animals by nature, that they may bite, buck, kick, rear and otherwise act in manner which could hurt me or my child, that even the most experienced riders may have difficulties controlling an animal, and that the resulting risks can cause serious bodily injury or even death.Being aware of these risks associated with horses/ponies, horseback riding and all equestrian as well as farm activities, including but not limited to dog handling and other various animals at American Dream Stables, I consent to and assume these risks. I also agree that in addition to the limitations of liabilities provided by state law, to hold the Equine Activity Sponsors harmless for any injury or damage I or my child suffer while engaged in an Equine Activity.I grant American Dream Stables permission to take and use photographs of me and/or my minor for promotional purposes

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature

My Products

Club Days $65.00

$65 a Club Day

Quantity

Membership Fees $200.00

One Time Fee

Total $0.00

Saddle Club!

My Products*

My Products