Breezy Hill Stables Rider Release Form - Breezy Hill Stables in Canton, GA

Breezy Hill Stables Rider Release Form
Breezy Hill Stables

345 Sixes Creek Trail

Canton, Georgia 30114
WARNING:

Under Georgia law, an equine sponsor or equine professional is not liable for an injury to or death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Chapter 12 of the Official Code of Georgia Annotated.

I, the undersigned, recognize the dangers inherent with horseback riding. I realize I am subject to injury from this activity, and that no form of pre-planning can remove the risks and dangers to which I voluntarily expose myself. I have been offered a protective riding helmet, which may help prevent head injuries in the event of an accident.

I WILL NOT HOLD WENDY F, MURPHY (OPERATOR/OWNER) BREEZY HILLSTABLES OR DARLENE E. BORA (INSTRUCTOR) RESPONSIBLE FOR ANYACCIDENT, INJURY OR DEATH.
Parent/Guardian Name (if signing for a child under 18)

First Name Last Name
Relationship to Rider
Rider's Name *

First Name Last Name
Rider's Date of Birth; Age *

Month Day Year
Telephone Number *
Email Address *
Today's Date *

Month Day Year
Signature of Parent/Guardian (or Self if rider is over 18) *
Should be Empty:

If you are unable to submit the release form above, please feel free to complete, print, and sign the PDF version available for download below.

Breezy Hill Stables Release Form
File Size:	78 kb
File Type:	pdf