Birthday Party Registration Form and Liability Release - Briar

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Birthday Party Registration Form and Liability Release - Briar Powered By Docstoc
					Horse Birthday Party at Briar Gate Farm

Registration Form Child’s Name: ___________________ Age: ____ Parent’s Name: __________________________ Address: __________________________________________________________________________ Phone #: ___________________________ Party Date: ________________________ E-mail Address: _______________________________ Time: ____________________

(prices are for a 1 ½ hour party. You may arrive up to 15 minutes before start time to decorate/set-up and stay up to 15 minutes past ending time. Additional time will be billed at the rate of $60 per hour)

Number of Guests: ________ Party Package: ____ Basic Pkg. ($135) ____ Deluxe Pkg. ($175) Craft Choice (choose one):
____ Foam Horse Frame w/magnet ____ Beaded Western Charm Bracelet ____ Wooden Tack/Treasure Trunk

For Deluxe Pkg., please choose from the following: Plate and Napkin Color: ___ red ___ purple ___ yellow ___ turquoise ___ pink Cupcake Flavor: ___ chocolate ___ vanilla ___ yellow ___ lemon ___ marble Frosting Flavor: ___ chocolate ___ vanilla ___ lemon Deposit : _____________________ (50% deposit required to confirm date and time; balance due day of party): Mail Registration and check to: Briar Gate Farm 11227 N. 66th St. Longmont, CO 80503 ---------------------------------------------------------------------------------------------------------------------------Office Use Only Deposit Received: Date__________ Amount: ___________ Check #: ___________

Balance Due: _____________ (plus $60 per hour for overtime ______ = total due ___________) Balance Received: ______________ Check #: ___________

(Please make copies and include in your invitations. Each guest must have one to participate!) Briar Gate Farm Release of Liability
Warning: Under Colorado Law, an equine professional is not liable for the injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to section 13-21-119, Colorado Revised Statutes. This RELEASE of LIABILITY is made and entered into on this _____ day of ________ , 20 ____, by and between __Kate Johnson, hereinafter designated INSTRUCTOR and __________________________________ hereinafter designated RIDER, and if RIDER is a minor, RIDER’s parent or guardian, ________________________________. RIDER agrees to assume any and all risks involved in or arising from the rider’s use of or presence upon instructor’s property and facilities including, without limitation but not limited to, the risks of death, bodily injury, property damage, falls, kicks, bites, collisions with vehicles, horses or stationary objects, fire or explosion, the unavailability of emergency medical care, or the negligence or deliberate act of another person. RIDER agrees to hold INSTRUCTOR and all of its successors, assigns, subsidiaries, affiliates, officers, directors, employees and agents completely harmless and not liable and release them from all liability whatsoever and agrees not to sue them on account of or in connection with any claims, causes of action, injuries, damages, cost or expenses arising out of RIDER’s use of or presence upon INSTRUCTOR’s property and facilities, including without limitation, those based on death, bodily injury, property damage, including consequential damages, except if the damages are caused by the direct, willful and wanton negligence of the INSTRUCTOR .RIDER agrees to abide by all of INSTRUCTOR’s safety rules and regulations including but not limited to: * Riders must wear a securely-fastened helmet * Riders must wear long pants or jeans and boots or a shoe with a heel * Riders shall not enter a horse’s stall or paddock area without the instructor’s permission * Riders shall not mount any horse without instructor’s permission * Do not feed the horses unless approved by instructor * No running, jumping or yelling around the horses _____________________________________ RIDER’s Signature ___________________________________________ RIDER’s Parent or Guardian (If RIDER is a minor.)

Briar Gate Farm Release of Liability
Warning: Under Colorado Law, an equine professional is not liable for the injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to section 13-21-119, Colorado Revised Statutes. This RELEASE of LIABILITY is made and entered into on this _____ day of ________ , 20 ____, by and between __Kate Johnson, hereinafter designated INSTRUCTOR and __________________________________ hereinafter designated RIDER, and if RIDER is a minor, RIDER’s parent or guardian, ________________________________. RIDER agrees to assume any and all risks involved in or arising from the rider’s use of or presence upon instructor’s property and facilities including, without limitation but not limited to, the risks of death, bodily injury, property damage, falls, kicks, bites, collisions with vehicles, horses or stationary objects, fire or explosion, the unavailability of emergency medical care, or the negligence or deliberate act of another person. RIDER agrees to hold INSTRUCTOR and all of its successors, assigns, subsidiaries, affiliates, officers, directors, employees and agents completely harmless and not liable and release them from all liability whatsoever and agrees not to sue them on account of or in connection with any claims, causes of action, injuries, damages, cost or expenses arising out of RIDER’s use of or presence upon INSTRUCTOR’s property and facilities, including without limitation, those based on death, bodily injury, property damage, including consequential damages, except if the damages are caused by the direct, willful and wanton negligence of the INSTRUCTOR .RIDER agrees to abide by all of INSTRUCTOR’s safety rules and regulations including but not limited to: * Riders must wear a securely-fastened helmet * Riders must wear long pants or jeans and boots or a shoe with a heel * Riders shall not enter a horse’s stall or paddock area without the instructor’s permission * Riders shall not mount any horse without instructor’s permission * Do not feed the horses unless approved by instructor * No running, jumping or yelling around the horses _____________________________________ RIDER’s Signature ___________________________________________ RIDER’s Parent or Guardian (If RIDER is a minor.)


				
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