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Heart of the Prairie
/ Craft Day – Sat, Sept 25, 2021 POOL NOODLE HORSES
Craft Day – Sat, Sept 25, 2021 POOL NOODLE HORSES
Spots are limited – register early!
Camper's Age (if under 18)
Parent or Guardian Name
Contact Email (Event info will be mailed to this address)
Contact Phone Number
Emergency Contact Name
Emergency Contact Phone
I Do Not
I give permission to my child's photo to be used in Harmony Stable's marketing, including their website or Facebook page.
Allergies or other Health Concerns – Please indicate
If your child has any allergies or health concerns we need to be aware of, please describe.
Consent for Alternate Pickup Person – Please indicate name
If another adult such as grandparent or carpool partner will be picking up your child from Horse Camp, please indicate individual (ID required).
Consent for Medical Care – Please type your initials
In the event my child becomes ill or injured, I understand that every effort will be made to reach me or my emergency contact indicated. I give my consent for HARMONY STABLES staff to act on my behalf to obtain emergency medical care and treatment if deemed necessary for my child.
Waiver of Liability – Please type your initials
By signing this entry form, I acknowledge that I fully understand that there are risks of serious bodily injury, including death, and risk of damage to or loss of personal property. In consideration for me or my child being allowed to enter, participate in and observe the above listed equine activity, I hereby for myself, my heirs, agents and assigns, agree to waive, release and forever discharge any and all claims, rights and causes of action against Harmony Stables, its owners, trainers, employees and volunteers for injury or damage caused or alleged to be caused inwhole or in part by negligence of Harmony Stables, and I agree to hold Harmony Stables harmless against all claims and causes of action for any alleged or actual injury or damage which I or my agents may cause to any person or property. I voluntarily assume all risks associated with my or my child's participation in this activity and with being present on the grounds where this activity is held. I further agree to be bound by the rules under which this activity is conducted.
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Harmony Stables Gift Certificate ($95)
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