Horseback Riding - Cedar Creek Ranch

Horseback Riding Release of Liability

1 or 2 Releasors?
- 1 Person
- 2 Persons
Name or Releasor 1*
First Last
Type Relation to Minor*
Releaser 1 Phone
Releasor 1 Address*
Street Address Address Line 2 City State ZIP Code
Name or Releasor 2
First Last
Type Relation to Minor*
Releaser 2 Phone
Releasor 2 Address*
Street Address Address Line 2 City State ZIP Code
Name of Minor*
First Last
Birth date of Minor*
MM slash DD slash YYYY
Signature of Releasor 1*
Parent or Legal Guardian
Signature of Releasor 2*
Parent or Legal Guardian
Hidden
Todays Date
MM slash DD slash YYYY
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