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OVERNIGHT BOARD

RELEASE OF LIABILITY

CAUTION: PLEASE READ CAREFULLY BEFORE SIGNING

Be it hereby known:

          In consideration that I will be allowed to board horses overnight at Miller Horse Farm, I do hereby agree that in the event that I am injured or any of my party, friends, relatives, or horses are injured or suffer personal injury or property damage during this stay, that I will not, in any event, hold responsible nor present any claims or demands to Miller Horse Farm or their owners, directors, officers, agents, representatives, employees and volunteers, on account of any injury that I , my horse(s), or any of my party may have suffered.

         I hereby agree to pay all necessary fees for the boarding fees for my horse(s) for as long as they are stabled at Miller Horse Farm. Furthermore, if there should be any unforeseen vet bills for my horse(s) during my stay at Miller Horse Farm, I agree to pay them in full, before my horse(s) will be allowed to leave Miller Horse Farm.

I Agree

The Participant hereby voluntarily and enters into this Contract and Agreement this date: April 26, 2024

THIS BINDING LEGAL AGREEMENT AFFECTS IMPORTANT LEGAL RIGHTS.  I HAVE READ AND UNDERSTOOD THIS DOCUMENT AND AGREE TO BE BOUND BY IT.  Participant’s Initial:

First Owner/Caretaker Name

First Name*

Last Name*

Phone*
First Owner/Caretaker Age Acknowledgment*
First Owner/Caretaker Date of Birth*
I certify that I am 18 years of age or older
First Owner/Caretaker Signature*
Second Owner/Caretaker Name

First Name*

Last Name*
Second Owner/Caretaker Date of Birth*
Third Owner/Caretaker Name

First Name*

Last Name*
Third Owner/Caretaker Date of Birth*
Fourth Owner/Caretaker Name

First Name*

Last Name*
Fourth Owner/Caretaker Date of Birth*
Fifth Owner/Caretaker Name

First Name*

Last Name*
Fifth Owner/Caretaker Date of Birth*
Sixth Owner/Caretaker Name

First Name*

Last Name*
Sixth Owner/Caretaker Date of Birth*
Seventh Owner/Caretaker Name

First Name*

Last Name*
Seventh Owner/Caretaker Date of Birth*
Eighth Owner/Caretaker Name

First Name*

Last Name*
Eighth Owner/Caretaker Date of Birth*
Ninth Owner/Caretaker Name

First Name*

Last Name*
Ninth Owner/Caretaker Date of Birth*
Tenth Owner/Caretaker Name

First Name*

Last Name*
Tenth Owner/Caretaker Date of Birth*
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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