Mission Acres

Equestrian Center
Est. 2018

Safety Equipment Acknowledgment Release Form

(For Participants Over the Age of Majority)

Program Dates:
 Participants Name:
Program Level/Instructor:
Date of Birth:
 Participants Address:
No person riding without a helmet designed for equine activities will be allowed to participate in equine activities prior to reading and signing this form
TO: Mission Acres Equestrian Center (Also known as “MA” for this document)
ACKNOWLEDGMENTS AND STATEMENTS OF PARTICIPANT
Check each box below after Reading and Understanding each item:
Before signing this form I read it (as indicated by my initials above) and I state that I understand it. I further state I am aware that signing this form, waives certain legal rights I and/or the infant Participant and/or our “Legal Representatives” might have against the “MA”.
Do Not Sign until you Understand All Items Above
Name of Participant

Signature Of Participant

Name of Witness

Signature Of Witness

Address:

34131 Township Road 262, Cochrane, Alberta

T4C 1A2

Canada

Business Hours

Mon:
8:00 AM – 9:00 PM
Tue:
Wed:
8:00 AM – 9:00 PM
8:00 AM – 9:00 PM
Thur:
8:00 AM – 9:00 PM
Fri:
Sat;
8:00 AM – 9:00 PM
8:00 AM – 9:00 PM
Sun:
8:00 AM – 9:00 PM