COYOTE RUN ARENA                 MASON, TN



In consideration of the services of  HORSEMANIA CAMP, their agents, owners, instructors, employees, volunteers, participants, Coyote Run Arena, land owners, their heirs, successors, horse owners, and all other persons or entities acting in any capacity on their behalf, I hereby agree to release, indemnify, and discharge HORSEMANIA CAMP, on behalf of myself , my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

I acknowledge that there are inherent risks associated with horseback riding that could result in physical injury, paralysis, death or damage to myself, to property, or to third parties. I agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

Warning: Under Tennessee law an equine professional is not liable for any injury or the death of a participant in equine activities resulting from the inherent risk of  equine activities, pursuant to Tennessee Code Annotated, Title 44, chapter 20. (Acts 1992, ch. 974,s6)

Student's Name _____________________________________

Parent's Signature ____________________________________

Phone Number ______________________________________

Date __________________
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