R-RANCH AT THE LAKE RANCH OWNERS’ ASSOCIATION STABLES “HOLD HARMLESS” AGREEMENT  (Persons Under 18 Years of Age)

I, the undersigned, the parent or legal guardian of the minor child named herein, hereby agree to assume all risk relative to said child’s use of animals and/or tack furnished to him or her by R-Ranch at the Lake Stables and I hereby RELEASE the above stable and R-Ranch at the Lake Ranch Owners’ Association, its owner, from all and every claim which may accure to myself or said child at any time hereafter. This waiver and assumption of risk shall be binding upon myself, said child, including that time when he or she reaches the age of majority, my and said child’s heirs, representatives or dependents, by reason of any injury, loss or damage which may be suffered by him or her because of any matter, thing or condition, negligence or default whatsoever, or which may occur through or by any act or service rendered on the part of R-Ranch at the Lake Stables, R-Ranch at the Lake Ranch Owners’ Association, its members, agents, employees and representatives. I have read the above and agree to abide therewith.


Owner’s No. ____________

PLEASE PRINT:

Name of Parent or Guardian: ______________________________________________________

Address: ______________________________________________________________________

Home Ph. #: ______________________________Work Ph. #: ___________________________

Name of Minor Child: ___________________________________________________________

Birthdate: ___________________ Age: __________________

Associate/Grandchild/Guest of: ____________________________________________________

Effective Dates: From: _______________________To: ______________________

Signature of Parent or Guardian: ___________________________________________________