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Criswood Farm, 5304 Hoadly Road, Manassas, VA 20112
2023 Summer Riding Camp Release and Hold Harmless Agreement
Summer Camp starts the week of Jun 11, 2024 and runs to the week
of Aug 16, 2024 for 5 weeks.
Summer Camp operates Tuesday, Wednesday, Thursday and Friday from 8:00am to 1:00pm each week.
We are only taking 12 kids per week. Please choose a
week and submit your applications as soon as possible.
June 11 to 14____ June 25 to June 28____ July 9 to 12____ July 30 to August 2_____ August 13 to 16____
Please choose the week or weeks desired and complete, sign and date the below agreement and mail or bring to the farm with deposit.
Name of Rider:___________________________ Age:________ Phone Number____________________
Address:____________________________________________________________________________
Email:____________________________________________________________________________
Previous Riding Experience:______________________________________________________________
Session Date Required:__________________________________________________________________
To reserve your session dates, complete this application and return to Criswood Farm with a deposit of $50 for each week desired. Cash and checks are the only method of payment for all our services. The remaining balance is due the first full day of camp. Deposits are non-refundable. You may sign up for more than one session. Please call us at (703) 590-4224 to make sure the session you desire is not full. The sessions fill up fast.
Please indicate an allergies or medical conditions that could affect participation during horse camp:
___________________________________________________________________________________
___________________________________________________________________________________
The Undersigned assumes the unavoidable risks inherent in all horse related activities, including but not limited to, body injury or physical harm to horse, rider, and spectator. In consideration, therefore, for the privilege of riding and receiving riding instructions, and/or working around/with horses at Criswood Farm (Hoadly Road, Manassas, VA) or other equestrian facility assigned, the Undersigned does hereby agree to hold harmless and indemnify Criswood Farm Manager, Instructor, Connie Christopher, Criswood Farm, Inc., owners and heir assigns and further release the Farm from any liability or responsibility for accident, damage, death, injury, or illness to the Undersigned and his/her children or any horse owned and/or boarded by the Undersigned or to any other family member of spectator accompanying the Undersigned on the premises. I, the Undersigned person, intending to be legally bound, hereby waive for myself, agents, guardians, heirs, executors, administrators, legal representatives, assigns, and any other persons have against any of the above named individuals, or their property, arising from my equestrian or boarding activities.
By my signature, I acknowledge that I understand the above, and that handling and/or riding horses is considered hazardous activity, and I assume full liability for any personal injury or property damage to my person, child and children, person accompanying me, personal property and horses.
Signature of Parent or Guardian:________________________________________________________________
Printed Name of Parent or Guardian:_____________________________________________________________
Date:_____________________________________________________________________________________