Little Creek Horse Show Participation
The undersigned hereby acknowledges and understands that DEKALB COUNTY PARKS AND RECREATION, LITTLE CREEK FARMS, the horses owner, their agents, employees, successors, assigns, legal representatives and administrators do not represent or warrant the quality or character of any horse furnished to Rider. Furthermore, the undersigned acknowledges and understands that horseback riding or other participation in activities at LITTLE CREEK FARMS may involve substantial risk of bodily injury, property damage and other dangers including, but not limited to, bodily injury or death resulting from kicks and bites, falling from horses or horses falling on Rider, being dragged by a foot caught in the stirrups, rider being thrown by horse, equipment failure or collision with horses or vehicles or other inanimate objects. In the event Rider or any of the designated individuals is a minor, the undersigned, on behalf of said minor, does hereby consent to any x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service that may be rendered to said minor under the general or specific instructions of any physician or hospital. The undersigned acknowledges that this consent to medical treatment is given in advance of any specific diagnosis or treatment which may be required but is given to encourage LITTLE CREEK F ARMSs any hospital staff and physicians to exercise their best judgment as to the requirements of such diagnosis or treatment. The undersigned hereby agrees to pay all fees and expenses of doctors, hospitals, ambulances and other medical expenses reasonably and necessarily incurred.
By entering the information below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature. I agree, to the best of my knowledge, I have provided true and correct email contact information for the owner, trainer, and legal guardian if under 18. Show management will reject any entry with false information provided below. Incomplete entries will not be accepted.