Source: http://maneeventstables.com/student-application-form/
Timestamp: 2018-03-19 14:37:00
Document Index: 477350764

Matched Legal Cases: ['art 1', 'art 1', 'art 2', 'art 2', 'art 3', 'art 3']

Student Application Form - Mane Event Stables, LLC
Student Application Form: Download the form here.
Email form back to maneeventstablesnc@gmail.com.
You can also submit Student Application form online (e-forms) at the bottom of these pages.
Please complete the 3 sections below and submit each Student Application Form
Student Application Form - Part 1
Student Application Form - Part 1 of 3
Please indicate what your preferred day/times. Lessons offered Tues, Weds, Thurs, Sat, and Sun
**Instructor will contact you with final schedule
In consideration of MANE EVENT STABLES, LLC allowing my participation in this activity, under the terms set forth herein, I, the RIDER, and the parent or guardian thereof if a minor, do agree to hold harmless and release MANE EVENT STABLES, LLC its owners, agents, employees, officers, members, premises owners, insurers, and affiliated organizations from legal liability due to MANE EVENT STABLES, LLC ordinary negligence; and I do further agree that except in the event of MANE EVENT STABLES, LLC gross negligence and willful and wanton misconduct, I shall not bring any claims, demand, legal actions and causes of action, against MANE EVENT STABLES, LLC and/or its associates, for any economic and non-economic losses due to bodily injury, death, property damage, sustained by me and/or my minor child or legal ward in relation to the premises and operations of MANE EVENT STABLES, LLC to include while riding, handling, or otherwise being near horses owned by or in the care, custody and control of MANE EVENT STABLES, LLC
*, have been presented with MES Barn Rules and
the Grooming/Tacking procedure, to which I have read and fully understand.
Student Application Form - Part 2
Student Application Form - Part 2 of 3
DOB*: Height*: Weight*:
Employer/School*:
Parents/Legal Guardian Name*:
Phone Numbers For*:
Condition Issues* Comments
Communcation yes no
Digestion yes no
Circulation yes no
Emotional yes no
Joint/Bone yes no
Muscular yes no
Thinking/Cognition yes no
Do you have any physical limitations? If yes, please explain*:
Do you have any previous riding experience?*
What are your riding goals, both current and future?*
How did you hear about Mane Event Stables? Do we need to thank anyone for a referral?*
Any other information you feel we should know?*
Student Application Form - Part 3
Student Application Form - Part 3 of 3
Staff Volunteer Participant
Medical Facility*:
Health Insurance Company*:
Allergies to Medications*:
Current Medications*:
In the event that emergency medical aid/treatment is required due to illness or injury during the process of receiving lessons or instructions, or while being on the property of Equestrian Arts Institute, I authorize Equestrian Arts Institute to:
Signature of Participant, Staff Member, Volunteer, or Legal Guardian
I do not give my consent for emergency medical treatment/aid in the case of illness or injury during the process of receiving lessons or instructions. In the event of emergency treatment/aid is required, I wish that the following procedures to take place: