I (we) enclosed a total of $____________ for the above entry which is made at my (our) own risk and subject to the conditions of the organizers/sponsors.
Release: I (we) understand that horseback riding is a dangerous sport and serious injury or disability may result from accident while riding or handling horses. The above entries are being ridden at my (our) own risk. I (we) understand that FULL MOON FARM, its employees and volunteers are not responsible for accidents, damage, injury or illness to horses, owners, riders, spectators or any persons or property whatsoever. ASTM or SEI approved helmets with attached fastened harness are required for all riders at all times while mounted.
Signatures: Rider:________________________________ Parent/guardian:________________________________
parent/guardian must sign if rider is
under 18 years of age!
Complete and print out this form, sign and mail it with your entry fee to:
Full Moon Farm - Buck Clinic
4326 Louisville Rd
Finksburg, MD 21048
If you are bringing your own horse you are required to provide a currently valid coggins and proof of Rhino vaccination administered not more than 180 days before the event. No exceptions!