Equestrian Center Waiver

Please complete this waiver (required annually) to participate in any Ken-Caryl Ranch Equestrian Center programs.

"*" indicates required fields

Participant Name*

First Last

Participant Date of Birth*

Participant Age*

Participant Weight*

Our horses have a weight limit of 180lbs. Additionally, some of our horses are older or smaller so they can't even take a rider that heavy, and rider weight helps us assign horses more appropriately.

Please enter a number less than or equal to 180.

Would you like to include another participant (same family)?

Participant Name 2

First Last

Participant 2 Date of Birth

Participant 2 Age

Participant 2 Weight*

Our horses have a weight limit of 180lbs. Additionally, some of our horses are older or smaller so they can't even take a rider that heavy, and rider weight helps us assign horses more appropriately.

Please enter a number less than or equal to 180.

Are any of the participants under 18 years of age?*

Yes

Parent/Guardian Name

First Last

Email address*

Phone*

Second Parent/Guardian Name

First Last

2nd Parent/Guardian Email

2nd Parent/Guardian Phone

Address*

Street Address City State Zip

Emergency Contact (in case parent/guardian cannot be reached)*

First Last

Emergency Contact Phone*

Any pre-existing health conditions?

Participant's level of experience with horses:*

Lesson Program

Picnic with the Ponies Camp (ages 6-8)

Equestrian Summer Camp (ages 8+)

None

Experience at other equestrian facility

Click here for KCR Equestrian Center Facility Rules

Particpant or Parent/Guardian Signature*

I am either the participant OR the legal guardian of the above minor(s) and have read the above AGREEMENT. I give my unqualified permission and consent to: the RELEASE, WAIVER, ACKNOWLEDGEMENT OF RISK, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT on behalf of myself and the named minor(s); and my or his/her participation in all Ken-Caryl equine activities. I/my child is in good health and has the necessary ability to participate in equine activities. I ACKNOWLEDGE I HAVE RECEIVED AND READ THE EQUESTRIAN CENTER FACILITY RULES at the link above. I give permission to KCRMA to use my child's photograph in Ken-Caryl Ranch publications.

Equestrian Center Waiver

Equestrian Center Waiver

Click here for KCR Equestrian Center Facility Rules

Contact Info

Administration:

Ranch House:

Community Center:

Facility/Parks Emergency:

Park Rangers:

Waste Connections: