PEC Registration Form
PEC Release Form
STATE OF NORTH CAROLINA, UNION COUNTY
Release Agreement and Assumption of Risk
IN CONSIDERATION of the covenants herein contained and agreement with Providence Equestrian Center, its officers, agents and employees, for My (select One)
to receive instruction in horseback riding and all activities incidental thereto, or to engage in horseback riding at the Providence Equestrian Center, Inc., I do hereby release and discharge Providence Equestrian Center, Inc., its officers, agents and employees from all claims, demands, actions, judgments and executions which I, my child or ward or our heirs, executors, administrators or assigns as applicable, may have, or claim to have, against Providence Equestrian Center, Inc., its agents or employees, for all personal injuries, known or unknown, and injuries to property, real or personal, caused by or arising out of the above-described activities. I assume for my ward or child, or I if applicable, all risks associated with those activities. I certify that I (or my child or ward if applicable) have no medical conditions that would be aggravated by or make it dangerous for me to participate in the above activities. I agree to abide by the posted rules and regulations of the Providence Equestrian Center, Inc., and to obey the instructions of the staff.
I have read this RELEASE and understand all of its terms. I execute it voluntarily and with full knowledge of its significance.
I have read and understand PEC rules and policies and agree to abide by them.
I give permission to PEC to photograph myself, ward or child
I give permission to PEC to provide transportation to my child/ward for the purposes of field trip excursions during camp hours.