Clinic – Private Clinic Registration Form Private Clinic Resigtration and/or Release of Liability Please complete this form for each clinic you register for. This form is a registration form as well as a Release of Liability. Don't forget to click on the payment link to complete your registration. We appreciate your business and look forward to seeing you! Saddle up! Today's Date* Name* First Last Horses Name* Name Date of Coggins*A current coggins is required for all events at Aiken Horsemanship Academy. Please attach coggins if avaiable in digital format. Drop files here or Event attending:*Please select the event this release applies to. Obstacle Clinic Cowboy Dressage Clinic Obstacle & Cowboy Dressage Clinic Combo May we have permission to use any photos of you for print or online promotions?*Yes you have permissionNo you do not have permissionRelase of Liability*I understand the working with, around and riding horses carries risk in that the horse is an animal and therefore not without unpredictability. I acknowledge the risks and potential dangers of horse activities including riding and groundwork and other activities on the farm and around animals. I further understand that I am paying for the services of the trainer/teacher and therefore I assume any risk involved. I agree and understand that Aiken Horsemanship Academy, Helpful Horsemanship, Inc., Dragonfly Farm, Julie Robins, Suzette Meyers, Tiffany Morgan, agents/students/assistants, independent contractors, or employees of Julie Robins/Helpful Horsemanship, Inc. and assigns are not liable for death, sickness, injury and/or accident including but not limited to consequential damages caused by her, anyone present with her or any other animal or equine present with her before, during or after any equine activity. I understand that I must obey the rules of the farm as instructed by the trainers/teachers and/or as posted in order to enhance my safety and the safety of horses and people. I indemnify and hold harmless, Aiken Horsemanship Academy, Helpful Horsemanship, Inc., Dragonfly Farm, , Julie Robins, Suzette Meyers, Tiffany Morgan trainers/agents, and assigns for any damages resulting from but not limited to any equine activity. I waive and release all claims for damages and liability for any and all injuries, death and/or losses which may be sustained while present. Warning: UNDER SOUTH CAROLINA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN AN EQUINE ACTIVITY RESULTING FROM AN INHERENT RISK OF EQUINE ACTIVITY, PURSUANT TO ARTICLE 7, CHAPTER 9 OF TITLE 47, CODE OF LAWS OF SOUTH CAROLINA, 1976. I have read this release and (please select the checkbox that applies to you) I understand and agree to the release of liabilityI do not agree to the release of liabilityI am a minor and will bring my consent form signed by my parent or legal guardianPhoneThis field is for validation purposes and should be left unchanged. Don’t Forget to complete your payment! Pay for One Clinic HERE! Pay for Both Clinics HERE!