Horse Birthday Party
at Briar Gate Farm
Registration Form
Child’s Name: ___________________ Age: ____ Parent’s Name: __________________________
Address: __________________________________________________________________________
Phone #: ___________________________
E-mail Address: _______________________________
Party Date: ________________________
Time: ____________________
(prices are for a 1 ½ hour party. You may arrive up to 15 minutes before start time to decorate/set-up and stay up to 15 minutes
past ending time. Additional time will be billed at the rate of $60 per hour)
Number of Guests: ________
Party Package:
____ Basic Pkg. ($135)
____ Deluxe Pkg. ($175)
Craft Choice (choose one):
____ Foam Horse Frame w/magnet
____ Beaded Western Charm Bracelet
____ Wooden Tack/Treasure Trunk
For Deluxe Pkg., please choose from the following:
Plate and Napkin Color: ___ red
___ purple
___ yellow
___ turquoise ___ pink
Cupcake Flavor:
___ chocolate ___ vanilla ___ yellow ___ lemon ___ marble
Frosting Flavor:
___ chocolate ___ vanilla ___ lemon
Deposit :
_____________________
(50% deposit required to confirm date and time; balance due day of party):
Mail Registration and check to:
Briar Gate Farm
11227 N. 66th St.
Longmont, CO 80503
---------------------------------------------------------------------------------------------------------------------------Office Use Only
Deposit Received: Date__________
Amount: ___________
Check #: ___________
Balance Due: _____________ (plus $60 per hour for overtime ______ = total due ___________)
Balance Received: ______________
Check #: ___________
(Please make copies and include in your invitations. Each guest must have one to participate!)
Briar Gate Farm
Release of Liability
Warning:
Under Colorado Law, an equine professional is not liable for the injury to or the death of a participant in equine
activities resulting from the inherent risks of equine activities, pursuant to section 13-21-119, Colorado Revised
Statutes.
This RELEASE of LIABILITY is made and entered into on this _____ day of ________ , 20 ____, by and between __Kate
Johnson, hereinafter designated INSTRUCTOR and __________________________________ hereinafter designated RIDER, and
if RIDER is a minor, RIDER’s parent or guardian, ________________________________. RIDER agrees to assume any and all
risks involved in or arising from the rider’s use of or presence upon instructor’s property and facilities including, without limitation
but not limited to, the risks of death, bodily injury, property damage, falls, kicks, bites, collisions with vehicles, horses or
stationary objects, fire or explosion, the unavailability of emergency medical care, or the negligence or deliberate act of another
person. RIDER agrees to hold INSTRUCTOR and all of its successors, assigns, subsidiaries, affiliates, officers, directors,
employees and agents completely harmless and not liable and release them from all liability whatsoever and agrees not to sue them
on account of or in connection with any claims, causes of action, injuries, damages, cost or expenses arising out of RIDER’s use of
or presence upon INSTRUCTOR’s property and facilities, including without limitation, those based on death, bodily injury,
property damage, including consequential damages, except if the damages are caused by the direct, willful and wanton negligence
of the INSTRUCTOR
.RIDER agrees to abide by all of INSTRUCTOR’s safety rules and regulations including but not limited to:
* Riders must wear a securely-fastened helmet
* Riders must wear long pants or jeans and boots or a shoe with a heel
* Riders shall not enter a horse’s stall or paddock area without the instructor’s permission
* Riders shall not mount any horse without instructor’s permission
* Do not feed the horses unless approved by instructor
* No running, jumping or yelling around the horses
_____________________________________
RIDER’s Signature
___________________________________________
RIDER’s Parent or Guardian (If RIDER is a minor.)
Briar Gate Farm
Release of Liability
Warning:
Under Colorado Law, an equine professional is not liable for the injury to or the death of a participant in equine
activities resulting from the inherent risks of equine activities, pursuant to section 13-21-119, Colorado Revised
Statutes.
This RELEASE of LIABILITY is made and entered into on this _____ day of ________ , 20 ____, by and between __Kate
Johnson, hereinafter designated INSTRUCTOR and __________________________________ hereinafter designated RIDER, and
if RIDER is a minor, RIDER’s parent or guardian, ________________________________. RIDER agrees to assume any and all
risks involved in or arising from the rider’s use of or presence upon instructor’s property and facilities including, without limitation
but not limited to, the risks of death, bodily injury, property damage, falls, kicks, bites, collisions with vehicles, horses or
stationary objects, fire or explosion, the unavailability of emergency medical care, or the negligence or deliberate act of another
person. RIDER agrees to hold INSTRUCTOR and all of its successors, assigns, subsidiaries, affiliates, officers, directors,
employees and agents completely harmless and not liable and release them from all liability whatsoever and agrees not to sue them
on account of or in connection with any claims, causes of action, injuries, damages, cost or expenses arising out of RIDER’s use of
or presence upon INSTRUCTOR’s property and facilities, including without limitation, those based on death, bodily injury,
property damage, including consequential damages, except if the damages are caused by the direct, willful and wanton negligence
of the INSTRUCTOR
.RIDER agrees to abide by all of INSTRUCTOR’s safety rules and regulations including but not limited to:
* Riders must wear a securely-fastened helmet
* Riders must wear long pants or jeans and boots or a shoe with a heel
* Riders shall not enter a horse’s stall or paddock area without the instructor’s permission
* Riders shall not mount any horse without instructor’s permission
* Do not feed the horses unless approved by instructor
* No running, jumping or yelling around the horses
_____________________________________
RIDER’s Signature
___________________________________________
RIDER’s Parent or Guardian (If RIDER is a minor.)