Pony Waiver, Assumption of Risk and Indemnity Agreement

I give consent for my child to participate in all activities (unless restrictions are stated above) while at Rounds Ranch during the Ranch Hand Day Camp. To the best of my knowledge, my child is in good health, and I will notify Rounds Ranch if any health problem should arise during my child’s adventures at Rounds Ranch. I agree that the owners of Rounds Ranch, their staff/employees shall not be held responsible for any accident or sickness that may involve my child while at Rounds Ranch. I hereby give permission for the Rounds Ranch owners/staff to call the ambulance for transportation to the hospital and to receive proper medical treatment (deemed by the attending physician) in the event of an emergency, if the emergency contact people listed on this form are not reachable by phone. (Every effort will be made to reach the contacts on this form in the event of an emergency).

In completing this form, you agree to all of the above statements. You also agree that all of the information provided on this form is accurate to the best of your knowledge and should any changes arise, Rounds Ranch will be notified immediately.