Registration:  One Student Per Form 

Name_________________________________

 Address_______________________________

 City_____________________ Zip__________

 Ph# (H) ________________ (cell) __________

 (W)mom ______________dad_____________

 Age_______ HT________WT______ SEX___

 Birthdate: _____________________________

 Where did you hear about Norwood?________________________________________

Which riding lesson day (s)  is preferred?  ______________________________________________

Which summer camp session is preferred? ______________________________________________

Student Release Form   

Norwood Stables

Warning Under Georgia law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Chapter 12 of Title 4 of the Official Code of Georgia Annotated.

 1.                   No suit shall be instituted by the student or the parents or guardian of a student, jointly or severally, against any owner or employee of Norwood Stables, to recover damages or loss actually or allegedly resultant to parents of the student or to either of them by reason of any injury or fatality which, while on the premises or off the premises, either for instruction or in connection with instruction, such student shall sustain.

2.                   The student or parents of a student at Norwood Stables agrees to save the stable, or any owner or employee of the stable harmless against any and all claims, demands, or suits which shall be brought by anyone not signatory hereto and which shall be predicated upon any such injury or fatality so sustained by a student of Norwood Stables.

3.                   This combined pledge against suit and promise of indemnification shall be effective immediately and shall automatically terminate if and when Norwood Sables receives written notice of termination signed by either or both of the students parents. Termination, however, shall not affect the application of the foregoing provisions, (1) and (2), for any mishap which shall have previously occurred.

Student: (PRINT) _______________________________________________________________________

I herby agree to the foregoing as student/parents of said student ________________________________

 And wish my/his/her lessons to commence on (date) ____________________________

Signatures: (Adult Student) _________________________________________ DATE:________________

Father of Student __________________________________________________DATE:________________

Mother of Student __________________________________________________DATE:________________

 Address: ________________________________________________________________________________

 Phone Number (       ) __________________  (        ) ________________________

 E-mail address:_______________________________________________________