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Please print off the Waiver of Liability and mail
into
Dana Wojciechowski with your $200.00 deposit.
WAIVER OF LIABILITY
I, _________________________________, upon signature, release Adriano
Moraes, Keith and Dana Wojciechowski, Wojo’s Horse Training & Arena, all
sponsors, and all stock contractors from any and all responsibilities
for injury or disabilities of any kind or nature while participating on
Horses, Mules, Bulls, or any other riding animal, before, dur-ing, or
after the Bull Riding School at Keith and Dana Wojciechowski’s residence
and Wojo’s Horse Training & Arena located at 23162 220th St, Greenbush,
MN.
_______________________________________________
Printed Name
_______________________________________________
Signature
______________________________________________
Address
______________________________________________
City, State, and Zip
______________________________________________
Emergency Contact Name and Phone #
State of
County of
SUBSCRIBED AND SWORN TO before me on this _________________day of
__________________, 2010.
By______________________________________
My commission expires:_____________________
_________________________________________, Notary Public.
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WAIVER OF LIABILITY
I, _________________________________, Parent/Guardian of
_____________________________________,
upon signature, release Adriano Moraes, Keith and Dana Wojciechowski,
Wojo’s Horse Training & Arena, all spon-sors, and all stock contractors
from any and all responsibilities for injury or disabilities of any kind
or nature while participating on Horses, Mules, Bulls, or any other
riding animal, before, during, or after the Bull Riding School at Keith
and Dana Wojciechowski’s residence and Wojo’s Horse Training & Arena
located at 23162 220th St, Green-bush, MN.
_______________________________________________
Printed Name of Parent/Guardian
_______________________________________________
Signature of Parent/Guardian
______________________________________________
Address
______________________________________________
City, State, and Zip
______________________________________________
Phone Number
State of
County of
SUBSCRIBED AND SWORN TO before me on this _________________day of
__________________, 2010.
By______________________________________
My commission expires:_____________________
_________________________________________, Notary Public.
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