Equestrian Helmet Liability Waiver Form
Complete this form to acknowledge and accept the terms of the Equestrian Helmet Liability Waiver. Please read carefully and provide your details below.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you the participant or a legal guardian signing for a minor?
*
I am the participant
I am a legal guardian signing for a minor
Please select your experience level in equestrian activities:
*
Beginner
Intermediate
Advanced
Have you been provided with a properly fitted equestrian helmet for this activity?
*
Yes, I have received and will wear a provided helmet
Yes, I am using my own helmet
No, I decline to wear a helmet (not recommended)
Signature
*
Submit Waiver
Submit Waiver
Should be Empty: