I GIVE MY PERMISSION FOR____________________________ TO PARTICIPATE IN THE HAVE A HEART HORSE RESCUE PROGRAM. THIS CONSENT FORM IS TO RELEASE HAVE A HEART HORSE RESCUE AND ANIMAL PROTECTION AGENCY INC., SHEILA HORTON (AS AN INDIVIDUAL AND FOUNDER OF H.A.H.H.R.A.P.A.I.) AND ANY PROPERTY OWNERS THAT HOUSE HAVE A HEARTS ANIMALS FROM ANY AND ALL LIABILITY FROM INJURY OR DEATH THAT MAY BE CAUSED BY A HORSE(S) OR ANY OTHER ANIMAL WHILE VOLUNTEERING FOR OR VISITING HAVE A HEART HORSE RESCUE AND ANIMAL PROTECTION AGENCY INC. I UNDERSTAND THAT HAVE A HEART HORSE RESCUE AND ANIMAL PROTECTION AGENCY INC. IS A HORSE AND ANIMAL RESCUE AND THAT THESE ANIMALS COME TO US WITHOUT TRAINING AND EVEN TRAINED THEY CAN BE, AND SOMETIMES ARE, DANGEROUS. I TAKE FULL RESPONSIBILITY FOR ANY AND ALL ACCIDENTS THAT MAY HAPPEN TO MYSELF OR MY CHILD(REN) WHILE AT ANY OF HAVE A HEARTS SITES OR FUNCTIONS. THIS FORM MUST BE NOTARIZED.
______________________________________
PARENT OR GUARDIAN
______________________________________
DATE
______________________________________
ADDRESS
_______________________________________
CITY STATE ZIP CODE
_____________________________________
NOTARY