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CONSENT FORM

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.

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PARENT OR GUARDIAN

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DATE

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ADDRESS

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CITY STATE ZIP CODE

 

 

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                                                                                         NOTARY

 

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