PLEASE NOTE: SUBMITTING YOUR RELEASE FORMS DOES NOT CONSTITUTE A LESSON BOOKING. YOUR BOOKING IS NOT COMPLETE UNTIL PAID.

    Lesson booking date:
    Lesson booking time:

    Note: Date and time match the date and time you selected on the product calendar. You cannot change the date or time of your reservation through this form. You will have to start over if you need to change the date.

    Do any of your lesson students have any medical issues, physical or mental conditions which may effect their ability to ride of which THIS STABLE should be aware?
    (required)

    Please contact the office at 636-225-9513 for information on requesting a waiver to get approval.
    How did you hear about Kraus Farms?

    LESSON WAIVER & ACKNOWLEDGEMENT OF MISSOURI STATUTES

    WARNING: Under Missouri law, an equine activity sponsor, an equine professional, a livestock activity sponsor, a livestock owner, a livestock facility, a livestock auction market, or any employee thereof is not liable for an injury to or the death of a participant in equine or livestock activities resulting from the inherent risks of equine or livestock activities pursuant to the Revised Statutes of Missouri. For more information contact Missouri Equine Council.

    RIDING INSTRUCTION AGREEMENT AND LIABILITY RELEASE

    By this agreement, made and entered this day of by and between
    , who resides at , hereinafter referred to as "I”, and KRAUS FARMS, INC. located at 333 Hillsboro Rd., High Ridge, MO 63049, hereinafter referred to as "THIS STABLE".

    IT IS HEREBY AGREED TO AS FOLLOWS:

    2. That in the last two years student has ridden horses (select appropriate riding experience time and write student's name):
    (required)Less than 10 hours10 to 20 hours20 hours or more
    Student’s Name: (required)


    Name of insurance company is: (required)
    Policy number is: (required)

    BILLING

    CANCELLATIONS

    FULL NAME(s) OF STUDENT RIDER(s) IF UNDER AGE OR GUARDIANSHIP.
    1. NAME:(required)
    AGE:(required)

    By signing below you:

    • Consent to receiving electronic communications from us.
    • Agree that electronic communications have the same effect as if provided to you on paper.
    • Agree that your electronic signature (via filling in your name below) in connection with agreements and other communications has the same effect as an ink signature.
    • Confirm that you are authorized to provide this consent on behalf of yourself and your minor.

    STUDENT SIGNATURE:(required) DATE: (required)
    FULL ADDRESS:(required)
    HOME PHONE: (required)
    OTHER PHONE:
    CONTACT EMAIL: (required)

    Parent/Legal Guardian signature required for all participants under the age of 18.
    PARENT/GUARDIAN SIGNATURE: (required)
     

    STUDENT EMERGENCY CONTACT CARD

    EMERGENCY CONTACT 1 NAME: (required)
    RELATIONSHIP: (required)
    HOME PHONE: (required)
    WORK PHONE:
    CELL PHONE:
    OTHER PHONE:

    EMERGENCY CONTACT 2 NAME: (required)
    RELATIONSHIP: (required)
    HOME PHONE: (required)
    WORK PHONE:
    CELL PHONE:
    OTHER PHONE:

    Insurance Company Name: (required)
    Name of Policy Holder: (required)
    Policy number is: (required)
    Employer Name: (required)
    Employer Phone #: (required)
    Hospital Preference: (required)
    Doctor Name: (required)
    Doctor Phone #: (required)

    List here the details of any allergies, ailments or handicap a student may have, and of which THIS STABLE should be aware: (required)

    PLEASE NOTE: SUBMITTING YOUR RELEASE FORMS DOES NOT CONSTITUTE A LESSON BOOKING. YOUR BOOKING IS NOT COMPLETE UNTIL PAID.