To make a reservation, complete the
form below and mail with your check made payable to "Sonya Sokolow" to
For questions, contact Sonya by email: firstname.lastname@example.org or
call her before 9:00 am any day at 831-423-1417.
Rider Phone Number and Email Address
Number of Horses ___________ Number of
Riders ______________ Number of Auditors ______________
Do you want a
[ ] No.
Enclose a check payable to "Sonya Sokolow" and mail to Sonya Sokolow,
301 Highview Court, Santa Cruz, CA 95060.
WAIVER, RELEASE AND INDEMNITY
The undersigned individual does hereby voluntarily and forever release
and discharge the Released Parties (as described below) from any and
all claims, actins, and/or liability of any type or kind (including,
but not limnited to, damages for personal injury) that the Undersigned
at any time may have or sustain as a result of participating in the
Event and/or in any way receiving goods, services, instruction in any
way or anything else connected with the Event or the premises on which
it is held. The Undersigned fully understands, acknowledges and
agrees that by participating in the Event there is a possibility of
accidental or other physical injury. Nonetheless, the undersigned
further agrees to assume the risk of personal injury, and any and all
other risk or any loss or injury of any type or kind whatsoever,
including loss of use and any other indirect or consequential damages
which the undersigned may suffer, resulting directly or indirectly,
wholly or in part, from the Event, and further agrees to indemnify and
hold harmless the Released Parties from any and all loss, cost or
expense suffered, and claims, demands, actions, damages and judgments
of any nature asserted against the Releaased Parties as a result of the
Undersigned's participation in the Event. The Released Parties
are Sonya Sokolow, her family and employees and agents, and the owners
of the premises on which the Event is held.
The undersigned individual does hereby irrevocably grant to the
Released Parties, as additional consideration for being allowed to
participate in the Event, a royalty-free license to use my images as
recorded by video or still photography of the Event in any lawful
manner, including but not limited to television broadcast or
distribution on DVD disks.
If any provision of this Waiver, Release and Indemnity Agreement is
found invalid or unenforeable by a court of competent jurisdiction, the
remaining provisions shall not be affected thereby and shall be
enforced to the extent permitted by law. IMPORTANT:
PARTICIPANTS UNDER AGE 18 CANNOT SIGN THIS FORM; ONLY THEIR PARENT OR
LEGAL GUARDIAN MAY SIGN ON THEIR BEHALF. A SEPARATE
FORM MUST BE SUBMITTED FOR EACH RIDER.
PARTICIPANT SIGNATURE AND DATE
or PARENT/GUARDIAN SIGNATURE AND DATE