High Point Stables, LLC
2534 E. Vermontville Hwy.
Charlotte, MI 48113

Authorized Users List

I,______________________ , as the Owner of the horse(s) named _____________________ authorize the following person(s) to handle, ride, medicate, or in any way “work with” my horse(s). I understand an employee or agent’s of the Stable is automatically an authorized user to handle or medicate, but not to ride my horse(s).

Name: ______________________________________________      Date: _________________________

Phone number(s): _________________________/_________________________      Sex: _____________

Authorized for: _________________________________________________________________________

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Name: _______________________________________________      Date: _________________________

Phone number(s): _________________________/_________________________      Sex: ______________

Authorized for: _________________________________________________________________________

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Signature: _______________________________________________      Date:________________________