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

Release Form

Under the Michigan Equine Liability Act, an equine professional may not be liable for an injury to or the death of a participant in an equine activity.  The undersigned does hereby acknowledge that horseback riding is inherently dangerous and agrees to hold blameless High Point Stables, LLC, it’s owners, employees, agents, and landlords including Lindsey VanderLaan, Jason VanderLaan, Casey Flietstra, Pat Flietstra, Andria Carpenter, and any other affiliates or representatives from any and all liability for death, personal injury of any type, and loss to personal equipment or property.  This release shall also constitute a release of any and all liability beyond the provisions of the Michigan Equine Liability Act [1994 PA 351] to High Point Stables, LLC, its owners, employees, agents, and landlords.

Printed Name: ___________________________________________________      DOB: __________________________

Signature: _______________________________________________________      Date: __________________________

If minor, parent or court appointed guardian signature: ________________________________________________________