Forms

Consent Form

Horseback riding can be dangerous!

I hereby give my son/daughter permission to attend Inner City Slickers to be held on ___________________at __________________ . I understand that the group will participate in the Inner City Slickers Program and will be under the supervision of facilitators, staff members and volunteers of The Awareness Foundation. I agree to relieve the OWNERS of the ranch, The Awareness Foundation and any of its officers, agents and employees, from any liability in connection with the Ranch activities, including but not limited to HORSEBACK RIDING, ROCK CLIMBING or any other activity of The Awareness Foundation. In case of sickness or accident, I further give my consent to The Awareness Foundation to secure, at my expense, such medical attention for my child as may be deemed necessary. I give the Awareness Foundation permission and full right and authority to reproduce my child's likeness in whole or in part, and to use these for any purpose related to promoting future Inner City Slicker weekends, or other Awareness Foundation activities.

CONSENT FORMS AND DONATIONS MUST BE RECIEVED 2 WEEKS PRIOR
TO YOUR VISIT TO AVOID CANCELLATION/RESCHEDULING.

Name of Parent/Legal Guardian___________________________________ Date ________________
(Please Print)

Signature Parent/Legal Guardian __________________________________

Address ___________________________________

Phone Number E Mail ______________________________________

School Presently Attending/Grade_______________________________________

Phone Number where Parent/Guardian can be
reached on the day(s) of the event. _________________________________

Child's Special Talent?_________________________________________

Medical Insurance Information_________________________________

Please bring the Concent Form with the signature of legal guardian to the event. No child will be able
to participate without this document.