Liability, Confidentiality, Photo Consent

Winslow Therapeutic Riding Center
1433 State Route 17A Warwick, NY 10990
Phone: (845) 986-6686

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* Today's Date

Date
Liability Release

I would like to participate as a volunteer at Winslow Therapeutic Center.  I acknowledge the risks of working with horses, and horseback riding.  However, I feel that the possible benefits to myself are greater than the risks assumed.  I hereby (for myself, my heirs and assigns, executors, or administrators) waive and release forever all claims for damages against Winslow Therapeutic Riding Unlimited, Inc., Winslow Therapeutic Center, its Board of Directors, Instructors, Therapists, Aides, Volunteers, and/or employees, for any and all injuries and losses I may sustain while participating in Winslow programs or events.

Question Title

* Liability Release Acknowledgement (by entering your full name in the box below as your legal signature, you are legally bound to the contents and statements within this document)

Confidentiality Agreement

I agree to respect and observe privacy and confidentiality of the participants, volunteers and personnel of Winslow Therapeutic Riding Center and not to discuss or disclose any sensitive information about any person or their family.

Question Title

* Confidentiality Agreement Acknowledgement (by entering your full name below as your legal signature, you are legally bound to the contents and statements within this document)

Photo Release

Please indicate below whether or not you authorize the use and reproduction by Winslow of any and all photographs and any other audiovisual materials taken of me for promotional printed material, educational activities, and exhibitions or for any other use for the benefit of the program.

Question Title

* Consent for Photos

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