$45.00 Tuition + curriculum fee due with this form
make checks payable to:
Flying G Ranch
mail to: 2759 Patrick Rd..Waxahachie, TX. 75167
The Flying “G” Ranch will email a confirmation upon receipt of registration
Name:________________________________________________________________
Address:______________________________________________________________
City:_____________________________________ Zip:______________________
Phone:___________________________________________________________
Camper’s Age:________ DOB ___/___/___ M / F
IMPORTANT! Please list an e-mail address where we can send your confirmation code:
________________________________________________
If you do not have an e-mail address, your confirmation code will be sent via US mail.
Please turn in reg. form early to provide time for mail travel.
Medical and liability release:
I, the undersigned, am the parent or guardian having control or custody of the above
named child. I grant my child permission to attend The Flying “G” Ranch. I certify that
my child is physically and mentally fit for all camp and equestrian activities and will obey
all camp staff and rules. I grant my permission in case of injury, accident or illness for my
child to be treated by any licensed physician or member of camp staff and agree to pay
for all such treatment. further,
I RELEASE THE FLYING “G” RANCH, ITS OWNERS, DIRECTORS, EMPLOYEES
AND VOLUNTEERS FROM ANY RESPONSIBILITY, LIABILITY, DAMAGES,
ACCIDENT, OR ILLNESS INCURRED BY MY CHILD, ARISING FROM OR RELATED
TO MY CHILD’S PARTICIPATION IN ANY ACTIVITY AT OR CONNECTED WITH THE
FLYING “G” RANCH.
UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE) AN
EQUINE PROFESSIONAL IS NOT LIABLE FOR THE INJURY TO OR THE DEATH OF
A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS
OF EQUINE ACTIVITIES.
X___________________________________________________________________
signature of parent or guardian Date
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