-Print Release Form-

Wheeler Ranch Release Form

I hereby release and hold harmless Wheeler Ranch/Wheeler Ranch & Feed and or any person or organization in anyway connected with an activity or activities associated with or sponsored by Wheeler Ranch; from any loss, damage, or injury resulting from participation in said activities. Further more, I assume and accept full responsibility for the risk and danger of any hurt, injury or damage to myself, my animal, my equipment, or property. Which may occur through or by reasons of matter, thing, condition, negligence of any person or persons whatsoever during these activities or any of them which is held under the direction of Wheeler Ranch.

* Helmet is recommended!!!!!

Helmet   yes   no

Name:                                                                         

Address:                                                                      

Phone:                                                                             

Emergency contact:                                        ______

E-Mail:                                                                        _

Signature:                                                         _____

Date:                  _________________________

*this is a legal and binding agreement between said party and The Wheeler Ranch

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"All your pet & livestock needs - even a few of your own"

3247 Smith Ave.  Biggs, CA  95917 |530-868-1717 |530-868-1700 Fax |530-868-1716 After Hours
Wheeler Ranch and Feed ©2006 All rights reserved