Equine Medical Release
DREAMCATCHER RANCH
8434 Grizzly Flat Road
Somerset, CA. 95684
(530) 642-0322
EQUINE MEDICAL RELEASE
The undersigned hereby releases owners of Dreamcatcher Ranch of all liability for any injury, sickness, death, or theft suffered by my horse or any other cause of action arising from or connecting to the temporary boarding of my horse during camp program with my daughter. I will assume all veterinarian or emergency medical expenses that may happen while my horse named _______________________is in the care of owners at Dreamcatcher Ranch.
I do understand the inherent risks and high costs that may occur if my horse was to become ill or injured and possibly need immediate medical treatment. If emergency treatment is needed, the owners of Dreamcatcher Ranch will attempt to contact the Owner but in the event Owner is not reached, Dreamcatcher Ranch has the authority to secure emergency veterinary and/or Farrier care. In consideration, therefore, I release the owners of Dreamcatcher Ranch to make such decisions in the best interest of my horse. I agree to a limit of $_______ for any emergency treatment to be administered if I am unable to be contacted at the time of medical care.
Immunization Record:
Eastern/Western Encephalomyelitis_________________________
Rhinopneumonitis-Influenza Vaccine________________________
Tetanus Toxoid __________________________
West Nile Virus________________and_____________________
Strangles Vaccine ______________________
Last date of worming: _______________________
Last date of feet care: _______________________
Type of training or regular use ________________________________________
Date of purchase __________________________lease?_________________
Breed ______________________Sex___________Age___________________
Owner signature_____________________________________Date________________
Address________________________________________________________________Phone #____________________________________
Emergency #________________________________
Current Veterinarian_______________________Phone#___________________