Panther Creek Release of Liability Please review our Equine Release Form. Date MM slash DD slash YYYY Name of Person Filling Out Form First Last PhoneAddress Street Address City State / Province / Region ZIP / Postal Code Date of Birth MM slash DD slash YYYY Email Consent to be Emailed I would love to stay up to date on Panther Creek Events! I consent to stay informed via email.Are you the Participant?(Required) Yes No Information for Minor Child (under 18)please fill out all information for the minor child in your care or custody.Minor's Name First Last Minor's Date of Birth MM slash DD slash YYYY Is anyone else authorized to drop off or pick up your minor child from Panther Creek? If so, please list here.This field is hidden when viewing the formSection BreakPLEASE DOWNLOAD AND READ THIS WAIVER Consent(Required) I have read and I agree to the Panther Creek Equine Policy.SignaturePhoneThis field is for validation purposes and should be left unchanged. Δ