Frontier Pack Train

P.O. Box 656    June Lake, California 93529

(760) 873-7971-Winter         (760) 648-7701 – Summer

 

SAFETY HAT REFUSAL STATEMENT

I, FOR MYSELF AND ON BEHALF OF MY CHILDREN OR LEGAL WARDS, HAVE BEEN ADVISED BY____________________________OF Frontier Pack Train TO WEAR A SAFETY HAT WHILE MOUNTING, RIDING AND DISMOUNTING THEIR HORSES, SO AS TO PREVENT HORSE RELATED HEAD INJURIES. BY SIGNING MY SIGNATURE BELOW I HEREBY REFUSE TO WEAR A SAFETY HAT.

SIGNED ________________________________

DATE ___________________

ON BEHALF OF THE FOLLOWING CHILDREN AND/OR LEGAL WARDS:

1. ______________________________

2._______________________________

3. ______________________________

4. ______________________________

5._______________________________

6. ______________________________

 

 

1.

 

 

 

 

1.