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Get Name Address City Cell Phone Date Of Birth Volunteer Position Desired In Case Of Emergency, Please

T: Name: Phone: Relationship: 20262 Cypress Street, Newport Beach, Ca 92660 949-474-7329 www.backbaytrc.org RELEASE AND HOLD HARMLESS AGREEMENT The program at the BACK BAY THERAPEUTIC RIDING CLUB, INC., provides therapeutic horseback riding for disabled children and adults. Volunteers and horses are carefully selected and trained and safety equipment is required for all riders since horseback riding is a risk exercise. No student will be accepted for riding instruction and no volunteer accep.

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