Professional Documents
Culture Documents
DOLLAMOR FARM
325 Flowing Well Road
Wagener, South Carolina 29164
803 507 7500
dollamorfarm@gmail.com
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HORSE INFORMATION
Registered Name
Barn Name
Breed
Age
Color
Height
Sex
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VETERINARY/FARRIER SERVICES
Owner is responsible for payment of all veterinary and farrier care directly to the service provider and shall be
invoiced directly by the practitioner. In the event that Owner agrees to use the services of the veterinarian and
farrier used by Dollamor, then Dollamor agrees to schedule and hold the Horse for all routine farrier appointments
and routine veterinary appointments (including twice annual vaccinations and annual Coggins examinations). In the
event that Owner wishes to use a farrier or veterinarian other than Dollamor s normal service providers, Owner
shall be responsible for scheduling such appointments and being present to hold the Horse for such practitioners. In
the event of sickness or injury to the Horse, Dollamor will make every attempt to contact the Owner. If unable to
contact the owner in a reasonable period of time, Dollamor has the right to arrange care on behalf of the Owner, and
at the Owners expense. In addition, if Owner has specified a veterinarian other than Dollamors normal service
provider, Dollamor shall make best faith efforts to contact the Owners preferred veterinarian. In the event that
Dollamor is unable to make contact with the Owners preferred veterinarian, in the event of an emergency, Owner
authorizes Dollamor to use its reasonable discretion to obtain alternate veterinary service and Owner agrees that it
shall be responsible for all such charges.
Owner hereby selects:
_____ Use Dollamors standard veterinarian and farrier.
______ Use the following veterinarian:
Name:
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Main Phone Number:
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Emergency Phone:
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______ Use the following farrier:
Name:
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Main Phone Number:
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Horses must be free from infectious, contagious or transmissible disease. Owner must provide a current negative
Coggins test, Health Certificate, as well as worming and immunization records prior to boarding with Dollamor.
RISK OF LOSS. During the time that the Horse is in the custody of Dollamor, Dollamor shall not be liable for any
sickness, disease, theft, death or injury which may be suffered by the Horse. Owner fully understands and hereby
acknowledges that Dollamor does not carry any insurance on any Horse(s), and that all risks relating to boarding of
Horse, or for any other reason, are to be borne by Owner.
HOLD HARMLESS. Owner agrees to hold Dollamor harmless from any and all claims, damages, causes of action
or other liability resulting from damage or injury caused by said Horse, the Owner or his guests and invitees, but not
limited to, legal fees and/or expenses incurred by Dollamor in defense of such claims. In addition, Owner agrees to
indemnify, defend and hold harmless Dollamor from and against any and all claims brought against Dollamor due to
the acts or omissions of said Horse, the Owner or his guests and invitees. For purposes hereof, the term Dollamor
includes the members, managers, employees and subcontractors of Dollamor.
STABLE RULES. Dollamor may, from time-to-time, promulgate rules governing behavior while on the
premises. Owner agrees he/she and his/her guests and invitees will be bound and abide by these rules, and accepts
responsibility for the conduct of his/her guests and invitees according to these rules. Dollamor may revise these
rules from time to time and Owner agrees any revision shall have the same force and effect as current rules. Failure,
as determined in Dollamors sole discretion, of Owner or Owners guests and invitees to abide by the rules may
result in Dollamor declaring Owner in default hereunder and result in termination of this Agreement.
LIMITATION OF LIABILITY. PURSUANT TO S.C. CODE ANNOTATED SECTION 47-9-720, AN
EQUINE ACTIVITY SPONSOR OR AN EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY
TO OR THE DEATH OF A PARTICIPANT RESULTING FROM AN INHERENT RISK OF EQUINE
ACTIVITY, AND NO PARTICIPANT OR PARTICIPANTS REPRESENTATIVE MAY MAKE A CLAIM
AGAINST, MAINTAIN AN ACTION AGAINST, OR RECOVER FROM AN EQUINE ACTIVITY
SPONSOR, OR AN EQUINE PROFESSIONAL, FOR INJURY, LOSS, DAMAGE, OR DEATH OF THE
PARTICIPANT RESULTING FROM AN INHERENT RISK OF EQUINE ACTIVITY.
Owners Initials _____
FACILITY USE. The facilities are solely for the use of the Owner, his/her family and guests. Owner shall be held
responsible for the conduct of his/her family and guests while at the facilities and Dollamor reserves the right to
refuse admittance or direct anyone to leave the premises whose conduct is dangerous and/or objectionable, which
determination shall be made in Dollamors sole discretion. In addition, no Horse may be ridden by anyone other
than Owner unless and until such person has signed a Release form.
EXERCISE. The Owner shall be solely responsible for the exercise of its Horse(s) unless other arrangements are
made with Dollamor.
EQUIPMENT/SUPPLEMENTS. The Owner must provide a halter and lead rope, as well as any blankets or other
equipment which Owner desires to be placed on Owners Horse(s). The Owner shall also provide any and all
grooming equipment as well as other equipment to be used in connection with the exercise of said Horse. The
Owner shall also be responsible for supplying (and thereafter maintaining an adequate supply) at Owners sole cost
and expense of any supplements that Owner desires be given to the Horse.
I have read, understood and agree to all of the above.
Signature:
Print Name:
Date:
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