new school registration

Twin Lakes Ranch Ministries Inc.

Ron & Lorna Silvester

Box 1175 Moose Jaw, SK S6H 4P9

Phone 306-692-3210 Fax 306-692-3424

Note This registration form is for schools only. If you are wanting to register for camp click here

Registration & Release Form – Please Print

Name ______________________________________________________________________________

Address ____________________________________________________________________________

________________________________________________ Postal Code _______________________

E-Mail _____________________________________________________________________________

Phone _______________________________________ M ____ F _____

Age ____________ Birthday ________________________________________________________

Health Card # _______________________________________________________________________

Accident Insurance ____________________________________________________________________

Policy Number ______________________________________________________________________

Event Attending (check one) Office use:

Bull Riding _______

Steer Riding ______ Deposit ________________

Bull Riding _______

Barrel Racing School with Leslie Schlossar & Allie Lait _____ Balance due ___________

Barrel Racing Clinic with Kara Drake _______

WAIVER TO BE SIGNED BY A COMMISSIONER FOR OATHS OR NOTARY PUBLIC

I hereby agree to wave and release any and all claims for personal accident, injury and or loss to myself,

my family, my equipment or my animals now or in the future to Twin Lakes Ranch Ministries staff, board

and/or Ron and Lorna Silvester and family.

Declared before me at ______________________ in the province of __________________________

This __________________ day of _____________________________

Signature of a Commissioner For Oaths or Notary Public _____________________________________

My Commission expires _________________________________________

Applicant’s Signature __________________________________________

If under 18 years Both Parents/Guardians Must Sign

_____________________________________ _________________________________________

Please no alcohol or drugs