Participant Contact Information


Registration Information


Medical Release - required

I, in my capacity as (Father, mother, guardian) do hereby grant permission to La Crosse County 4-H staff or chaperones to secure emergency medical care of my son/daughter or ward if necessary and I am not able to be reached immediately.

We, the undersigned also understand that participation in activities involving horses involves known and unanticipated risks. The undersigned on behalf of him/herself, his/her heirs, successors or assigns plus the undersigned parent, parents or legal guardians of the La Crosse County 4-H member listed on this form, hereby specifically agrees to hold La Crosse County 4-H, its agent, representatives, volunteers, 4-H members, employees, and elected officials harmless from any and all liability for injury, death or property damage which may occur as a direct or indirect result of participation in this event. This release is binding on the participant, his/her heirs, successors and assigns and if the participant is a minor, this release is binding on the participants’ parent, parents or legal guardian and heirs, successors or assigns of the same.



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