Memory Lane Vacations
551 South Main Street
Andover ME 04216
207-392-2381

Please complete these forms & return with your deposit by Check or Money Order to the address above.  We ask a deposit of 35% of the total fee to hold your spot at Memory Lane & balance paid 1 week prior to arrival.
 
Deposits are non-refundable.  Sorry ~ no refunds for early departure. 
Minimum 2 night stay. 
Cancellations by phone ~ live ~ NO messages PLEASE. 
Notice**We ask that one person be in charge of the reservation, 
collecting money and paying the deposit and the balance.
Notice** Balance due 1 week prior to arrival by check or credit card.
Thank you!  
Total fees for the original number of persons on the reservation will be charged.
  You will need to send proof of current negative coggins test (3 yrs in Maine, 1 year if from out of the state) EHV-1 shot and rabies certificates on all horses along with this reservation form. Please bring the originals with you for our inspection. In addition we ask you to sign the liability release form attached. This is our standard boarding agreement and also a hold harmless agreement for all landowners that the trail system crosses. 
Memory Lane Vacations requires proof of vaccination for EHV-1 or current health certificate
  Check in 4:00 PM ~ Check out Noon.  
Be sure to bring feed and buckets, firewood if you want a campfire.
Well mannered dogs allowed, please call first! Small additional fee.
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Clip and Send section below ~ Keep the top for reference!

Date of arrival
____-____-_______

Date of departure
____-_____-_______

Total nights
________

 

Campsite #1
$20.00 night

Campsite #2
$20.00 night

____ Outdoor Paddocks
(Maximum 2 per paddock)

 

  $_______

Trailer / size_______
or Camper / size______

Trailer / size_______
or Camper / size______

_____# Horses
@$10.00ea/night  

       

Well mannered dogs
with prior approval


____Dog [s] @ $10.00/night 

 

 $______        

Studio Rental
$85.00per night double

____Extra guests
@ $15.00 ea/night

 ____ Stalls  
@ $10.00ea/night

$_____

$__________

 $__________

 $__________

 

 

Name__________________________________________


7% Tax on campsite
or Studio only [not horse or dogs]


$________


Address________________________________________

Town_____________________  State____ Zip_________
 



Total



$________

Telephone ________________________________


35% Deposit


$_________

Credit card #_______________________________

Type ________Exp Date______ Security code_____


Balance Due 1 week before arrival

 

$________

 

 

 

 

 

 

 

 

 

 

 



Please send signed liability form and copies of horse's papers with this reservation, Thank You!
Phone us with your credit card information to instantly guarantee your reservation date!


 

 

 

Memory Lane Vacations
551 South Main St
Andover ME 04216
207-392-2381

  Liability Release & Temporary Board Agreement

1. I (we) agree to lease a stall(s) or paddock at $10.00 per night.

2. I (we) understand and agree that I (we) will not hold the property owners responsible for any disease, illness, injury, or death to my horse(s) my friend, relatives, or acquaintances on the owners property incurred by water, electricity, snow, ice, hail, fire, building structure default, wind, act of carelessness, negligence, vandalism or misjudgment or any other act of God. In addition I have read and understand the Statute Limiting Liability for horse activities in this state. (Maine)

3. I (we) understand that the stable owners shall not be liable for any injury to the horse(s) or damage to property should the said horse escape from any enclosure or while on the property.

4. I (we) agree to hold harmless any property owner whose land we ride, lead or walk on during our stay at Memory Lane, for any injury or accident whatsoever. I (we) understand the inherent danger involved in any type of equestrian event and the nature of riding on trails that may be changed by forces of nature and/or other unknown factors. I (we) am solely responsible for determining our riding ability and safety on the aforementioned trails.

5. I (we) understand that dogs must be well mannered & contained, restitution will be paid for damages by dogs and I (we) will honor all No Smoking signs and other safety rules.

6. I (we) also will not hold the property owners liable or responsible for any injury to myself while staying on the campsite or within the studio, barn, garage or any other structure at 551 South Main Street, Andover ME. If any injury occurs I agree to be self insured and not hold Memory Lane Vacations, Deborah Cayer or Matthew Bean  or their insurance liable in any manner.  

7. I (we) agree to pay for damages to property (other than normal wear) caused by ourselves, our dog[s] or our horse(s).

By signing this I acknowledge that I have read the above release and agree to all terms as stated.
Parent(s) or Legal Guardian must sign for any children under the age of 18

Signature: _______________________________________________   Date: __________________

Parent for: _______________________________________________   Date: _________________

Signature: _______________________________________________   Date: __________________

Parent for: _______________________________________________   Date: __________________

Signature: _______________________________________________   Date: __________________

Signature: _______________________________________________   Date: __________________

Signature: _______________________________________________   Date: __________________

Signature: _______________________________________________   Date: __________________

Signature: _______________________________________________   Date: __________________

Be sure to have all participants sign this form
Additional signatures can be added to the back.