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.
----------------------------------------------------------------------------------------------------------
Clip and Send
section
below ~
Keep the
top for
reference!
Date
of arrival
|
Date of departure |
Total
nights |
|
Campsite
#1
|
Campsite
#2 |
____
Outdoor
Paddocks |
|
|
Trailer
/ size_______ |
Trailer
/ size_______ |
_____#
Horses |
|
|
Well mannered dogs |
____Dog [s] @ $10.00/night |
|
$______ |
|
Studio
Rental |
____Extra
guests |
____
Stalls |
$_____ |
|
$__________ |
$__________ |
$__________ |
|
|
Name__________________________________________ |
|
|
|
|
|
|
|
|
| Telephone ________________________________ |
|
|
|
|
Credit card #_______________________________
Type ________Exp Date______ Security code_____ |
|
$________ |
|
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!
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Memory
Lane Vacations
551
South Main St
Andover
ME 04216
207-392-2381
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.
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.