Hair Color_____________ Eye Color______________
Social Security Number________-______-________
Date of Birth___________________
Sex (circle one): M or F
Are you (circle one): Married / Single
Do you have Children? (circle one):
Y or N
Do you require a special diet?__________
If Yes, Explain__________________________________
List all Physical Handicaps or Health
List all Horse Experience:_____________________________________________________________
List any Camping Experience:_________________________________________________________
Which Personalized Wrangler
you like to attend (circle one):
/ February / March / May / August / September / October
/ November / December
CREEK OUTFITTERS RESERVES THE RIGHT TO ALTER OR CHANGE
THE CURRICULUM AS NEEDED
I (name) _________________________________________apply for enrollment in
the BLISS CREEK PROFESSIONAL PERSONALIZED WRANGLER SCHOOL.
I have enclosed a deposit of $3,100.00 for the 4 week class and the enrollment
application. I understand that this deposit is non-refundable should
I cancel. I agree
to pay the balance of $3,100.00 thirty
(30) days before the class is scheduled to begin. I also understand that
riding horses, packing, shoeing
and traveling in wilderness country and on the Ranch involves some risks.
Bliss Creek Outfitters and Rusty Sanderson assume no liability or responsibility
for personal belongings or injury. I hereby waive all claims for damage
or loss to my person or property which may be caused by an act or failure
to act of Bliss Creek Outfitters, Rusty Sanderson, or their employees or “Associates”,
and further covenants not to sue, institute any action of suit law or
equity against Bliss Creek Outfitters, Rusty Sanderson or their employees or “Associates”.
This agreement is subject to the laws of the State of Wyoming. Any dispute
arising out of this contract shall be arbitrated under the laws of the
State of Wyoming and arbitrated in Park County.
read and understand all of the above terms, policies
and conditions and that this application, when signed
by me and acknowledged in writing by the school shall
be considered: AN ENROLLMENT CONTRACT.
Student Signature_________________________________ Date_________________
Guarantor’s Signature______________________________ Date_________________
Phone________________________ Cell Phone____________________
It is the policy of Bliss Creek Outfitters that once an application has been
made, a deposit sent and the student has been accepted by the school, the
DEPOSIT AND TUITION FEES ARE NON-REFUNDABLE. The school will, however,
accept a replacement
student in the event you cancel, and if a replacement is found, either through
your efforts or the school’s, the school will transfer your deposit
to a class the following year. It is also the policy of Bliss Creek Outfitters
that there is NO REFUND OF DEPOSITS OR
TUITION FEES if a student withdraws from the school, for any reason, prior
to completion of the course.
MONEY ORDERS OR BANK CHECKS. NO PERSONAL CHECKS WILL
BE ACCEPTED FOR THE FINAL PAYMENT UNLESS BALANCE IS
PAID TWO (2) MONTHS BEFORE CLASS BEGINS.
ALCOHOL & DRUGS
Consumption of alcoholic beverages, or the use of any drugs not prescribed
by a medical physician at any time will be grounds for immediate expulsion
from the school. Students using prescribed drugs from a physician should
notify the school administrator at the time of orientation.
ENCLOSE PHOTO WITH APPLICATION