I, *

(Buyer)

First Name

Last Name

I release PenMar Equine, LLC and Dr. Moira Nusbaum (Myers), Dr. Loomer, or Dr. Sams, from any liability related to the outcome of the exam, especially in the event the horse is purchased. I acknowledge that all attempts will be made on the behalf of Dr. Nusbaum, Dr. Loomer, or Dr.Sams to make all information available regarding the health of the horse, but it is up to the owner of the horse to provide the buyer with a detailed history of the animal. *

First Name

Last Name

Date of Signature *

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YYYY

Address

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Address 2

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