Off of old hwy 58

27702 Waterman Street Barstow CA 92311

(760) 256- 3671 Cell (760) 475- 2521 Cell (760)885-0978

Date_____________

Owners Name____________________________

Address_________________________________

Phone: (H)________________ (cell)________________

Welcome to the Barstow Horse Motel. Please sign in and pay. We at the Barstow Horse Motel welcome you and your Horse. Please fill out and sign this Release of Liability form. While you or horse (s) are here; We at the Barstow Horse Motel are no way libel for any injury to you or your horse (s). If you choose to leave your trailer (s) you are responsible for them.

Prices are as follows.

$20.00 Per horse per night.

$20.00 with electric per night.

$2.00 per flake or hay.

We accept cash or check made payable to Candy Brown.

And Thank You for staying at The Barstow Horse Motel

Please sign and list below; any other persons in your party.

________________________________ Date of departure:____________________________

sign ________________________________________________________________________