I,                                                                   wish to have my alpaca(s) shorn.

            1) _________________________________

            2) _________________________________

            3) _________________________________

            4) _________________________________

           5) __________________________________

 I further agree to accept all risks of injury or death that may result from the shearing of the above named alpacas. Cindy or Curt Vars of Autumn Hill Alpacas will not be held liable for any such incidences that may occur during the normal practice of shearing.

        Signature ____________________________

        Signature ____________________________

        Signed this date of ______________, 20 ___.

Cindy and Curt Vars- Autumn Hill Alpacas

3763 Barrett Rd. Andover, NY 14806

phone 607-478-5254;  cell 716-353-2963

www.autumnhillalpacas.com   email  ahalpacas@frontiernet.net