Part 4. TMR Liability Release Form

Part 4 of the TMR Agreement for Boarding

This form must be filled out for and/or by all persons involved in Equestrian Activities at Table Mountain Ranch, Inc. (AKA TMR) prior to beginning of such activities.
TMR Liability Release Form

This form must be filled out by an adult (18 years or older).
WARNING: This is a legal document. Please read the form carefully and fill out the information truthfully and to the best of your knowledge. If, in reviewing this form, management finds or suspects any descrepancies or false statements in the information provided, your form may be discarded and you'll be asked to fill it out again. You may not participate in ANY equestrian activities at Table Mountain Ranch without properly filling out this Liability Release Form.

Please KEEP the confirmation email you recieve on completion of the form for future reference and for editing purposes.
DO YOU HAVE CHILDREN THAT ARE RIDING OR TAKING LESSONS AT TMR?
CHECK THE APPROPRIATE BOX BELOW.

IF YOU ARE THE PARENT/LEGAL GUARDIAN OF A CHILD OR CHILDREN RIDING OR TAKING LESSONS AT TMR, CHECK BOX A. Add their names below in the LIST YOUR MINOR CHILDREN section of this form. You cannot be a neighbor, caretaker or other relative to fill out this form for them. This form is valid for the adult and children listed herein.

IF YOU ARE AN ADULT, SIGNING FOR YOURSELF, CHECK BOX B.
Adult's Contact Information
Name

First NameLast Name
Email
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Name
First & Last
Emergency Contact Phone Number:

Area CodePhone Number
Choose the options which best describe you.

Other
List Your Minor Children
I am the parent/legal guardian for the following minor children involved in equestrian activities at TMR. CHILDREN 17 & UNDER MUST WEAR A PROPERLY FITTED ASTM/SEI APPROVED HELMET. No one under 18 years of age may jump a horse without the supervision of an approved jumping instructor, or parental supervision approved in writing by management prior to the commencement of any said activities. You must hit the SAVE/ADD ANOTHER button after typing your child's name and DOB in the boxes.
ARE YOU HERE TO VISIT A BOARDER, LEASE A HORSE OR LOOK AT A HORSE TO PURCHASE?
Name of person you are visiting (i.e. a boarder or student. DO NOT list your MINOR CHILDREN HERE)
Name of horse you are leasing
Name of horse you are interested in purchasing, if applicable.
I am in training and/or lessons with
General Liability Waiver & Agreement

You must be 18 or older at time of signing.
INHERENT RISK LIABILITY WAIVER

I recognize that there is a significant element of risk in horseback riding, equine and any other outdoor activity including serious bodily injury or death. In consideration of being permitted to access and use of the facilities and grounds known as Table Mountain Ranch, Inc., for any purpose including, but not limited to, boarding, lessons (for myself or any family members), attending horse shows, participating in any activities, involving equines or otherwise at Table Mountain Ranch (collectively, “Barn Activities”), I acknowledge, appreciate, and agree that I, my heirs, successors, and assigns, do hereby fully and forever release and discharge the said Table Mountain Ranch, Inc. expressively, its owners, officials, officers, directors, agents, and employees, (hereafter collectively known as Management) from any and all claims and demands, actions and causes of action, damages, cost, loss of services and expenses. Also, any and all claims of damages whatsoever, whether arising from negligence or not on account of, or in any way resulting from personal injuries, conscious suffering, death, or property damage sustained by me, arising out of my participation in any recreational activities associated with Table Mountain Ranch, Inc. including without limitation, any such injuries or death resulting from the hazards of traveling in mountainous terrain, accidents, or illness in remote places without medical facilities, unpredictable reactions of animals (which may occur regardless of previous behavior or training due to instinct, fright, or other reasons), the forces of nature, creeks, bridges, traveled roads, wild or domestic animals, stumps, forest growth, debris, rocks, cliffs, and other obstacles, whether they are obvious or not obvious, man-made or natural. In consideration of the foregoing premises, I hereby expressively stipulate, covenant and agree to hold forever harmless Table Mountain Ranch, Inc. and the said Management from any and all other claims or losses and any and all claims from damages whatsoever which may hereafter arise from my negligence, willful or wanton or intentional acts or actions, or failure to act. I understand the potential dangers that I could incur in mounting, dismounting, riding, leading, grooming or any other interaction with said horse. These potential dangers may apply to any horse, regardless of age, size, level of training, disposition or ownership.
ACKNOWLEDGEMENT OF POSSIBLE EXPOSURE TO COVID-19 AND/OR OTHER DISEASE

I further recognize that the participation in one or more Barn Activities by myself, my family members and/or any guests who accompany me (collectively the “Permitted Parties”), may (i) result in my exposure to the COVID 19 virus and/or any other infectious virus or bacterial infection (collectively, the “Disease”) through direct and/or indirect contact or exposure to other persons permitted access to Table Mountain Ranch or (ii) in the event of an accident or other event that may necessitate medical attention to me or any of the Permitted Parties (either in a hospital or other medical setting) may result in my exposure to the Disease as a result of such necessary medical attention. Notwithstanding anything to the contrary contained herein, and to the full extent allowed by applicable statutes and regulations, I on behalf of myself and any of the Permitted Parties, and our respective heirs, successors, and assigns, do hereby expressively stipulate, covenant and agree to hold forever harmless Table Mountain Ranch, Inc. and the said Management from any and all claims or losses or any and all claims from damages whatsoever, including, but not limited to, any and all claims for medical expenses, any resulting disabilities or ongoing medical conditions, and/or death, which may hereafter arise from any and all exposure to the Disease as a result of the participation in any Barn Activities. I hereby expressly acknowledge that I am aware of and understand the potential dangers that could result from any exposure to the Disease resulting from the participation in Barn Activities by myself and or any of the Permitted Parties.
AGREEMENT TO COMPLY WITH BARN RULES AND REGULATIONS

I further acknowledge and agree that I will comply with the rules and regulations which have been established by Table Mountain Ranch, Inc. for participation in Barn Activities, including, but not limited to, any rules and regulations relating to safe practices for exposure to any Disease, and I further acknowledge and agree that in the event of that I (or any of the Permitted Parties) fail to comply with such rules and regulations, Table Mountain Ranch, Inc. reserves the right to terminate my ability (or the ability of any of the Permitted Parties) to participate in Barn Activities, in Table Mountain Ranch, Inc.’s sole discretion.
RECOMMENDATION AND WAIVER USE OF ASTM/SEI APPROVED PROTECTIVE HEADGEAR

Table Mountain Ranch, Inc. and its Management recommend the use of a properly fitting ASTM/SEI approved equestrian helmet for all individuals participating in horseback riding activities. No riders participating in any jumping activities may ride without an approved ASTM/SEI helmet.I understand the additional safety an ASTM/SEI approved equestrian riding helmet provides. I understand that riding without an appropriate helmet increases the risk of injury in the event of an accident. If I choose for myself to ride without an ASTM/SEI approved riding helmet, I assume full responsibility for that decision.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Math Challenge
Signature
Tag
Add a Face/Family Photo to Your Name
Or Upload Your Favorite Selfie/Family Photo Here
Should be Empty:

Part 4 of the TMR Agreement for Boarding

TMR Liability Release Form

Adult's Contact Information

List Your Minor Children

General Liability Waiver & Agreement