Rose Ranch Liability Waiver
11162 S. Redwood Rd., South Jordan, UT 84095
With full understanding of the inherent risks involved in equine activity, I, the undersigned, agree to waive, release and hold harmless Rose Ranch and all associated personnel from all tort and civil liability arising from or relating to participation in any equine activity, which may result in death, disability, personal injury, property damage, and the like. I indemnify, hold harmless, and solemnly swear not to sue Rose Ranch as result of any and all liabilities, suits, costs, or claims made as a result of participation in these activities.
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Yes
I hereby release, hold harmless and indemnify Rose Ranch from any and all liability for damage to person or property that may be sustained from use of Rose Ranch property and facilities.
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Yes
I acknowledge the use of the facilities and property for equine purposes involves risks, as horses are unpredictable by nature. I assume risks for myself, my guests, and anyone for whom I am responsible, including spectators. This "Release and Hold Harmless Contract" applies to all those in my care.
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Yes
I hereby give my consent for any medical persons to perform emergency medical care, which may be deemed advisable in the event of injury, accident, and/or illness during this activity. I agree to pay any accrued medical bills. I give permission for Rose Ranch personnel to transport persons, should they become injured, to the nearest medical facility to receive emergency care.
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Yes
I release Barbara Wicks, Allison Wicks, and/or any Rose Ranch trainer from liability and waive any claim I might have against said trainer due to personal injury or property damage arising from equine activities.
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Yes
I understand and freely and voluntarily enter into this "Release and Hold Harmless Contract" with Rose Ranch and all associated personnel including, but not limited to the proprietors, and/or their directors, officers, employees, volunteers, representatives, agents, and independent contractors.
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Yes
Signature
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I have read and will comply with the "Release and Hold Harmless Contract."
Signature of Guardian if Rider is Under 18
I have read and will comply with the "Release and Hold Harmless Contract."
Cancellation Policy
We require a 24-hour notice for cancellation as a courtesy to other riders who may be waiting for appointments. We understand that conflicts may arise, and we will be happy to reschedule your appointment for a time that is more convenient. However, if you are a no show more than once, without notice, we reserve the right to bill you for that appointment.
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I have read and will comply with the "Cancellation Policy."
Social Media Consent
I give Rose Ranch permission to take photographs and/or videos of my child for the purpose of posting on Rose Ranch’s Social Media Platforms, including, but not limited to, Facebook, YouTube, Instagram, Twitter, and the Rose Ranch website. I hereby release and discharge Rose Ranch from any and all claims arising from use of the photos and/or videos.
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Yes
No
I give permission to use my child’s name as printed below when posting to social media.
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Yes
No
Rider's Name
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First Name
Last Name
Rider's Age
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Rider's Birth Date
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Month
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Day
Year
Date
Guardian's Name
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First Name
Last Name
Phone Number
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Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact 1
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First Name
Last Name
Relationship
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parent, grandparent, family friend, guardian, etc.
Phone Number
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Emergency Contact 2
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First Name
Last Name
Relationship
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parent, grandparent, family friend, guardian, etc.
Phone Number
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Submit
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