Thank you for your interest in the True Hope Therapeutic Horsemanship program!  Our program was founded in early 2018 to help humans and horses find the therapeutic benefits of horsemanship.  We do this by providing therapeutic horsemanship lessons and promoting the ethical use of equines.  True Hope Therapeutic Horsemanship is a New Hampshire tax-exempt 501(c)3 organization.

True Hope Therapeutic Horsemanship operates at activity sites in the greater Keene, NH area.  Currently our main site is at 237 Mackey Road, Troy, NH at Timber Trails Equestrian Center.  We will be opening a second activity site at 1123 River Rd, Westmoreland, NH at Merry Meadow Farm later in 2020.

True Hope Therapeutic Horsemanship lessons are conducted in 6-week sessions.  During each session, your lesson time will remain the same and on the same day each week.  Lesson time availability varies from session to session, but usually you will be able to hold your lesson time from session to session.  If a lesson is missed, make up lessons may be scheduled during the week following your 6-week session (see Participant Handbook).  True Hope Therapeutic Horsemanship offers lessons in private or semi-private (2 participants) 60-minute lessons.

For more information about our policies, please review our Participant Handbook.  If you have any questions, please do not hesitate to ask.  We can be reached at information@truehopeth.org or 603-757-2808.

Sincerely,

True Hope Therapeutic Horsemanship

63 Emerald Street; PMB # 109

Keene, NH 03431

www.truehopeth.org 

I certify the participant is physically fit, have sufficiently trained for participation in riding, and have not been advised otherwise by a qualified medical person.  I attest the participant does not have any condition or limitation that would prevent the participant from participating in riding and other equine activities. 

I certify that the answers given herein are true and complete to the best of my knowledge.

This form must be completed for each participant.

PLEASE READ CAREFULLY BEFORE SIGNING:

Under New Hampshire law, an equine activity sponsor or professional shall not be liable for any injury to, or the death of a participant in equine activities resulting from the inherent risk of equine activities (New Hampshire Stat. 508:19).

I acknowledge that riding a horse is an inherently dangerous activity and carries with it the potential for death, serious injury, and property loss. “Horse” as used herein shall refer to all equine species. “Horseback Riding” or “Riding” shall refer to riding or otherwise handling of horses, ponies, mules, or donkeys, whether from the ground or mounted. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of animals, equipment, vehicular traffic, actions of other people including, but not limited to, participants, spectators, volunteers, and/or instructors or coaches. These risks are not only inherent to participants but are also present for others present during Riding. I therefore realize that participation in Riding includes but is not limited to participating in any True Hope program or event, volunteering, and observing. I hereby assume all of the risks of participating in the Horseback Riding. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from their horses, volunteers, or employees, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

I certify that I am physically fit, have sufficiently trained for participation in Riding, and have not been advised otherwise by a qualified medical person. I attest that I do not have any condition or limitation that would prevent me from participating in Riding. It is the responsibility of the participant to carry full and complete insurance coverage on his/her horse, personal property, and him/herself.

I acknowledge that this Accident Waiver and Release of Liability form will be used by the owners of the horses, owners of the real estate, owners of the facility, or others employed by such parties, and that it will govern my actions and responsibilities at each Riding occasion.

In consideration of my application and permitting me to participate in Horseback Riding, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, Release, and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me, including my traveling to and from the Riding facility, THE FOLLOWING ENTITIES OR PERSONS:

True Hope Therapeutic Horsemanship

and any and all directors, officers, employees, volunteers, representatives, and agents, and/or sponsors of the above; (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in Riding, whether caused by the negligence of releasees or otherwise.

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness.

The Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I hereby certify that I have read this document and I understand its content.

I acknowledge that riding a horse is an inherently dangerous activity and carries with it the potential for death, serious injury, and property loss. “Horse” as used herein shall refer to all equine species.  “Horseback Riding” or “Riding” shall refer to riding or otherwise handling of horses, ponies, mules, or donkeys, whether from the ground or mounted.  The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of animals, equipment, vehicular traffic, actions of other people including, but not limited to, participants, spectators, and/or coaches. These risks are not only inherent to participants but are also present for others present during Riding.

I hereby assume all of the risks of participating in the Horseback Riding. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from their horses or employees, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.

New Hampshire Bill 793 508:19

I certify that I am physically fit, have sufficiently trained for participation in Riding, and have not been advised otherwise by a qualified medical person.

I acknowledge that this Accident Waiver and Release of Liability form will be used by the owners of the horses, owners of the real estate, owners of the facility, or others employed by such parties, and that it will govern my actions and responsibilities at each Riding occasion.

In consideration of my application and permitting me to participate in Horseback Riding, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: 

(A) Waive, Release, and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me, including my traveling to and from the Riding facility, THE FOLLOWING ENTITIES OR PERSONS:

Renee Pecor and Mike Southwell

and their directors, officers, employees, volunteers, representatives, and agents, and/or sponsors; (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in Riding, whether caused by the negligence of releasees or otherwise.  

I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness.

I understand that Horseback Riding or related activities, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by any of the releasees.

The Accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I hereby certify that I have read this document and I understand its content. 

In the event that emergency medical aid/treatment is required due to illness or injury during the process of receiving services, or while being on the property of the agency, I authorize True Hope Therapeutic Horsemanship to:

1. Secure and retain medical treatment and transportation, if needed.

2. Release client records upon request to the authorized individual or agency involved in the medical emergency treatment.

CONSENT PLAN

This authorization includes x-ray, surgery, hospitalization, medication and any treatment procedure deemed “life-saving” by the physician. This provision will only be invoked if the person(s) listed cannot be reached.

NON-CONSENT PLAN

I do not give consent for emergency medical aid/treatment in the case of illness or injury and agree to be present with the participant during the process of receiving services or while being at True Hope Therapeutic Horsemanship during the participant’s lessons.

I hereby acknowledge that I have received and reviewed a copy of the True Hope Therapeutic Horsemanship's participant handbook.

I understand that this handbook is not intended and should not be construed as a contracting agreement by True Hope Therapeutic Horsemanship as to any of the matters covered and may be changed at any time at the discretion of True Hope Therapeutic Horsemanship.