Form
HORSE RIDING/VOLUNTEER AGREEMENT AND LIABILITY RELEASE FORM FOR BEECH BROOK FARM INC. This form must be completed by and for each participant(volunteer/rider/contractor). PREMISES OWNERS NAME IS: Beech Brook Farm Inc. LOCATION OR ADDRESS: 74 Anthony Rd, North Stonington Ct, 06359 OR FOSTER LOCATION... PLEASE READ CAREFULLY BEFORE SIGNING!
Full name
Age (if under 18):
blanks
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AGREEMENT SCOPE AND TERRITORY AND DEFINITIONS – This agreement shall be legally binding upon me the participant, and the parents or legal guardians thereof if a minor, and it shall be interpreted according to the laws of the state and county of New London, Connecticut. Any disputes by the participant shall be litigated in and venue shall be New London County, Connecticut. Per the state of Connecticut Conn. Gen. Stat. Assumption of risk by person engaged in recreational equestrian activities, when each person engaged in recreational equestrian activities shall assume the risk and legal responsibility for any injury to his person or property arising out of the hazards inherent in equestrian sports, unless the injury was proximately caused by the negligence of the person providing the horse or horses to the individual engaged in recreational equestrian activities or the failure to guard or warn against a dangerous condition, use, structure or activity by the person providing the horse or horses or his agents or employees. NATURE OF RIDING /INTERACTING with HORSES – No horse is a completely safe horse. Horses are 5 to 15 times larger, 20 to 40 times more powerful, and 3 to 4 times faster than a human. If a rider falls from a horse to ground it will generally be at a distance of from 31/2 to 51/2 feet, and the impact may result in injury to the rider. Horseback riding is the only sport where on much smaller, weaker predator animal (human) tries to impose its will on, and become on unit of movement with, another much larger, stronger prey animal with a mind of its own (horse) and each has a limited understanding of the other. If a horse is frightened or provoked it may divert from its training and act according to its natural survival instincts which may include, but are not limited to: stopping short, changing directions or speed at will; shifting its weight; bucking; rearing; kicking; biting; or running from danger. CONDITIONS OF NATURE –BEECH BROOK FARM INC. is NOT responsible for total or partial acts, occurrences, or elements of nature that can scare a horse, cause it to fall, or react in some other unsafe way. SOME EXAMPLES ARE: thunder, lightening, rain, wind, wild and domestic animals, insects, reptiles, which may walk, run, fly near, bite and/or sting a horse or person. ACCIDENT/MEDICAL AND PERSONAL LIABILITY INSURANCE – Should medical treatment be required, I and/or my own accident/medical insurance company shall pay for all such incurred expenses. Should my actions or that of my horse cause injury or damage of any kind, I and/or my own personal liability shall pay for such damages. LIABILITY RELEASE – In consideration of BEECH BROOK FARM INC. allowing my participation in this activity, under the terms set forth herein, I, the PARTICIPANT, and the parent or guardian thereof if a minor, do agree to hold harmless and release, BEECH BROOK FARM INC, from legal liability due to them; and I do further agree that I shall not bring any claims, demand, legal actions and causes of action, against BEECH BROOK FARM INC, for any economic and non-economic losses due to bodily injury, death, property damage, sustained by me and/or my minor child or legal ward in relation to the premises, to include while riding, handling, or otherwise being near horses owned by or in the care, custody and control of BEECH BROOK FARM INC. ALL PARTICIPANTS, PARENTS OR LEGAL GUARDIANS MUST SIGN BELOW AFTER READING THIS ENTIRE DOCUMENT:SIGNER STATEMENT OF AWARENESSI / WE, THE UNDERSIGNED, REPRESENT THAT I / WE HAVE READ AND DO UNDERSTAND THE FOREGOING AGREEMENT, LIABILITY RELEASE AND ASSUMPTION OF RISK AGREEMENT. I AM SIGNING THIS WHILE OF SOUND MIND AND NOT SUFFERING FROM SHOCK, OR UNDER THE INFLUENCE OF ALCOHOL, DRUGS OR INTOXICANTS.
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Signature of Participant
Signature of Guardian (if Participant is under 18)
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