Equine Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement

Equine Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement

For Triple H Ranch use ONLY
Name of Rider/Participating Party/Visitor *
Date *

Month Day Year
Parent/Guardian (if individual above is under 18)
Participant Age (if individual above is under 18)
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Emergency Contact Name *

First Name Last Name
Emergency Contact Phone Number *
Please enter a valid phone number.
Rider/Participating Party/Visitor Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I hereby enter into this agreement in consideration of my ability and permission to be on the premises of TRIPLE H RANCH, ride OR use any Horse owned by TRIPLE H RANCH, Ashley Smith, farm owners; David & Kimberly Heard, whose address is 1512 Old Taneytown Road, Westminster, MD 21158.
IMPORTANT NOTICE: BY SIGNING THIS AGREEMENT, YOU ARE GIVING UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES IN CASE OF INJURY, DEATH, OR PROPERTY DAMAGE, ARISING OUT OF YOUR RIDING OR USEOF THE OWNER’S HORSE AND/OR PARTICIPATION IN EQUINE ACTIVITIES, ACCOMPANYING A PARTICIPATING PARTY AND/OR VISITING THE EQUINE/FARM FACILITY AT TRIPLE H RANCH, INCLUDING INJURY, DEATH, OR PROPERTY DAMAGE ARISING OUT OF THE NEGLIGENCE OF YOU OR TRIPLE H RANCH and/or ASHLEY SMITH AND FARM OWNERS; DAVID AND KIMBERLY HEARD. READ THIS AGREEMENT CAREFULLY BEFORE SIGNING IT. YOUR SIGNATURE INDICATES YOUR UNDERSTANDING OF AND AGREEMENT TO ITS TERMS.
By signing this form, I hereby acknowledge on behalf of myself that I have familiarized myself with the activities that I will be allowed to participate in, and that I do hereby acknowledge and agree that I will participate in these activities without restriction or limitation. I recognize the inherent risks involved with a farm, riding and working with horses, being an accompanying party and visiting an equine/farm facility, including but not limited to:
- Bites, kicks, abrasions, or contusions from horses.
- Being thrown or bucked off by horses.
- Scratches or other injury from stalls or enclosures.
- Scratches or other injury from grooming tools and other equine equipment and tack.
- Allergic reactions to animals, hay, or other allergens.
- Tripping in holes or on materials or equipment.
- Slipping, falling, or otherwise being injured in the barn, in stalls, or on the grounds, which can be slippery, muddy, wet, or contain or present other hazards.
Initial Here *

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I hereby specifically forever waive and release TRIPLE H RANCH, Ashley Smith, farm owners; David and Kimberly Heard, and its principals and agents from any liability for injury arising out of the inherent risks from riding, working, or participating in a stable environment and/or with horses, as well as from the active negligence of TRIPLE H RANCH, Ashley Smith, farm owners, David and Kimberly Heard and its principals and agents.
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By signing this agreement, I hereby acknowledge that although there may be supervision by Ashley Smith during my time spent at TRIPLE H RANCH, there will not be a nurse on the premises and TRIPLE H RANCH/ Ashley Smith, farm owners; David and Kimberly Heard and its principals and agents bear no responsibility for my health or medical care.

I agree to indemnify, save, and hold harmless TRIPLE H RANCH, Ashley Smith, farm owners; David and Kimberly Heard, and its principals and agents from and against any loss, liability, damage, attorneys' fees, or costs that they may incur arising out of or in any way connected with either my presence or participation at TRIPLE H RANCH, or any acts or omissions of TRIPLE H RANCH, Ashley Smith, farm owners; David and Kimberly Heard, and/or principals or agents.

By signing this Agreement, and by initialing the paragraph below, I hereby acknowledge my complete understanding, agreement, and consent to my presence and/or participation in the activities at TRIPLE H RANCH, without restriction, without liability to TRIPLE H RANCH, Ashley Smith, farm owners; David and Kimberly Heard, its principals, or agents, and with full knowledge and understanding of the disclosures, waivers, and releases herein.
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If I am present at and participate in the activities of TRIPLE H RANCH, I do so at my own risk, and I hereby acknowledge and agree that TRIPLE H RANCH, Ashley Smith, farm owners; David and Kimberly Heard, and/or any of its principals and agents shall bear no responsibility or risk associated with injuries that could arise from my presence or participation at TRIPLE H RANCH.

I, the undersigned, recognize the dangers inherent with horseback riding. I am assuming the hazard of this risk upon myself since I wish to ride horses, be an accompanying party, and/or visit the equine/farm facilities. I realize I am subject to injury from this activity and that no form of preplanning can remove all the danger that I am exposing myself to.
Name of Rider/Participating Party/Visitor *
Date *

Month Day Year
Participant/Participating Party/Visitor Signature *

Clear
Parent/Guardian Signature (if individual above is under 18)

Clear
Should be Empty: