11050 Manning Ave S, Hastings MN 55033 651-497-8929
Waiver And Informed Consent To Participate In Equestrian Activities State of Minnesota Equine Liability Form Rev 2004
NOTICE: Please read this document carefully before signing it. Your signature indicates your understanding and agreement to its terms. You (and/or Your Child) are giving up certain legal rights, including the right to recover damages in case of injury, death or property damage for any reason, including but not limited to, the negligence of the Lucky U Stables, its owners and agents; herein referred to as "STABLE". "HORSE" refers to any equine: horse, pony, mini, mule, donkey, ect. "ANIMAL" refers to all other animals such as kitten, cat, cows, chickens, goats, sheep, bunny, ect.
The Equine Activity Liability laws of the State of Minnesota, Ch. 604A.12 Subdivision 2, requires the following notice:
NOTICE OF INHERENT RISKS: Equines have the propensity to behave in ways that may result in injury, harm or death to persons on or around the equine; have unpredictable reactions to such things as sounds, sudden movement and unfamiliar objects, persons or other animals; are susceptible to certain hazards such as surface or subsurface conditions, collisions with other equines or objects; propensities include kicking, biting, stomping, stumbling, rearing, and others; tack equipment can fail resulting in falling or loss of control; and activities have the potential of a participant to act in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or not acting within the participant's ability. Equine activities are
WAIVER AND INFORMED CONSENT TO PARTICIPATE
I, the undersigned, having read and understood the content of this document, agree and consent to the provisions contained herein. It is my intention and desire to participate in equestrian-related activities including but not limited to, riding, horse-handling or being present at equestrian activities as an observer or other activity related, however slight, to equestrian activities at events held at
I hereby acknowledge that I am fully aware of the nature, purpose and risks of equine activities. I acknowledge that these activities are potentially dangerous and that I voluntarily accept any of the inherent risks involved. In consideration for my being permitted to take part in these activities, I agree to be bound by the rules and to obey the directions of the owners. I agree to release, hold harmless, and keep indemnified; STABLE from and against all claims, actions, costs, expenses and demands in respect to death, injury, loss or damage to my person or property, however caused, arising out of or in connection with my taking part in these events even if the same may have been contributed to or occasioned by the negligence of the said body or any of its agents, servants, or representatives. It is understood and agreed that this agreement is to be binding upon myself, my heirs, executors and assigns under the laws of the State of Minnesota related to Equine Activity Liability.
In consideration for allowing me (or my minor child/ren) to handle and/or ride and/or be in close contact with a horse (whether owned, leased or just visiting) and on behalf of myself, my child or our personal representatives, heirs, next-of-kin, spouses and assigns, THE UNDERSIGNED HEREBY:
Acknowledge that an equine may, without warning or any apparent cause; buck, stumble, fall, rear, bite, kick, run, make unpredictable movements, spook, jump obstacles, step on a person's feet, push or shove a person, saddles or bridles may loosen or break - all of which may cause the rider to fall or be jolted resulting in serious injury or death to the Undersigned or any person within close proximity of a horse.
ACKNOWLEDGE THAT HORSEBACK RIDING, THE HANDLING OF A HORSE OR BEING IN CLOSE PROXIMITY TO A HORSE IS AN
INHERENTLY DANGEROUS ACTIVITY AND INVOLVES RISKS THAT MY CAUSE SERIOUS INJURY AND IN SOME CASES DEATH because of
the unpredictable nature and irrational behavior of horses, regardless of their training or past performance.
Voluntarily assume the risk and danger of injury or death inherent in the handling or riding of the horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse, and use of saddles, bridles, equipment and gear appropriate for use.