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  • CEDAR SPRINGS THERAPEUTIC RANCH RELEASE OF LIABILITYREAD CAREFULLY BEFORE SIGNING

  • TODAY'S DATE:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • DATE OF BIRTH:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Every participant in Equine, Llama, Sheep, Miniature Donkey, Goat, Pig, or Alpaca (in this document will be referred to as "animal/animals) Activities (called the Activity), shall carefully read this notice before signing. No person will be allowed to participate in the "ACTIVITY" prior to reading and signing this RELEASE and ACKNOWLEDGMENT form.
  • Format: (000) 000-0000.
  • TO: Cedar Springs Therapeutic Ranch, Inc. 3128 Slinger Road, PO Box 625, Slinger, WI 53086
    Their director, officers, employees, representatives, agents, officials, volunteers, business operators, and site property owners, (All of the collectively called the "OWNER").
    The undersigned desires to participate in animal activities. In consideration of the opportunity to participate in such activities and for the good and valuable consideration I agree to enter into the following agreement.
    A. Inherent Risks, Dangers, and Hazards
    I am aware and understand that there are inherent DANGERS, HAZARDS, AND RISKS, (collectively called RISKS) associated with all animal activities. I ACKNOWLEDGE that the inherent "RISKS" of animal activities mean those DANGEROUS conditions which are an integral part of animals and/or activities, including but not limited to:
    1) The propensity of and animals to behave in ways that may result in injury, harm, or death to persons on or around them and/or damage to property in their vicinity.
    2) The unpredictability of any animal reaction to such things as sounds, sudden movement and unfamiliar objects, persons, or other animals
    3) The animal response to certain hazards such as surface and subsurface objects
    4) collusion with other animals, people, and objects
    5) The potential of any participant to act in negligent manner that may contribute to injury to participant or others, such as failing to maintain control over animals or to act within his or her ability. I understand that injuries resulting from such "RISKS" are common and ordinary occurrence associated with animal activities
    I freely accept and fully assume all the "RISKS" and the possibility of personal injury, death, property damage, or loss from being a participant. I acknowledge that it remains my sole responsibility to act in such a manner to be responsible for my own safety and to participate within my own limits. In consideration of the "OWNER" permitting my Participation in the "ACTIVITY" on or about the above premises, I together with my heirs, executors, administrators and
    (COLLECTIVELY called my "legal representatives") agree as follows:
    1) To waive all claims that I may have against the "OWNER", and,
    2) To release the "OWNER" from ANY and ALL liability for loss, damage, injury, death, or expense that I or my "Legal Representative" may suffer as a result of my participation in the "ACTIVITY" due to any cause whatsoever. INCLUDING NEGLIGENCE ON THE PART OF THE "OWNER" EXCLUDING ONLY GROSS NEGLIGENCE AND WILLFULL AND WANTON MISCONDUCT ON THE PART OF THE "OWNER"; AND,
    3) TO HOLD HARMLESS AND INDEMNIFY the "OWNER" from ANY and ALL liability form property damage, personal injury or death to any third party resulting from my participation in the "ACTIVITY". Before I signed this release and acknowledgement, I read it and I state that I understand it. I am aware that by signing this Release and Acknowledgement, I am waiving certain legal rights which I might have against that "OWNER", or if I die, by signing this Release and Acknowledgement, I am waiving certain rights that my Legal Representative may have against the "OWNER".
  • WARNING, UNDER WISCONSIN LAW, AN EQUINE PROFESSIONAL IS NOT LIABLE FOR ANY INJURY TO, OR THE DEATH OF, A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES SEC.892.525 WIS STATS
  • Date Signed:*
     - -
    2 digit month, 2 digit day, 4 digit year
  • If the participant is a Minor (Under 18 years of age at date of signing): I am the legal guardian of the participant named herein and I am executing this release and acknowledgment on behalf of the Participant in my capacity as guardian and with the intent that this release and acknowledgment be binding in the minor participant for all legal purposes. Before I signed this release and acknowledgment, I read it and I state that I understand it. I am aware that by signing this release and acknowledgment, I am waiving certain rights which I might have against the "OWNER", and which the minor participant has against the "OWNER". In the event of death of the minor participant, by signing this release and acknowledgment, I am waiving all legal rights which my legal representative or the legal representative of the minor participant may have against the "OWNER".
  • Date Signed:
     - -
    2 digit month, 2 digit day, 4 digit year
  • if no helmet needs to be worn by participant
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  • Should be Empty: