Horse Riding Indemnity Form
Rider/Guardian Name
First Name
Last Name
Rider/Guardian's ID #
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Child Name
First Name
Last Name
Child's Date of Birth
-
Month
-
Day
Year
Date
I, {riderguardianName},the guardian and/or rider of the child,{childName}, agree with the following statements:
I understand that there are inherent dangers in horse riding sincehorses are powerful and potentially dangerous animalsand I also understand the risk and the need for the rider to take all reasonable precautions.
I, release the Centre, its officers, stewards, agents, representatives from liability of any claim that could arise from my and/or his/her participation in horse riding or any related activities, or of any loss of or damage to my and/or his/her property.
I understand that such horse riding activities will include but not be limited to riding, working with horses on foot or any other activity undertaken by participants in riding lessons.
In the event of an accident involving me and/or my child there is no obligation on the centre to secure for me and/or my child’s medical treatment; however I do hereby authorize the Centre to act in my and/or his/her best interest, which may include the obtaining of the necessary emergency medical treatment.
The Centre or its staff or agents shall not be liable for any loss or damage of property brought to the yard, including money, cell phones, tack and clothing.
Date
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Month
-
Day
Year
Date
Signature
Submit
Should be Empty: