Equine Release and Waiver of Liability
Parent/Guardian Information
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Child(ren) Information
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Liability Release
I hereby enter into this agreement in consideration of my / ability and permission to ride OR use any Horse owned by God’s Lighthouse Ranch, Owners are Sean and Mayra Leitner Whose address is 4849 Cousino Rd La Salle, Michigan 48145. 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 USE OF THE OWNER’S HORSE AND/OR PARTICIPATION IN EQUINE ACTIVITIES AT God’s Lighthouse Ranch any God’s Lighthouse Ministries Locations, Leitner Residence or any other location for events such as ____________________________________, INCLUDING INJURY, DEATH, OR PROPERTY DAMAGE ARISING OUT OF THE NEGLIGENCE OF YOU OR God’s Lighthouse Ranch any God’s Lighthouse Ministries, Leitner Residence, Sean and Mayra Leitner. 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 in riding and working with horses, 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.
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Yes, I accept the above terms.
No, my child will not be participating.
Initials
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I hereby specifically forever waive and release God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence 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 God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence, its principals and agents.
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Yes, I accept the above terms.
No, I do not accept the above terms.
Initials
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By signing this agreement, I hereby acknowledge that although there may be supervision during my time spent at God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence, there will not be a nurse on the premises and God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence and its principals and agents bear no responsibility for my health or medical care. I agree to indemnify, save and hold harmless God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence 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 God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence or any acts or omissions of God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence 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 God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence, without restriction, without liability to God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence, its principals or agents, and with full knowledge and understanding of the disclosures, waivers, and releases herein.
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Yes, I agree to the above terms.
Initials
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If I am present at and participate in the activities of God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence I do so at my own risk, and I hereby acknowledge and agree that God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence 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 God’s Lighthouse Ranch any God’s Lighthouse Ministry Locations, Leitner Residence.
Yes, I agree to the above terms.
Initials
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Photo Liability
I agree that God's Lighthouse Ranch (GLR), Volunteers and Staff may phtogragh and record my students/ childs likeness and activities during GLR activities. I grant the following rigths to GLR: Permission to use and resuse, publish and republish and modify or alter the images taken during the shoot. Use of the images for editorial, commercial, trade, advertising and any other purpose may be done in any medium existing or subsequently developed, on the group website and on the internet including social media and world wide in perpetuity for the purposes stated above. I understand it's contents, understand that this agreement does not expire unless in writing, and confirmed my agreement by checking the "yes" box below. I will check "no" if I do not consent for my chil's photos to be posted on social media. This permission is given until parent/guardian revokes permission.
Yes, I give permission for my child's photo to be taken and used by GLR on social media and possibly to advertise for future events.
No, I do not give permission for my child's photo to be used by GLR.
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