Liability Release

Therapeutic Riding/Equine Guided Tours Liability Release and Assumption of Risk Agreement [For Individuals]

A. Registration of participant and agreement purpose: I, the following listed individual, and the parents or legal guardians thereof if a minor, do hereby voluntarily agree to participate in therapeutic riding and/ or equestrian services and/ or guide and outfitter services provided by This Stables.

PARTICIPANT NAME*

Age if under 18

Date of Birth*

Date

EXPERIENCE LEVEL*

BeginnerIntermediateExperiencedOther

Does participant have any physical or mental condition(s) that may affect his / her safety and ability to ride a horse? *

YESNOOther

If you marked “YES”, how can we help this participant with his / her / their special needs?

MEDICAL INSURANCE I / We agree that : Should medical treatment be required, I / and or my medical insurance shall pay for all such expenses.

MEDICAL INSURANCE

I do not carry medical insurance.

My medical Insurance company is

My policy number is

B. Agreement scope and territory and definitions-- This agreement shall be legally binding upon me the registered participant, and the parents or legal guardians thereof if a minor, my heirs, estate ,assigns, including all minor children, and personal representatives; and it shall be interpreted according to the laws of the state and county of This Stable’s physical location. This agreement is intended to be valid and binding at all times now and in the future when THIS STABLE Permits me (directly or indirectly) to enter THIS STABLE’S property, be on THIS STABLE’S, be near any horse, receive instruction or guidance from its associates and/ or when I ride and/ or am near horses on or off of THIS STABLE’S property. Any disputes by the participants shall be litigated in, and venue shall be the county in which THIS STABLE is physically located. This agreement is intended to be as broad and inclusive as the law permits. If any clause, phrase or word is in conflict with state law, then that single part is null and void. The terms “HORSE” and “EQUINE” herein shall refer to all equine species. The terms “I” , “WE”, “ME”, “MY” shall herein refer to the above registered participant and the parents or legal guardians thereof if a minor.

C. INHERENT RISKS/ ASSUMPTION OF RISKS Acknowledge That: Horseback riding is classified as RUGGED ADVENTURE RECREATIONAL SPORT ACTIVITY and that risks, conditions and dangers are inherent in (meaning and integral part of) horse/ equine/ animal activities, regardless of all feasible safety measures which can be taken, and I agree to assume them. The inherent risks include, but are not limited to any of the following: The propensity of an animal to behave in ways that ma result in injury, harm, death or loss to persons on or around the animal; The unpredictability of an equine’s reaction to sounds, sudden movement, unfamiliar objects, persons, or other animals; Hazards, including, but not limited to, surface or subsurface conditions; A collision, encounter and/ or confrontation with another equine, another animal, a person , or object; The potential of an equine activity participant to act in a negligent manner that may contribute to injury, harm, death, or loss to the participant or to other persons, including but not limited to, failing to maintain control over an equine and/ or failing to act within the ability of the participant. Horses are 5 to 15 times larger, 20 to 40 times more powerful, and 3 to 4 times faster than a human. If a rider falls from horse to ground it will generally be a distance of from 3 ½ to 5 ½ feet, and the impact may result in harm to the rider. Horseback riding is an activity in which one much smaller, weaker, predator (the human) tries to impose it’s will on, and become one unit of movement with another much larger, stronger prey animal that has a mind of it’s own (the horse) and each has a limited understanding of the other. If a horse is frightened or provoked it may divert from it’s training and act according to it’s natural survival instincts which may include, but are not limited to: Stopping short, Spinning around, Changing directions and/ or speed at will, Shifting it’s weight, Bucking, Rearing, Kicking, Biting, and/ or Running from danger. I also acknowledge that these are just some of the risks and I agree to assume others not mentioned above. I am not relying on THIS STABLE to list all possible risks for me.*

D. WILDERNESS EXPERIENCE PARTICIPATION, CONDITIONS OF NATURE, UNFAMILIAR AND SUDDEN SIGHTS AND MOVMENTS WARNING & INSPECTION OF PREMISES-- I/ WE Acknowledge That: The participant may be taking part in a “WILDERNESS EXPERIENCE” that may be hazardous to people. I/ WE ACKNOWLEDGE THAT The meaning of “WILDERNESS EXPERIENCE” is defined as the pursuit of activity in a natural and/ or wild and/ or rugged and/ or uncultivated area or region, as of forest and/ or hills and/ or mountains and/ or plains and/ or wetlands, which would likely be uninhabited by people and inhabited by wild animals of many types and species to include, but not limited to mammals, reptiles, insects, which are not tame, may be savage and unpredictable in nature and also wandering at their will. I/ WE ACKNOWLEDGE THAT: THIS STABLE isNOT responsible for total or partial acts, occurrences, or elements of nature and/ or sudden and/ or and/ or unfamiliar sights, sounds and/ or sudden movements that can scare a horse, cause it to fall, or react in some other unsafe way. SOME EXAMPLES ARE: Thunder, lightening, rain, wind, wild and domestic animals , insects, reptiles, which may walk, run or fly near, or bite or sting a horse or person; and irregular footing on out-of-door groomed or wild land which is subject to constant change in condition according to weather, temperature, and natural and man-made changes in landscape. I also acknowledge that these are just some of the risks and I agree to assume others not mentioned above. I am not relying on THIS STABLE to list all possible conditions for me. The participant and parent or legal guardian have inspected THIS STABLE’S facilities and are satisfied that all premise conditions are reasonably safe for this participant’s intended purpose, usage and presence upon THIS STABLE’S premises.*

E. CARRY-ON OBJECTS WARNING AND SHARP, LOUD NOISES WARNING I/ WE ACKNOWLEDGE THAT: When approaching, mounting and riding horses, I must not carry loose items that may fall or blow away or flap in the wind or bounce or make sharp or loud noises, the action of which may scare horses causing them to react in unsafe ways. SOME EXAMPLES ARE: Cameras, cell phones, hats not securely fastened under chin, toys, purses. When near or riding a horse, participants must not make sharp or loud noises, such as whistling or screaming or yelling, the sound of which may scare horses causing them to react in unsafe ways.*

F. SADDLE GIRTH LOOSENING WARNING I/ WE ACKNOWLEDGE THAT: Saddle girths (fastener straps around the horses belly) may loosen during riding. Riders must alert the nearest attendant of any girth looseness so action can be taken to avoid saddle slippage and the potential for the rider to fall from the horse.*

. THIS STABLE’S PROTECTIVE HEADGEAR/ HELMET POLICY: I understand and agree that THIS STABLE requires riders to wear ASTM STANDARD F 1163 Protective Headgear/Helmet according to the following requirements. 7 YRS and Younger-- For their safety, children 7yrs and younger may not participate as a rider in horse rental and trail riding services. 8 YRS through 15 YR must wear the protective headgear/ helmet. 16 and 17 YRS must wear the protective headgear/ helmet unless their parent or legal guardian sign the refusal statement. 18 YRS and Older Must choose to wear or not to wear protective headgear/ helmet by checking the acceptance or refusal box below.*

G. PROTECTIVE HEADGEAR/ HELMET WARNING AND OFFERING: I/ WE AGREE THAT: I for myself and on behalf of my child and/ or legal ward have been fully warned and advised by THIS STABLE that protective headgear/ helmet, which meets or exceeds the quality standards of the SEI CERTIFIED ASTM STANDARD F 1163 Equestrian Helmet, should be worn while riding, handling, and/ or being near horses, and I understand that the wearing of such headgear/ helmet at these times may reduce severity of some of the wearers head injuries and possibly prevent the wearers death from happening as the result of a fall and other occurrences. I/ WE ACKNOWLEDGE THAT: THIS STABLE has offered me, and my child and/ or legal ward if applicable, protective headgear/ helmet that meets or exceeds the quality standards of the SEI CERTIFIED ASTM STANDARD F 1163 Equestrian Helmet. I/ WE ACKNOWLEDGE THAT: Once provided, if I choose to wear the protective headgear/ helmet offered that I/ WE will be responsible for properly securing the headgear/ helmet on the participant’s at all times. I am not relying on THIS STABLE and/ or its associates to check any headgear/ helmet or headgear/ helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*

I. PROTECTIVE HEADGEAR/ HELMET ACCEPTANCE OR REFUSAL ,SELECTION FOR RIDERS 16 YEARS AND OLDER*

PROTECTIVE HEADGEAR/ HELMET ACCEPTANCE: I/ WE request for this participant to wear protective headgear / helmet which THIS STABLE provides and will be solely responsible for securing the headgear/ helmet on participant’s head.PROTECTIVE HEADGEAR/ HELMET REFUSAL: I/ WE refuse for this participant to wear any type of protective headgear/ helmet And or will provide MY/ OUR own. I/ WE assume full responsibility for MY /Our safety in this decision.

J. LIABILITY RELEASE I AGREE THAT: In consideration of THIS STABLE allowing my participation in this activity, under the terms set forth herein, I for myself and on behalf of my child and / legal wards, heirs, administrators, personal representative or assigns, do agree to release, hold harmless, and discharge THIS STABLE, its owners, agents, employees, officers, directors, representatives, assigns, members, owners of premises and trails, affiliated organizations, and insurers and other acting on their behalf (hereinafter, collectively referred to as “Associates” ) , of and from all claims, demands, causes of action and legal liability, weather the same be known or unknown , anticipated or unanticipated, due to THIS STABLE’S and/ or ITS ASSOCIATE’S ordinary negligence or legal liability; and I do further agree that except in the event of THIS STABLE’S gross negligence and /or willful and / or wanton misconduct, I shall not bring any claims, demands, legal actions and causes of action, against THIS STABLE and ITS ASSOCIATES as stated above in this clause, for any economic and non-economic losses due to bodily injury and/ or death and/ or property damage, sustained by me and / or my minor child or legal ward in relation to the premises and operations of THIS STABLE, to include while riding, handling, or otherwise being near horses owned by me or owned by THIS STABLE’S, or in the care, custody, or control of THIS STABLE, weather on or off the premises of THIS STABLE, but not limited to being on THIS STABLE’S premises.*

K. EQUINE ACTIVITY LIABILITY ACT [EALA] WARNING OR LANGUAGE: [This clause applies only for operations located in these states: AL, AZ, CO, DE ,FL, GA, IL, IA, IN, KY, KS, LA, ME, MA, MI, MS, MO, NE, NC, OH, OK, OR, RI, SC, SD, TX, TN, VA, VT, WV, and WI] I acknowledge that I have reviewed this state’s EQUINE ACTIVITY LIABILITY ACT WARNING OR LANGUAGE, a copy of which is attached hereto and incorporated as if fully set forth herein. INSTRUCTION TO SIGNERS: Do not sign unless a copy of the EALA warning or language is attached to this agreement .*

Each Participant and Parents or Legal Guardians must sign below after reading and completing this entire document.

I/ We, The undersigned, represent that I/ WE have read and do understand the foregoing agreement, liability release and assumption of risk agreement. I/ WE understand that by signing this document I /WE am giving up rights to sue today and in the future. I/ WE attest that all facts are true and accurate. I am signing this while of sound mind and not suffering from shock, or under the influence of alcohol, drugs or intoxicants.

TODAY'S DATE*

Date

SIGNATURE OF PARTICIPANT/GUARDIAN*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Person to contact in case of emergency

Relationship

Phone number

Area CodePhone Number

Cedar Fire LLC/SRI: Kamp KESSA

READ CAREFULLY AND COMPLETE ALL SECTIONS BEFORE SIGNING

Signer Statement Of Awareness