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

  • Cedar Fire LLC/SRI: Kamp KESSA

    758 Beechridge Road, Frankfort KY
  • READ CAREFULLY AND COMPLETE ALL SECTIONS BEFORE SIGNING

  • 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.

  • Date of Birth*
     / /
  • EXPERIENCE LEVEL*
  • Does participant have any physical or mental condition(s) that may affect his / her safety and ability to ride a horse? *
  • MEDICAL INSURANCE I / We agree that : Should medical treatment be required, I / and or my medical insurance shall pay for all such expenses.

  • I. PROTECTIVE HEADGEAR/ HELMET ACCEPTANCE OR REFUSAL ,SELECTION FOR RIDERS 16 YEARS AND OLDER*
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  • Each Participant and Parents or Legal Guardians must sign below after reading and completing this entire document.

  • Signer Statement Of Awareness

  • 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*
     / /
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