Release of Liability For Participating in Equine Activities

Release of Liability For Participating in Equine Activities

This release is for all equestrian riders, spectators, boarder of horses, and parents of children who are participating in activities involving Hana Poulin Dressage & Driving LLC, and their guests.
Participant's Information:
Name*

First NameLast Name
Parent/Guardian/Spouse*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth: Date*. Email: Email.
Emergency Contact (name and phone number) First Name* Last Name*, Area Code* Phone Number*.
Please list any health issues or problems that the participant in equine activities may have that would be relevant to know in case of emergency. (example: allergic to bees, etc.)*
Do you give permission to call emergency personal in the event of an injury/accident/health issue: *.
Initials*
Each participant and parent signing below agrees to the following (on behalf of themselves and their minor child/children:
Inherent High Risk: Participants in activities at Hana Poulin Dressage & Driving, LLC fully understand and acknowledge that activities involving equines are considered inherently high-risk activities. Horses have a mind of their own and are large, powerful animals; they may injure a person. Participants realize that they are at risk of being injured in numerous ways in the activities related to working with or riding horses including without limitation use of equipment, facilities or transportation connected with the equine activities, which may include without limitation that they may be thrown, fall, be bitten, kicked, stepped on, taken-off with, run-over, dragged, struck, crushed or subject of other bodily injury, disease or illness, strains, fractures, partial and/or total paralysis, death or other ailments that could cause serious disability and loss of, or damage to, possessions. These risks and dangers may arise from negligence, accident or any other foreseeable or unforeseeable causes.

Assumption of Risk: By participation in equine activities, including without limitation use of equipment, facilities or transportation connected with these activities, participant hereby assumes all risks and dangers and all responsibility for any losses and/or damages relating to the equine activities, whether caused by negligence, accident or any other foreseeable or unforeseeable causes.
Release of Liability: Participant, on behalf of himself/herself, named child, guests and their personal representatives and heirs hereby voluntarily and knowingly, with understanding and acceptance of all risks, forever releases, waives, discharges and holds harmless, and agrees to defend and indemnify Hana Poulin Dressage & Driving, LLC and its owners from any and all present and future claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or any other cause of action which may arise out of participant’s or his/her child’s or guest’s presence at or participation in equine activities at Hana Poulin Dressage & Driving, LLC or with Hana Poulin Dressage & Driving, LLC personnel and/or use of transportation, facilities or equipment related to such activities, whether caused by negligence, accident or any other foreseeable or unforeseeable causes.
- Participant is responsible for full and complete insurance coverage on his/her horse, personal property and himself.
- Without limiting the foregoing, Hana Poulin Dressage & Driving, LLC, its owners, and the owners of the trails we ride are not liable for:
  - Any accident or injury to rider, volunteer, guest, horse, horse owner, his/her companions or horse owner’s authorized riders.
  - Damage to or the theft of any tack or other personal belongings of the above mentioned. o Any accident or injury to anyone involved in any equine or other related activities on the property of Hana Poulin Dressage & Driving, LLC. This includes injuries that may result from any activity related to handling, riding or working around any horses on the premises, including without limitation, cleaning stalls, being in the hayloft, feeding, transporting or turning out other horses and any other similar or dissimilar activities.
If any provision of this document is held invalid or unenforceable, it shall be conformed to the minimum requirements of law to the extent possible, and in any event shall not affect any other provision, which shall remain valid and enforceable. By signing below, participant and parent certifies that he/she and his/her minor child is sufficiently knowledgeable and trained to ride, work with and be in the presence of horses and that he/ she has read the rules of the farm and AGREES NOT TO SUE.
Signature*

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Release of Liability For Participating in Equine Activities

Each participant and parent signing below agrees to the following (on behalf of themselves and their minor child/children: