Seven Pines Stables Riding Waiver Junior

Seven Pines Stables Acknowledgement of Risk and Release of Liability For participants NOT 18 Years Old

Minor Participant's Name: Minor Participant's Address: Guardian's Name:

Minor Participant's Name

Date of Birth

Date

Address

Minor Participant's Address

Street Address Line 2

City

PC

Guardian's Name

Relationship to Minor

Address

Guardian's Address

Street Address Line 2

City

Prov

PC

Home Phone

City: Cell Phone

Email Contact

example@example.com

The Guardian must Read and Understand prior to the Minor Participating in Equine Activities

To: Seven Pines Stables, their directors, employees, officers, volunteers, business operators, and site property owners (all of them collectively called the HOST)

1. I am the Parent and/or Legal Guardian of the Minor participant named above and am executing this form on behalf of the minor participant in my capacity as parent and/or guardian and with the intent that this form be binding on my behalf and minor participant for all legal purposes2. I Understand there are Inherent DANGERS, HAZARDS and RISKS (collectively called RISKS) associated with Equine Activities and injuries resulting from these "RISKS" are a common occurrence.

To: Seven Pines Stables, their directors, employees, officers, volunteers, business operators, and site property owners (all of them collectively called the HOST)

3. I Acknowledge that the inherent "RISKS" of Equine Activities mean those DANGEROUS conditions which are an integral part of Equine Activities, including but not limited to: The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people or objects. The unpredictability of an equine's reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects The potential for other participant (s) to act in a negligent manner that might contribute to injury to themselves or others, such as failing to act within their ability or to maintain control over an equine.

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To HOLD HARMLESS AND INDEMNIFY THE "HOST" from any and all liability for property damage or personal injury to the minor participant or to any third party which might result from the minor's participation Before signing this form I read it (as indicated by my initials above) and I stated that I understand it. I further state I am aware that signing this form, waives certain legal rights I and/or the minor Participant and/or our "Legal Representatives" might have against the

4. I Freely Accept and Fully Assume All Responsibility for the inherent "RISKS" and the possibility of personal injury, death, property damage or loss which might result from the minor being a Participant.5. I Acknowledge that it remains my Sole Responsibility for the safety of the minor Participant and for the minor to Participate within his/her own limits.6. In addition to considerations given for the minor to Participate in Equine Activity, I and my heirs, executors, administrators and assigns (collectively called my "Legal Representatives") agree To Waive All Claims that I or the minor Participant might have against the "HOST", and To Release the "HOST" from Any and All Liability for any loss, damage, injury, or expense that I, the minor Participant or our "Legal Representatives" might suffer as a result of the minor's participation due to any cause including any NEGLIGENCE ON THE PART OF THE "HOST" and

day of

Signature of Parent/Guardian

Printed Name of Parent/Guardian

Do Not Sign until you Understand All Items Above