Seven Pines Stables Riding Waiver Adult

Seven Pines Stables Acknowledgement of Risk and Release of Liability For participants 18 Years Old and Older

Participant's Name: Participant's Address: Home Phone

Participant's Name

Date of Birth

Date

Address

Participant's Address

Street Address Line 2

City

City: Cell Phone

Prov

PC

Email Contact

example@example.com

The Participant must Read and Understand prior to 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 Participant named above and am executing this form on my behalf with the intent that this form be binding on my behalf for all legal purposes

2. 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.

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.

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.

5. I Acknowledge that it remains my Sole Responsibility for the safety of myself to Participate within my own limits.

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 being a Participant.6. In addition to considerations given for myself 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 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 Participant or our "Legal Representatives" might suffer as a result of my participation due to any cause including any NEGLIGENCE ON THE PART OF THE "HOST" and

To HOLD HARMLESS AND INDEMNIFY THE "HOST" from any and all liability for property damage or personal injury to the participant or to any third party which might result from my 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, the Participant and/or our "Legal Representatives" might have against the "HOST".

SIGNED This

day of

Signature of Rider

Printed Name of Rider

Do Not Sign until you Understand All Items Above