• Beyond The Barrels

    With Lauren Shultz at JLS Mission Equine
  • Format: (000) 000-0000.
  • Payment Method - this is a preregistration - activities are paid for at the event. $350 for all 4 weeks or $90 per session.
  • Dates of Clinic: check all that apply
  • Format: (000) 000-0000.
  • Do you need to borrow a horse from the barn?*
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    LIABILITY WAIVER, ASSUMPTION OF RISK & RELEASE

    I understand and acknowledge that horseback riding, handling horses, barrel racing, and other equine activities are inherently dangerous activities that involve risks of serious bodily injury, permanent disability, property damage, and death.

    I understand that horses are large, powerful, unpredictable animals that may, without warning, buck, rear, kick, bite, bolt, spook, stumble, fall, collide with objects or other horses, or otherwise act in ways that may cause injury. I further understand that barrel racing involves additional risks associated with speed, rapid turns, loss of balance or control, falls, collisions with barrels or other objects, tack or equipment failure, arena footing, and the actions of other horses and riders.

    ASSUMPTION OF RISK

    By participating in the Beyond the Barrels Barrel Racing Clinic at JLS Mission Equine, 302 South Rd., Harwinton, Connecticut, I knowingly and voluntarily assume the inherent risks associated with horseback riding, barrel racing, horse handling, and participation in equine activities.

    I acknowledge that no horse, riding activity, arena, facility, equipment, or equine activity can be made completely safe.

    RELEASE OF LIABILITY

    To the fullest extent permitted by Connecticut law, I release and hold harmless JLS Mission Equine, its owner(s), instructors, including Lauren Schultz, employees, volunteers, agents, representatives, property owners/lessors, and affiliated individuals or organizations from claims arising from the inherent risks of equine activities and my participation in this clinic.

    This release is intended to apply to personal injury, death, or property damage arising from my participation, except to the extent liability cannot legally be waived under Connecticut law.

    PARTICIPANT RESPONSIBILITY

    I agree to follow all instructions and safety rules established by JLS Mission Equine and the clinic instructor. I understand that JLS Mission Equine and/or the instructor may prohibit or discontinue my participation if they determine that I, my horse, my tack/equipment, or my conduct presents an unreasonable safety risk.

    I represent that I have accurately disclosed my riding experience and that I will not knowingly participate while impaired or while suffering from a condition that would make participation unsafe.

    If I bring my own horse, I accept responsibility for the horse’s suitability, health, behavior, tack, equipment, transportation, and control while on the property.

    HELMETS & SAFETY EQUIPMENT

    I understand that horseback riding and barrel racing carry a risk of head injury. I agree to comply with all helmet and safety-equipment requirements established by JLS Mission Equine for this clinic.

    EMERGENCY MEDICAL AUTHORIZATION

    In the event of an accident or medical emergency, I authorize JLS Mission Equine, its instructors, employees, or representatives to contact emergency medical services and obtain or arrange reasonably necessary emergency care when I am unable to do so.

    I understand that I am financially responsible for medical treatment, ambulance transportation, hospital care, or other expenses incurred on my behalf.

    MINOR PARTICIPANTS

    If the participant is under 18 years of age, I certify that I am the participant’s parent or legal guardian and have authority to sign this agreement on the minor’s behalf. I acknowledge the risks described above and give permission for the minor to participate in the clinic.

    ACKNOWLEDGMENT

    I HAVE READ AND UNDERSTAND THIS LIABILITY WAIVER, ASSUMPTION OF RISK, AND RELEASE. I UNDERSTAND THAT HORSEBACK RIDING AND BARREL RACING INVOLVE RISKS OF SERIOUS INJURY OR DEATH. I VOLUNTARILY CHOOSE TO PARTICIPATE AND AGREE TO THE TERMS ABOVE.

  • Date*
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