• Image field 1
  • WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

    PERFORMANCE EQUESTRIAN AND THERAPY RIDING ACADEMY (PETRA)

    6501 Colchester Road, Fairfax Station, VA 22039 info@ridingpetra.com

    I, the undersigned Participant (or Parent/Legal Guardian if Participant is under the age of eighteen (18) years), hereby acknowledge that I am aware of the inherent risks associated with equine activities, including but not limited to: bodily injury, permanent disability, paralysis, death, and property damage. I understand that horses are unpredictable animals and that participation in activities involving horses may result in injury or harm arising from, but not limited to, the behavior of horses, the behavior or riders, failure of equipment due to rider misuse or acts compromising the safety and security of the equipment, environmental hazards, acts or omissions of other participants, the inherent risks associated with weather and the outside environment, and general risks associated with being around horses. I hereby knowingly and voluntarily assume all risks associated with participation in equine activities at Performance Equestrian and Therapy Riding Academy (PETRA), whether mounted or unmounted, including but not limited to lessons, therapy sessions, camps, clinics, training, grooming, handling, and general presence on the property. To the fullest extent permitted by Virginia law, I hereby release, waive, discharge, and hold harmless Performance Equestrian and Therapy Riding Academy (PETRA), the officers, directors, instructors, trainers, therapists, employees, volunteers, agents, independent contractors, and property owners from any and all claims, demands, actions, or causes of action arising out of or related to participation in equine activities, including claims based on negligence, except where prohibited by law. I further agree to indemnify and hold harmless Performance Equestrian and Therapy Riding Academy (PETRA) from any loss, liability, damage, or cost, including reasonable attorney's fees, arising out of or related to my participation or the participation of my minor child. I authorize Performance Equestrian and Therapy Riding Academy (PETRA) staff to obtain emergency medical treatment for me or my minor child if deemed necessary and agree to be financially responsible for any medical expenses incurred. I acknowledge that the use of an ASTM/SEI-approved riding helmet is required for all participation in PETRA's programs. I understand that no helmet or protective equipment can prevent all injuries.

  • Image field 3
  • WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

  • PERFORMANCE EQUESTRIAN AND THERAPY RIDING ACADEMY (PETRA)

    6501 Colchester Road, Fairfax Station, VA 22039 info@ridingpetra.com

    Virginia Equine Activity Liability Act Notice WARNING: Under Virginia law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to § 3.2-6200 et seq. of the Code of Virginia.

  • Date of Birth*
     / /
  • Format: (000) 000-0000.
  • Date*
     / /
  • Format: (000) 000-0000.
  •  
  • Should be Empty: