Ad Astra Eventing Liability Release
Full Name
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First Name
Last Name
Parent/Guardian (if under 18)
First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
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First Name
Last Name
Emergency Contact Relationship
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Emergency Contact Phone Number
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Format: (000) 000-0000.
RELEASE OF LIABILITY , ASSUMPTION OF RISK, WAIVER AND INDEMNIFICATION
I hereby agree to release, hold harmless and indemnify Ad Astra Eventing, its owners, employees, agents, officials and volunteers from and against any and all loss, liability or damage arising from or because of, or in connection with, my participation in this experience or related activities. In consideration for my participation in this experience I assert the following: I agree that I choose to participate voluntarily in this activity with this horse. I am fully aware and acknowledge that horse activities involve inherent dangerous risks of accident, loss, emotional trauma, and serious bodily injury including broken bones, head trauma, pain, suffering, or death. (Harm) I agree to release Ad Astra Eventing from all claims for money damages or otherwise for any Harm to me or the horse, and for any Harm caused by me or the horse to others. I agree to expressly assume all risks of Harm to me or the horse, including Harm resulting from the negligence of Ad Astra Eventing. I agree to indemnify (that is, to pay any losses, damages or costs incurred by)Ad Astra Eventing and to hold them harmless with respect to claims for Harm to me or the horse, and for claims made by others for any Harm or damage caused by me or the horse at this experience. If I am the parent or guardian of a minor child, I consent to the child's participation and agree to all of the above provisions and agree to assume all the obligations of this Release on the child's behalf. I agree that " Ad Astra Eventing " as used above includes all their owners, employees, agents, officials, and volunteers and affiliated organizations. NOTICE: A PERSON WHO IS ENGAGED FOR COMPENSATION IN THE RENTAL OF EQUINES OR EQUINE EQUIPMENT OR TACK OR THE INSTRUCTION OF A PERSON IN THE RIDING OR DRIVING OF AN EQUINE OR IN BEING A PASSENGER UPON AN EQUINE IS NOT LIABLE FOR THE INJURY OR DEATH OF A PERSON INVOLVED IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES, AS DEFINED IN 895.481 (1)(e) OF THE WISCONSIN STATUTES. I represent that I have the requisite training, coaching and abilities to safely participate. By signing below, I agree to be bound by all terms and provisions listed above.
Signature of Rider (Parent or Guardian if under 18 yrs.)
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Date
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Month
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Day
Year
Date
Cancellation Policy: Lessons must be canceled or rescheduled more than 24 hours before the scheduled lesson. Lessons canceled with less than 24 hours notice must still be paid in full.
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I agree to cancelation policy.
Late Arrival Policy: Late arrivals will not receive additional time beyond their scheduled slot.
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I agree to late arrival policy.
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