Harmony Horsemanship
Liability Waiver// Release
423.451.6328
INFO@HARMONYHORSEMANSHIP2020.COM
742 BROCK CIRCLE RINGGOLD GA 30736
Name of Participant:
First Name
Last Name
Street Address:
City:
State:
Zip:
Phone:
Format: (000) 000-0000.
Email:
example@example.com
Age (if under 18):
Parent/Guardian:
In Case of Emergency...
Name:
Phone:
Format: (000) 000-0000.
Relationship:
In case of emergency, I give permission to Harmony Horsemanship's owners, employees, volunteers, or agents to secure medical treatment for myself or the above participant.
Initital:
Liability Release
I acknowledge the risks and potential risks of an equine program, including but not limited to risk of bodily injury or death resulting from kicks and bites, falling off horses or horse falling on rider, being dragged by a foot caught in stirrups, being thrown by horse, equipment failure or collision with horses or vehicles or other inanimate objects. However, I feel the benefits outweigh the risks of participating in the following activity. I hereby, waive and release forever all claims for damages against Harmony Horsemanship, its, owners, facilitators, volunteers, and other agents or employees for any and all injuries and/or losses I may sustain as a result of use of Harmony Horsemanship's property, animals, equipment and facilities.
Under Georgia Law, an equine professional is not liable for any injury to or death of a participant in equine activities resulting form the inherent risks of equine activities.
By signing below I am stating and acknowledge that I am the appropriate and designated person to sign for the above waiver and I agree to the terms listed herein.
Print Name:
Relationship to participant:
Date:
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Month
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Day
Year
Date
Signature of Participant or Parent/ Gaurdian:
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