Release Of Liability Form

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CACTUS JACK’S TRAIL RIDES LLC
ACKNOWLEDGEMENT OF WARNING, EXPRESS ASSUMPTION OF RISK
AND COMPLETE RELEASE FROM LIABILITY
Participant Name:
Date:
Age:
(Please print. If participant is under 18, include name of parent or guardian at bottom of form.)
Street Address:
Home Phone: (_____)
Email Address:
Emergency Contact:_____________________________________________________________
Relationship:__________________________________Telephone:________________________
Do you have any medical, physical or emotional condition that would be adversely affected by this
activity?_______________________________________________________________________
Are you pregnant?___________________
WARNING:
Under Florida Law (FLORIDA STATUTES, CHAPTER 773, EQUINE
ACTIVITIES), an Equine Activity Sponsor or Professional is not liable for any injury to,
or the death of a participant in Equine activities, resulting in the inherent Risk of Equine
Activities.
1.
In consideration of permission to use today and on all future days, the property,
equipment, tack, Equines (horses, ponies, mules or donkeys), facilities and services of CACTUS
JACK’S TRAIL RIDES LLC (hereinafter jointly referred to as “CACTUS JACK’S”, THE
FLORIDA HORSE PARK, CROSS FLORIDA GREENWAY, SILVER RIVER STATE PARK,
CHARLE HORSE RANCH, ROCK SPRINGS RUN RESERVE, and GRAND OAKS
OPERATING LLC, I, the undersigned participant, hereby expressly agree:
A.
That I am fully aware of the inherent risk of Equine activities, including but not
limited to the propensity of Horses to behave in ways that may result in injury, harm or death to
persons on or around them; the unpredictability of a Horse reaction to such things as sounds,
sudden movement, and unfamiliar objects, persons or other animals. Certain hazards such as
surface and sub-surface conditions, collisions with other Horses or objects and the potential of a
participant to act in negligent manner that may contribute to injury to the participant or others,
such as failing to maintain control over the animal, not properly preparing the horse, or not
properly tacking the horse, or not acting within his or her ability. I HEREBY ASSUME ANY
AND ALL RISKS INVOLVED IN OR ARISING FROM MY PARTICIPATION IN EQUINE
ACTIVITIES OR MY USE OF OR PRESENCE UPON THE PROPERTY OR FACILITIES
OPERATED BY CACTUS JACK’S, INCLUDING BUT NOT LIMITED FLORIDA HORSE
PARK, CROSS FLORIDA GREENWAY, SILVER RIVER STATE PARK, CHARLE HORSE
RANCH, ROCK SPRINGS RUN RESERVE, and GRAND OAKS OPERATING
LLC._______(Initial).
B.
To release “CACTUS JACK’S”, THE FLORIDA HORSE PARK, CROSS
FLORIDA GREENWAY, SILVER RIVER STATE PARK, CHARLE HORSE RANCH, ROCK
SPRINGS RUN RESERVE, and GRAND OAKS OPERATING LLC and all successors, assigns,

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