Release Of Liability Form (Page 3 of 3) in pdf

Release Of Liability Form Page 3

in part by the actual or alleged negligence or other fault of “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 its Equines, facilities or service. _______ (Initial)

I WILL PAY STRICT ATTENTION TO THE

INSTRUCTION AND SAFETY LECTURE AND I WILL

COMPLY

WITH

THE

DIRECTION

THE

STAFF

MEMBER(S)

_____________(Initial)

I have read and fully understand this Agreement. I understand that by making and

signing this Agreement I surrender valuable rights, including, but not limited to, my right to sue

if I am injured or even killed. _________ (Initial)

2. Riding Ability of Participant:

Beginner _______ Intermediate _________ Experienced _________ (Initial)

Is participant a minor?

Yes

No (Circle one)

If participant is a minor child, name of parent or guardian:

(Please print)

Parent/Guardian: Relationship:

IF YOU ARE UNDER THE AGE OF 18, YOU MUST WEAR A HELMET

WHEN MOUNTED.

A riding helmet is recommended safety gear for all participants.

I will wear a helmet _____. I will not wear a helmet ____. (Initial)

WARNING: Under Florida 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.

Participant’s Signature and/or Parent/Guardian signature if participant is a minor.

“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 provide this document in good faith absent

any intention to misstate any declaration of danger associated with participation in Equine

activities.

Release Of Liability Form Page 3