Riding And Horsemanship Liability Release Form

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The Paddocks Stables, Inc. & Gillian Kallenberger
Riding and Horsemanship Liability Release Form
This riding and horsemanship liability release form dated _____ day of ____________ is an agreement by
and between The Paddocks Stables, Inc., Gillian Kallenberger property owner and The Paddocks Stables
Inc. riding instructors, agents, owners and employees, (referred to herein collectively as “THIS
STABLE”) the Rider listed below, and if said rider is a minor, said rider’s parents and/or said guardian:
Please print, Rider __________________________________________________________________
Father/Guardian ____________________________________________________________________
Mother/Guardian ___________________________________________________________________
In consideration of the mutual promises and covenants herein, the receipt and adequacy of which is
hereby acknowledged, parents/guardian/rider (referred to as “I/We and I or “Rider” herein) and this stable
enter into this agreement in the State of Texas as follows:
______ SECTION I: REGISTRATION AND EMERGENCY CARE OF RIDER
A. I/We the following individuals wish to take riding instruction and ride a horse stabled at or
belonging to THIS STABLE.
Rider’s Name: ____________________________________________________________
Age __________________ Weight __________________
Rider’s medical condition: Is rider sound and healthy, not suffering from any physical or mental
disorder that might interfere with the Rider’s ability to ride a horse or pony and follow instruction?
Yes _____ No ______
If yes, please explain____________________________________________________________
_____________________________________________________________________________
I/We agree to immediately advise THIS STABLE if medication or the health of the Rider is changed
in any significant way.

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