Liability Release Form (Page 2 of 2) in pdf

R.R.#2 – 1145 Bradley Road

Chelmsford, ON P0M 1L0

Tel: (705) 855-5818

info@bhranch.ca

Release From Liability

I acknowledge that there are inherent dangers and risks in horseback riding and

in being around or working with horses. I realize that I could be injured, maimed

or killed while engaging in horseback riding or while being around or working with

horses. I am prepared to take these risks. I release B&H RANCH from any and

all liability or responsibility for any injury to myself while riding on their premises,

while riding a horse supplied by them, or while being around or working with or

without a horse on their premises. I agree to indemnify B&H RANCH from any

and all claims, demands, suits, or liability which may be brought against them by

others as a result of injuries sustained by myself while riding on their premises,

while riding a horse supplied by them, or simply while being around of working

with a horse on their premises.

I acknowledge it is my responsibility to wear protective headgear while mounted.

This headgear should be secured with a safety harness permanently affixed to

the helmet. The harness should be secured and properly fitted. It has been

recommended to me that the protective headgear meet the A.S.T.M. (American

Society for Testing Materials) standard and display the SEI (Safety Equipment

Institute) seal. Centaur Riding School, its employees and/or representatives

make no representation or warranty expressed or implied about any protective

headgear and cautions riders that serious injury and death may result despite

wearing such headgear as all equestrian sports involve inherent risk and that no

protective helmet can protect against all foreseeable injury.

I ACKNOWLEDGE HAVING READ THE ABOVE RELEASE OF

LIABILITY IN ITS ENTIRETY PRIOR TO SIGNING THIS FORM.

Date: ________________________________________

_______________________________

Rider or Parent if rider is under 18

_________________________________

Witness

Liability Release Form Page 2