Horse Riding Indemnity And Liability Release Form printable pdf download

Student Name:____________________________________ Email: _________________________________

Parent Name: ______________________________________ Contact Number:_________________________

HORSE RIDING INDEMNITY AND LIABILITY RELEASE FORM

EQUESTRIAN ACTIVITIES CAN BE DANGEROUS

SERIOUS INJURY MAY RESULT FROM YOUR PARTICIPATION IN THIS ACTIVITY

By this agreement made and entered on (date)________________________ By and between (your full legal

name)____________________________________________________, Who resides at (your address)

___________________________________________________________________________________________

hereinafter referred to as “ I “ and Phoenix Enterprise Group, Inc, doing business as OC Vaulting and/or OC

Equestrian Vaulting, located at 905 Arlington Ave., Costa Mesa, CA 92626, and any and all employees, agents,

officers, instructors of same, hereinafter referred to as “ OCV “ hereby agreed to as follows:

1. HAZARDOUS ACTIVITY: ACKNOWLEDGE THAT HORSEBACK RIDING, VAULTING, THE HANDLING OF

ANIMALS OR BEING IN CLOSE PROXIMITY TO ANIMALS IS AN INHERENTLY DANGEROUS ACTIVITY AND

INVOLVES RISKS THAT MAY CAUSE SERIOUS INJURY AND IN SOME CASES DEATH because of the

unpredictable nature and irrational behavior of animals, regardless of their temperament, training or

past performance.

2. RELEASE, DISCHARGE AND PROMISE NOT TO SUE for any loss, damage, injury, including death, or cost

to me or my child(ren) arising out of the handling of vaulting on, riding, being in close proximity to a

horse, on the premises, when handling, vaulting, riding a horse, using of saddles, bridles, equipment or

gear provided by me or to me by “OCV”

3. I understand that a horse’s natural instincts are to jump forward or sideways, to run away from danger

at a trot, canter, or gallop, to kick, to buck, to rear up in front, or to bite. I understand that helmets,

safety equipment, proficiency checks, supervision and/or enforcement of rules DO NOT AND CANNOT

GUARANTEE my safety. I understand these risks and voluntarily assume these risks and dangers for

myself or on behalf of my child or legal ward. ________ (Initial here)

4. “RIDING” Defined: when the “rider” is sitting on the back of a horse in a saddle, or bareback and

personally controls the movements of the horse with bridle & reins.

5. “VAULTING” Defined: gymnastic or dance movements performed on American Vaulting Association

regulation practice barrel, or on the back of a horse, while being controlled or commanded by a handler,

on the ground, via a long or lunge line.

6. RIDING HELMETS: I understand that I can better protect myself against head injuries by wearing

protective equestrian head gear while mounting, riding, dismounting and being around horses. OCV will

provide helmets to all riders free of charge. Please note that we do not guarantee the helmet itself.

Helmet failure due to manufacturer defects is out of the hands of OCV. I accept full responsibility for the

increased risk of injury if I decide not to wear a helmet or not to require my child or legal ward to wear a

helmet. ________ (Initial here)

7. PROTECTIVE HEADGEAR AND APPARREL: I have been advised to wear protective footwear at all times

while I am grooming or tacking up the horses AND wear a helmet while riding (being in control of the

horse as opposed to vaulting on a horse being lunged). It is understood that OCV ‐ PROVIDED protective

headgear may not be a perfect fit for the rider's head, and that once provided I / WE will be responsible

for securing the helmet on the rider's head at all times. While vaulting, I have been advised that I should

wear vaulting slippers/light soled shoes, tight fitting stretchy clothing with no buttons, zippers or strings,

have my hair tied back and remove all jewelry. ______________ (Initial here)

OCV_PEGI_OCEV_liability_release.pdf 03/14

Horse Riding Indemnity And Liability Release Form