Agreement And Release Of Liability Form For Students Campers Form

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Foster Farm South
(Located at the Park Lane Equestrian Center)
Hereafter known as "THIS STABLE"
AGREEMENT AND RELEASE OF LIABILITY FORM FOR STUDENTS/CAMPERS
Welcome! We are so happy you have chosen to ride with Foster Farm South!
We will do all that we can to make this a fun and safe experience for you and your family.
In order to ride with us, we require your full understanding and signing of this contract.
A. REGISTRATION OF RIDERS AND AGREEMENT PURPOSE- I, the following listed individual, and/or the parent or legal guardians thereof
if a minor, do hereby agree to rent from THIS STABLE a horse, tack and equipment, personnel and instruction for the purpose of
horseback riding today and on all future dates:
NAME
AGE
WEIGHT
HORSE RIDING EXPERIENCE
(If under 21)
_____ BEGINNER (UNDER 15 HRS)
_____ OVER 15 HRS
____ OVER 40 HRS
Does this rider have any physical and/or mental health conditions, problems, and/or disabilities which may affect his/her safety and ability to ride a
horse? (If yes, please briefly describe)
YES
NO
Please list any medications:
B.
AGREEMENT DEFINITIONS -This agreement shall be legally binding upon me the registered rider, and the parents or legal
guardians thereof if a minor, my heirs, estate, assigns, including all minor children, and personal representatives; and it shall be
interpreted according to the laws of the state of Texas and county of Dallas. Any dispute by the rider shall be litigated in and
venue shall be in Dallas, Texas. If any clause, phrase or word is in conflict with state law, then that single part is null and void. The
term 'HORSE' herein shall refer to all equine species. The term 'HORSEBACK RIDING' herein shall refer to riding, driving or
otherwise handling, grooming, and general care of horses, ponies, mules, or donkeys, whether from the ground, the cart, or
mounted. The term 'RIDER' shall herein refer to a person who rides a horse mounted or drives in a cart or otherwise handles or
grooms or comes near a horse from the ground. The terms 'I', 'ME' 'MY' shall herein refer to the above registered rider and the
parents or legal guardians thereof if a minor.
C.
ACTIVITY RISK CLASSIFICATION- I UNDERSTAND THAT: Horseback riding is classified as RUGGED ADVENTURE
RECREATIONAL SPORT ACTIVITY and that there are numerous obvious and non-obvious inherent risks always present in such
activity despite all safety precautions. I further understand that horseback riding, whether it is in the riding arena or on the trail, as
well as all associated activities, constitute a calculated risk to the participants. I am aware of posted signs and placards warning
me of said risks.
D.
NATURE OF HORSES-I UNDERSTAND THAT: THIS STABLE chooses its school horses for their calm dispositions and sound
basic training as is required for use as riding horses for novice and beginning riders. Yet, no horse is a completely safe horse. If a
horse is frightened or provoked it may divert from its training and act according to its natural survival instincts which may include,
but are not limited to, stopping short, changing directions or speed at will, shifting its weight, bucking, rearing, kicking, biting, or
running from danger. I UNDERSTAND the unpredictability of horses and agree to assume all risk inherent in this activity.
E.
RIDER RESPONSIBILITY- I UNDERSTAND THAT: Upon mounting a horse the rider is in primary control of the horse. The rider's
safety largely depends upon his/her ability to carry out simple instructions; and his/her ability to remain balanced aboard the
moving animal. I agree that the rider shall be responsible for his or her own safety and that of an unborn child if the rider is
pregnant. THIS STABLE advises pregnant women not to ride horses, unless permission is given under advice of her physician.
F.
CONDITIONS OF NATURE-I UNDERSTAND THAT: THIS STABLE is NOT responsible for total or partial acts, occurrences, or
elements of nature that can scare a horse, cause it to fall, or react in some other unsafe way. SOME EXAMPLES INCLUDE, BUT
ARE NOT LIMITED TO, thunder, lightning, rain, wind, water, wild and domestic animal interference, insects and/or reptiles, which
may walk, run, or fly near, or bite or sting a horse or person; and natural and man-made changes in landscape.
G.
CARRY-ON OBJECTS AND SHARP NOISES- I UNDERSTAND THAT: Riders must not carry loose items while riding which may
fall, blow away, flap in the wind, bounce, or make sharp noises, possibly scaring a horse. SOME EXAMPLES INCLUDE, BUT
ARE NOT LIMITED TO, the use of cellular phones, pagers and jewelry. Riders must not make sharp, loud noises, such as
screaming or yelling, which may scare a horse.
H.
ACCIDENT/MEDICAL INSURANCE- I AGREE THAT: Should emergency medical treatment be required, I and/or my own

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