RELEASE AND WAIVER AGREEMENT FOR BEST FRIENDS
FARM
OWNER EXPRESSLY RELEASES AND WAIVES MANAGER, Equine Kingdom Riding Academy, ITS AGENTS AND EMPLOYEES, PROPERTY
OWNERS AND/OR HEIRS FROM ANY AND ALL CLAIMS AND RESPONSIBILITIES FOR BUT NOT LIMITED TO THE FOLLOWING:
A.
ANY SICKNESS, DISEASE, THEFT, DEATH AND OR INJURY OF THE HORSE, WHICH MAY BE SUFFERED BY THE HORSE
OR ANY OTHER CAUSE OF ACTION, WHATSOEVER, ARISING OUT OF OR BEING CONNECTED IN ANY WAY WITH THE
BOARDING OF SAID HORSE, EXCEPT IF CAUSE IS BY THE WILLFUL AND WANTON NEGLIGENCE OF THE MANAGER
B.
ANY INJURY, DISABILITY AND OR DEATH CAUSED TO THE OWNER AND OR OWNER'S GUEST(S) AND OR ANY LOSS
OR DAMAGE TO ANY PERSONAL PROPERTY OF OWNER AND OR OWNER'S GUEST(S) WHILE ON OR OFF BOARDING PREMISES
AND IT IS AGREED THAT IT IS THE OWNER'S RESPONSIBILITY TO CARRY FULL INSURANCE, INCLUDING COVERAGE
ON SAID HORSE, AND ALL PERSONAL PROPERTY
C. ANY AND ALL INHERENT RISKS AND ASSUMPTIONS OF RISKS WITH HORSES; THE OWNER ACKNOWLEDGES
AND ACCEPTS THAT THERE ARE INHERENT RISKS ASSOCIATED WITH EQUINE ACTIVITIES SUCH AS DESCRIBED BELOW,
AND HEREBY EXPRESSLY ASSUMES ALL RISKS ASSOCIATED WITH PARTICIPATING IN SUCH ACTIVITIES; THE INHERENT
RISKS INCLUDE, BUT ARE NOT LIMITED TO THE PROPENSITY OF EQUINES TO BEHAVE IN WAYS SUCH AS, RUNNING,
BUCKING, BITING, KICKING, SHYING, STUMBLING, REARING, FALLING OR STEPPING ON, THAT MAY RESULT IN
AN INJURY, HARM, DISABILITY OR DEATH TO A PERSON ON OR AROUND EQUINES; THE UNPREDICTABILITY OF EQUINE'S
REACTION TO SUCH THINGS AS SOUNDS, SUDDEN MOVEMENT AND UNFAMILIAR OBJECTS, PERSONS OR OTHER ANIMALS;
CERTAIN HAZARDS SUCH AS SURFACE AND SUBSURFACE CONDITION; COLLISIONS WITH OTHER ANIMALS; THE LIMITED
AVAILABILITY OF EMERGENCY MEDICAL CARE, AND THE POTENTIAL OF A PARTICIPANT TO ACT IN A NEGLIGENT
MANNER THAT MAY CONTRIBUTE TO INJURY TO THE PARTICIPANT OR OTHERS, SUCH AS FAILING TO MAINTAIN CONTROL
OVER THE ANIMAL OR NOT ACTING WITHIN SUCH PARTICIPANT'S ABILITY
D. ANY AND ALL CLAIMS ARISING FROM DAMAGE OR INJURY CAUSED BY OWNER'S HORSE TO ANYONE, AND OWNER
WILL DEFEND MANAGER, Equine Kingdom Riding Academy, ITS AGENTS AND EMPLOYEES, PROPERTY OWNERS AND/OR HEIRS FROM
ANY SUCH CLAIMS. OWNER AGREES TO DISCLOSE ANY AND ALL HAZARDOUS OR DANGEROUS PROPENSITIES
OF THE HORSE BOARDED
E.
ANY AND ALL CLAIMS ARISING FROM DAMAGES SUCH AS BUT NOT LIMITED TO PERSONAL INJURY, DEATH, PROPERTY
LOSS, OR ANY OTHER LOSS SUSTAINED AS A RESULT OF OWNER'S ACTIVITIES THAT ARE HORSE RELATED.
COMMENCEMENT OF THIS RELEASE AND WAIVER AGREEMENT WILL BEGIN ON ____________________
, 20______.
RELEASE AND WAIVER SIGNATURE:
PRINTED FULL NAME_________________________________
PARTICIPANT'S SIGNATURE(or guardian if student is a minor)____________________________
DATE________________________________________________
CONTACT THE FOLLOWING PERSONS IN CASE
OF INJURY, DEATH, OR OTHER EMERGENCY:
________________________________________________________
HOME PHONE:__________________________________________
CELL PHONE:___________________________________________
> Equine Kingdom Riding Academy/Equine Kingdom
Day Camp Form
Name of Student:______________________________________________________________
Date of Birth:___/___/____
Address:_____________________________________________________________________
City:__________________________State:___________________
Zip:___________________
Father's Name:____________________Phone: (h)________________(c)_________________
Mother's Name:___________________Phone: (h)________________(c)_________________
Emergency Contact:________________ Phone: (h)________________(c)_________________
Medical Concerns: _____________________________________________________________
Allergies:_____________________________________________________________________
RIDING
LEVEL EVALUATION
Previous Student at Best Friends
Farm? YES or NO
If no, has your child attended
any other riding camps or taken lessons elsewhere (please list)?
___________________________________________________
Riding Level: _______________________________________
Riding Level classifications
are:
Beginner: little
or no riding experience
Novice: can
ride a gentle horse at a walk or trot
Intermediate:
can control the horse at a walk/trot and has cantered/loped before
Advanced: can
control the horse at a walk, trot, and canter/lope
Number of hours ridden before?
_______________________ 0-5, 5-10, 10-15, 15+
Lessons generally run a full
hour ' including tacking up, grooming, riding, and untacking. ASTM approved helmets will be used,
and all reasonable measures taken to ensure your child's safety.
Rider's Signature_______________________________________________________
Rider's Parent or Guardian (If Rider is a minor)_____________________________________
Sally Nolte equinekingdom@gmail.com (336)
908-7453
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