Registration & Release Forms

If you or a rider in your group has a physical or mental condition which may affect his/her safety and capability to ride a horse, please call our office at 636.225.9513 to complete your reservation.

Rider 1 Name:
Rider 1 Age:

Rider 2 Name:
Rider 2 Age:

Rider 3 Name:
Rider 3 Age:

Rider 4 Name:
Rider 4 Age:

Rider 5 Name:
Rider 5 Age:

Rider 6 Name:
Rider 6 Age:

Spouse/Second Guardian Name:*

(All parents or legal guardians giving consent must be listed if rider(s) under the age of 18 are included on this consent/release form.)

Please list the names of any minors riding with you for whom you can claim legal guardianship below:
Minor Rider 1 Name:
Minor Rider 1 Age:

Minor Rider 2 Name:
Minor Rider 2 Age:

I, as mother/father/legal guardian of the rider(s) listed above, take full responsibility for their safety and welfare. I have read and understand the Missouri Warning Statute as well as the Liability Release. I am fully aware of the inherent risks of participating in equine activities such as trail riding.

PLEASE READ EACH SECTION BELOW CAREFULLY AND CHECK BOXES AFTER READING EACH SECTION TO INDICATE AGREEMENT BEFORE SIGNING.

B.) AGREEMENT SCOPE AND TERRITORY AND 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 and county of THIS STABLE’S physical location. Any dispute by the rider shall be litigated in and venue shall be the county in which THIS STABLE is physically located. 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 or otherwise handling of horses, ponies, mules, or donkeys, whether from the ground or mounted. The term “RIDER” shall herein refer to a person who rides a horse mounted or otherwise handles or comes near a horse from the ground. The term “I”, “ME”, “MY” shall herein refer to the above registered rider and the parents or legal guardians thereof it 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 no obvious inherent risks always present in such activity despite all safety precautions. According to NEISS (National Electronic Injury Surveillance Systems of United States Consumer Products) horse activities rank 67th among the activities of people relative to injuries that result in a stay in a U.S. Hospitals. Related injuries can be severe requiring more hospital days and resulting in more lasting residual effects than injuries in other activities. I/WE further understand that applicant may be participating in a “WILDERNESS EXPERIENCE” and that the meaning of this term is defined as follows. THE PURSUIT OF ADVENTURE TYPE ACTIVITY IN A WILD, RUGGED, AND UNCULTIVATED AREA OR REGION, AS OF FOREST and/or HILLS and/or MOUNTAINS and/or PLAINS and/or WETLAND, WHICH WOULD LIKELY BE UNINHABITED BY PEOPLE AND INHABITED BY WILD ANIMALS OF MANY TYPES AND SPECIES TO INCLUDE, BUT NOT LIMITED TO, MAMMALS, REPTILES, AND INSECTS, WHICH ARE NOT TAME, MAY BE SAVAGE AND UNPREDICTABLE IN NATURE AND ALSO WANDERING AT THEIR WILL.

D.) NATURE OF STABLE HORSES -
I UNDERSTAND THAT: THIS STABLE chooses its rental horses for their calm dispositions and sound basic training as is required for use as riding horses for novice and beginning riders, and THIS STABLE follows a rigid risk reduction program, yet no horse is a completely safe horse. Horses are 5 to 15 times larger, 20 to 40 times more powerful, and 3 to 4 times faster than a human. If a rider falls from horse to ground it will generally be at a distance of from 31/2 to 5 ½ feet, and the impact may result in injury to the rider. Horseback riding is the only sport where one much smaller, weaker predator animal(human) tries to impose its will on another much larger, stronger prey animal with a mind of its own (horse) and each has a limited understanding of the other. If a horse is frightened or provoked it may divert from it 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.

E.) RIDER RESPONSIBILITY -
I UNDERSTAND THAT: Upon mounting a horse and taking up the reins 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 about the moving animal. I agree that the rider shall be responsible for hi/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.) PROTECTIVE HEADGEAR OFFERING -
For myself and on behalf of my child and/or legal ward, I/WE have been offered a SEI CERTIFIED ASTM STANDARD F 1163 Equestrian Helmet by THIS STABLE and do understand that the wearing of such headgear while mounting, riding, dismounting and otherwise being around horses, may prevent or reduce severity of some of the wearer’s head injuries and possibly prevent the wearer’s death from happening as the result of a fall and other occurrences. It is understood this STABLE - PROVIDED protective headgear may not be of perfect fit for each rider’s head, and that once provided I/WE will be responsible for securing the helmet on this rider’s head at all times.

Check the box below before the statement which describes your choice to wear, or not wear, STABLE – PROVIDED protective headgear.
PROTECTIVE HEADGEAR ACCEPTANCE: I/WE request to wear protective headgear which THIS STABLE provides.PROTECTIVE HEADGEAR REFUSAL: I/We refuse to wear any type of protective headgear and/or will provide MY/OUR own. I/WE accept full responsibility for MY/OUR safety in this decision.

G.) 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 ARE: Thunder, lightning, rain, wind, water, wild and domestic animals, insects, reptiles, which may walk, run, or fly near, or bite or sting a horse or person; and irregular footing on out-of-door groomed or wild land which is subject to constant change in condition according to weather, temperature and natural and man-made changes in landscape.

H.) CARRY-ON OBJECTS AND SHARP NOISES -
I UNDERSTAND THAT: Riders must not carry loose items on rides which may fall, blow away, flap in the wind, bounce, or make sharp noises, possibly gearing a horse. SOME EXAMPLES ARE: Cameras, hats not securely fastened under chin, toys, and purses. Riders must not make sharp, loud noises, such as screaming or yelling, which may scare a horse.

I.) SADDLE GIRTHS - NATURAL LOOSENING -
I UNDERSTAND THAT: Saddle girths (saddle fasteners around horse’s belly) may loosen during a ride. If a rider notices this he/she must alert the nearest guide or wrangler as quickly as possible so action can be taken to avoid slippage of saddle and a potential fall from the animal.

J.) ACCIDENT/MEDICAL INSURANCE -
I AGREE THAT: Should emergency medical treatment be required. I and/or my own accident/medical insurance company shall pay for ALL such incurred expenses.
My accident/medical insurance company is:

My policy number is:

K.) LIABILITY RELEASE -
I AGREE THAT: In consideration of THIS STABLE allowing my participation in this activity, under the terms set forth herein. I, the rider, for myself and on behalf of my child and/or legal ward, heirs, administrators, personal representatives or assigns, do agree to hold harmless, release, and discharge THIS STABLE, its owners, agents, employees, officers, directors, representatives, assigns, members, owners of premises and trails, affiliated organizations, insurers, and others acting on its behalf (herein after, collectively referred to as “ASSOCIATES”), of and from all claims, demands, causes of action and legal liability, whether the same be known or unknown, anticipated or unanticipated, due to THIS STABLE’S and/or IT’S ASSOCIATES ordinary negligence; and I do further agree that except in the event of THIS STABLE’S gross negligence and willful and misconduct, I shall not bring any claims, demands, legal actions and causes of action, against THIS STABLE, and ITS ASSOCIATES as stated above in this clause, for any economic and non-economic losses due to bodily injury, death, property damage, sustained by me and/or my minor child and/or legal ward in relation to the promise, and operations of THIS STABLE, to include while riding, handling or otherwise being near horses owned by or in the care, custody and control of THIS STABLE. Whether on or off the premises of THIS STABLE.

I/WE, THE UNDERSIGNED, HAVE READ AND DO UNDERSTAND THE FOREGOING AGREEMENT, WARNINGS, RELEASE AND ASSUMPTION OF RISK. I/WE FURTHER ATTEST THAT ALL FACTS RELATING TO THE APPLICANT’S PHYSICAL CONDITION EXPERIENCE AND AGE ARE TRUE AND ACCURATE.

BY SIGNING BELOW YOU:

• Consent to receiving electronic communications from us.
• Agree that electronic communications have the same effect as if provided to you on paper.
• Agree that your electronic signature (via filling in your name below and submitting this form) in connection with agreements and other communications has the same effect as an ink signature.
• Confirm that you are authorized to provide this consent on behalf of yourself and your child and/or legal ward.

Electronic Signature for Consent(required)

Spouse/Second Guardian Electronic Signature For Consent (All parents or legal guardians must sign if rider(s) under the age of 18 are included on this consent/release form.)

Address in full:

Home Phone #: (required)

Cell Phone #: (required)

Business Phone #: (required)

Emergency Contact Name:

Emergency Contact Phone #: (required)