Number of Adult Riders You Are Registering (required)
Number of Minor Riders You Are Registering (required)
Names & Ages of Riders You Are Registering:
Rider 1 Name*:
Rider 1 Age:
Rider 1 Experience:
Rider 2 Name:
Rider 2 Age:
Rider 2 Experience:
Waiver Form & Horse Rental Agreement
PLEASE READ EACH SECTION BELOW CAREFULLY AND CHECK BOXES AFTER READING EACH SECTION TO INDICATE AGREEMENT BEFORE SIGNING.
PLEASE READ CAREFULLY BEFORE SIGNING. SERIOUS INJURY or DEATH MAY RESULT FROM YOUR PARTICIPATION IN THIS ACTIVITY. THIS STABLE DOES NOT GUARANTEE YOUR SAFETY.
A.) REGISTRATION OF RIDERS AND AGREEMENT PURPOSE -
In consideration of the payment of a fee and the signing of this agreement, I, the following listed individual, and the parent or legal guardians thereof if a minor, do hereby agree to hire ‘THIS STABLE’ and horse, tack and equipment, personnel and trail for the purpose of horseback riding today and on all future dates:
B.) AGREEMENT SCOPE AND TERRITORY AND DEFINITIONS -
C.) ACTIVITY RISK CLASSIFICATION -
D.) NATURE OF STABLE HORSES -
E.) RIDER RESPONSIBILITY -
F.) PROTECTIVE HEADGEAR OFFERING -
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 ACCEPTANCE: I/WE will provide MY/OUR own SEI-certified riding headgear.PROTECTIVE HEADGEAR REFUSAL: I/We am/are over 18 years of age and refuse to wear any type of protective headgear. I/WE accept full responsibility for MY/OUR safety in this decision.
G.) CONDITIONS OF NATURE -
H.) CARRY-ON OBJECTS AND SHARP NOISES -
I.) SADDLE GIRTHS - NATURAL LOOSENING -
J.) ACCIDENT/MEDICAL INSURANCE -
My accident/medical insurance company is:
My policy number is:
K.) LIABILITY RELEASE -
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.
- As parent(s) or legal guardian(s) you give consent for the minors listed on this release.
Adult Rider Consent:* (Full legal name)
Primary Guardian Consent for Minor Riders:* (Full legal name)
Spouse/Second Guardian Name:* (Full legal name)
*All parents or legal guardians giving consent must sign if rider(s) under the age of 18 are included on this consent/release form.
Home Phone #: (required)
Cell Phone #: (required)
Business Phone #: (required)
Emergency Contact Name: (THIS SHOULD BE A PERSON WHO IS NOT ON THE TRAIL RIDE WITH YOU.)
Emergency Contact Phone #: (required) (THIS SHOULD BE A PERSON WHO IS NOT ON THE TRAIL RIDE WITH YOU.)