Release Of Liability Form printable pdf download

CACTUS JACK’S TRAIL RIDES LLC

ACKNOWLEDGEMENT OF WARNING, EXPRESS ASSUMPTION OF RISK

AND COMPLETE RELEASE FROM LIABILITY

Participant Name:

Date:

Age:

(Please print. If participant is under 18, include name of parent or guardian at bottom of form.)

Street Address:

Home Phone: (_____)

Email Address:

Emergency Contact:_____________________________________________________________

Relationship:__________________________________Telephone:________________________

Do you have any medical, physical or emotional condition that would be adversely affected by this

activity?_______________________________________________________________________

Are you pregnant?___________________

WARNING:

Under Florida Law (FLORIDA STATUTES, CHAPTER 773, EQUINE

ACTIVITIES), an Equine Activity Sponsor or Professional is not liable for any injury to,

or the death of a participant in Equine activities, resulting in the inherent Risk of Equine

Activities.

In consideration of permission to use today and on all future days, the property,

equipment, tack, Equines (horses, ponies, mules or donkeys), facilities and services of CACTUS

JACK’S TRAIL RIDES LLC (hereinafter jointly referred to as “CACTUS JACK’S”, THE

FLORIDA HORSE PARK, CROSS FLORIDA GREENWAY, SILVER RIVER STATE PARK,

CHARLE HORSE RANCH, ROCK SPRINGS RUN RESERVE, and GRAND OAKS

OPERATING LLC, I, the undersigned participant, hereby expressly agree:

That I am fully aware of the inherent risk of Equine activities, including but not

limited to the propensity of Horses to behave in ways that may result in injury, harm or death to

persons on or around them; the unpredictability of a Horse reaction to such things as sounds,

sudden movement, and unfamiliar objects, persons or other animals. Certain hazards such as

surface and sub-surface conditions, collisions with other Horses or objects and the potential of a

participant to act in negligent manner that may contribute to injury to the participant or others,

such as failing to maintain control over the animal, not properly preparing the horse, or not

properly tacking the horse, or not acting within his or her ability. I HEREBY ASSUME ANY

AND ALL RISKS INVOLVED IN OR ARISING FROM MY PARTICIPATION IN EQUINE

ACTIVITIES OR MY USE OF OR PRESENCE UPON THE PROPERTY OR FACILITIES

OPERATED BY CACTUS JACK’S, INCLUDING BUT NOT LIMITED FLORIDA HORSE

PARK, CROSS FLORIDA GREENWAY, SILVER RIVER STATE PARK, CHARLE HORSE

RANCH, ROCK SPRINGS RUN RESERVE, and GRAND OAKS OPERATING

LLC._______(Initial).

To release “CACTUS JACK’S”, THE FLORIDA HORSE PARK, CROSS

FLORIDA GREENWAY, SILVER RIVER STATE PARK, CHARLE HORSE RANCH, ROCK

SPRINGS RUN RESERVE, and GRAND OAKS OPERATING LLC and all successors, assigns,

Release Of Liability Form