Horsemanship Liability Release Form printable pdf download

HORSEMANSHIP LIABILITY RELEASE FORM

This form must be completed by and for each participant.

Kick’n K, LLC stables hereafter known as "THIS STABLE"

LOCATION: Steelville, MO 65565

PLEASE READ CAREFULLY BEFORE SIGNING

SERIOUS INJURY MAY RESULT FROM YOUR PARTICIPATION IN THIS ACTIVITY.

THIS STABLE DOES NOT GUARANTEE YOUR SAFETY.

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, or the parent or legal guardian thereof if a minor, do hereby agree to hire from THIS STABLE a horse,

tack and equipment, personnel and trail for the purpose of horseback riding today and on all future dates:

RIDER’S NAME ________________________________________________________________

AGE_____________________

(If under 21)

Does this rider have physical and/or mental health conditions, problems, and/or disabilities which may affect his/her safety and ability to ride

a horse? (Circle One)

YES

If "yes" describe here:

AGREEMENT SCOPE AND TERRITORY AND DEFINITIONS -

This agreement shall be legally binding upon me the registered rider, and the parent or legal guardian 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 terms 'I', 'ME' 'MY'

shall herein refer to the above registered rider and the parents or legal guardians thereof if a minor.

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. According to NEISS (National Electronic Injury Surveillance Systems of United States Consumer Products) horse activities rank

64th among the activities of people relative to injuries that result in a stay at 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 WETLANDS, WHICH WOULD LIKELY BE UNINHABITED BY PEOPLE AND INHABITED BY WILD ANIMALS

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.

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.

THIS STABLE follows a rigid risk reduction

program, however, 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 3 1/2 to 5 1/2 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 his own (horse) and each has a limited understanding of the other. 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.

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 aboard

the moving animal. I agree that the rider shall be responsible for his/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.

CONDITIONS OF NATURE-I UNDERSTAND THAT: THIS STABLE is NOT responsible for total or partial acts, occurrences, or elements of

Horsemanship Liability Release Form

Related Articles

Related forms

Related Categories