Cross Country Disclaimer Form printable pdf download

CROSS COUNTRY DISCLAIMER FORM

RELEASE AND WAIVER OF LIABILITY

Name of Rider-________________________________________________________________

Name of Parent/Guardian, if rider under 18yrs-_______________________________________

Rider Date of Birth if under 18yrs-__________________________________________________

Street Address -________________________________________________________________

Town

State

Postcode______

Email Address-_________________________________________________________________

Telephone Mobile-______________________________________________________________

EA Membership No-_____________________________________________________________.

EA Affiliated Club Membership Name and No-_________________________________________

PCAWA Club Name and No-______________________________________________________

Horse riding is a dangerous activity:

* I understand and acknowledge that horse riding is a dangerous activity and that horses can act in

a sudden and unpredictable way, especially if frightened or hurt.

* I understand and acknowledge that serious injury or death may result from horse riding activities.



I agree that I ride at my own risk

Therefore;

I agree that I will only ride within my capabilities whilst using the cross country course. That I



will inspect any jump/obstacle and the area surrounding any jump/obstacle prior to attempting

to jump.

I understand and acknowledge that horses kept on the CREP grounds are at my own risk.



I agree to follow the rules and regulations as stated in the Conditions of Use of the Cross coun-

try Course and Grounds and that any misconduct or refusal by me to follow any direction will

result in CANCELLATION of my booking and immediate exit from the CREP. I agree to wear a

helmet and necessary safety gear whilst riding a horse.

Effect of this document

I understand that my signature to this document constitutes a complete and unconditional release

of all liability of CREP and it’s entire affiliated clubs to the greatest extent allowed by law in the

event of me and/ or the children under my care, suffering injury or death.

Signature of parent/significant other__________________________________________________

Signature of rider over 18yrs of age__________________________________________________

DATE:________________________

Cross Country Disclaimer Form