|
Jumping ‘L’Equestrian Center Mt. Zion Rd. Midlothian, Tx 76065 ACKNOWLEDGEMENT OF RISK, ACCEPTANCE OF RESPONSIBILITY AND RELEASE
OF LIABITY Please read this form in
its entirety. Fill in the blanks, sign and date at bottom. Please fill out 1 release form per participant. | I, the undersigned, hereby acknowledge that I have voluntarily applied to engage in an activity of horseback
riding with the Jumping ‘L’ Equestrian Center. | I understand that the activity of horseback riding involves numerous risks, including loss of control, collisions and
obstacles, whether they are obvious or not obvious. I and/or my family further understand that an animal, irrespective of
its training and usual past behavior and characteristics, may act or react unexpectedly or unpredictably at times, and I also
assume such risks. | I understand that
I may encounter variation in terrain, which may result in injury or damages. I acknowledge that these are my responsibility,
and I assume the risk for these hazards, including breaks, debris, rocks, hanging trees, cliffs, hills and other hazardous
surface or subsurface conditions and obstacles, whether they are obvious or not obvious, man made or natural. | I understand that animals are unpredictable
and that the risk of injury is inherent to the activity. I agree to assume all risk of injury or death caused by horseback
riding, whatever the cause, except as provided by law. | As consideration for being permitted by Emily Lock to engage in the activity of horseback riding I do hereby waive
any claim and release Emily Lock and Jumping ‘L’ Ranch and all owners, officers, members, affiliated organizations,
land owners, agents and or employees for any injury or death caused by or resulting from my participation in the activity
of horseback riding. | This contract shall
be legally binding upon my estate, assigns, legal guardians, my personal representatives, and me. | I have carefully read this agreement and fully understand the concerns.
I am aware that I am releasing certain legal rights that I otherwise may have, and I enter into the contract in behalf of
myself and/or my family of my own free will. |
THIS IS A RELEASE OF LIABLITY. DO NOT SIGN OR INTIAL THIS RELEASE IF YOU DO NOT UNDERSTAND OR DO NOT
AGREE WITH ITS TERMS. Under 18 years of age, signature of parent or guardian is required ___________________________________________ Participants printed name ___________________________________________
Signature of participant or guardian
Date ___________________________________________
Emergency
contact and relation to participant ___________________________________________ Phone number
|