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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

 

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Participants printed name

 

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Signature of participant or guardian                       Date                                             

 

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Emergency contact and relation to participant

 

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Phone number