Rainbow Trail Rides
1152 B County Road 317 Rainbow Texas 76077
Ph. Lee: (254) 396-1024 Ph. Shannon: (817) 559-4092
HORSE AGREEMENT AND LIABILITY RELEASE FORM FOR
INDIVIDUALS
(This form must be completed by and for each participant)
Name (Please
Print)________________________________________________
Home
Address____________________________________________________
City__________________
State________ Zip___________ E-mail__________
Home Phone
(____)______________ Work Phone (_____)_________________
A. REGISTRATION OF RIDERS AND AGREEMENT PURPOSE—In
consideration of the payment of a fee and the signing of this agreement, I, the
above listed individual, and the parent or legal guardians 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.
B. AGREEMENT SCOPE AND TERRITORY AND
DEFINITIONS—This agreement shall be legally binding upon me, the
registered rider, and the parents of legal guardians 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 terms “I,” “ME,” “MY” shall herein refer to the above registered
rider and the parents or legal guardians thereof if a minor.
C. 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 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 UNIHABITED BY PEOPLE AND INHABITED BY WILD
ANIMALS OF 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.
D. NATURE OF STABLE HORSES—I UNDERSTAND
THAT: THIS STABLE chooses its rental horses for their calm dispositions and
basic training as is required for use as riding horses for novice and beginning
riders, and THIS STABLE follows a rigid safety program. Yet, no horse is a
completely safe horse. Horses are five to 15 times larger, 20 to 40 times more
powerful, and three to four 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 its own (horse)
and each has a limited understanding of the other. If a horse is frightened or
provoked in 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.
E. 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.
F. CONDITIONS OF NATURE—I UNDERSTAND
THAT: THIS STABLE is NOT responsible for total or partial acts,
occurrences, or elements of nature that can scare a horse, cause it to fall, or
react in some other unsafe way. SOME EXAMPLES ARE: thunder,
lightening, rain, wind, water, wild and domestic animals, insects, reptiles,
which may walk, run, or fly near, or bite or sting a horse or person; and
irregular footing on out-of-door groomed or wild land which is subject to
constant change in condition according to weather, temperature, and natural and
man-made changes in landscape.
G. CARRY-ON OBJECTS AND SHARP NOISES—I
UNDERSTAND THAT: Riders must not carry loose items on rides which may fall,
blow away, flap in the wind, bounce, or make sharp noises, possibly scaring a
horse. SOME EXAMPLES ARE: Cameras, hats not securely fastened under the
chin, toys, purses. Riders must not make sharp, loud noises, such as screaming
or yelling, which may scare a horse.
H. SADDLE GIRTHS-NATURAL LOOSENING—I
UNDERSTAND THAT: Saddle girths (saddle fasteners around horse’s belly) may
loosen during a ride. If a rider notices this he/she must alert the nearest
guide or wrangler as quickly as possible so action can be taken to avoid
slippage of the saddle and a potential fall from the animal.
I. ACCIDENT/MEDICAL INSURANCE—I AGREE
THAT: Should emergency medical treatment be required, I and/or my own
accident/medical insurance company shall pay for ALL such incurred expenses. My
accident/medical insurance company is __________________ and my policy number is
__________________________.
J. PROTECTIVE HEADGEAR OFERING—I, for
myself and on behalf of my child and/or legal ward, have been offered protective
headgear (riding helmet) by THIS STABLE and do understand that the wearing of
such headgear while mounting, riding, dismounting and otherwise being around
horses, may prevent or reduce severity of some head injuries, and may even
prevent death happening as the result of a fall or other occurrence. It is
understood that STABLE-PROVIDED protective headgear may not be of perfect fit
for each rider’s head, and that once provided I/WE will be responsible for
securing the helmet on this rider’s head at all times. Mark an “X” below in the
box before the statement which describes your choice to wear, or not to wear,
STABLE-PROVIDED protective headgear.
( )
PROTECTIVE HEADGEAR ACCEPTANCE: I/WE REQUEST TO WEAR PROTECTIVE
HEADGEAR WHICH THIS STABLE PROVIDES.
( )
PROTECTIVE HEADGEAR REFUSAL: I/WE REFUSE TO WEAR ANY TYPE OF PROTECTIVE
HEADGEAR AND/OR WILL PROVIDE MY/OUR OWN. I/WE ACCEPT FULL RESPONSIBILITY FOR
MY/OUR SAFETY IN THIS DECISION.
K. LIABILITY RELEASE—In consideration
of THIS STABLE allowing my participation in this activity, under the terms set
forth herein, I, the rider, and the parent or legal guardian thereof if a minor,
do agree to hold harmless and release THIS STABLE, its owners,
agents, employees, officers,
members, premises owners, insurers, and affiliated organizations from legal
liability due to THIS STABLE’S negligence; and I do further agree that I shall
bring no claims, demands, actions and causes of action and/or litigation,
against THIS STABLE and ITS ASSOCIATES as stated above in this clause, for any
economic and non-economic losses due to bodily injury, death, property damage,
sustained by me and/or my minor child or legal ward in relation to the promises
and operations of THIS STABLE, to include while riding, handling, or otherwise
being near horses owned by or in the care, custody and control of THIS STABLE.
All riders and Parents or Legal Guardians must sign below after reading
this entire document. Each spouse must also sign.
SIGNER STATEMENT OF AWARENESS
I/We, the undersigned, have read
and do understand the foregoing agreement, warnings, release and assumption of
rise. I/We further attest that all facts relating to the applicant’s physical
condition, experience, and age are true and accurate.
____________________________________
_______________
Signature of Rider (spouses must
sign for
themselves Date
____________________________________ for _______________________________
______________
Signature of Parent, Guardian,
or Spouse Name of
Rider Date
_____________________________________for________________________________
_____________
Signature of Parent, Guardian,
or Spouse Name of
Rider Date
Address in Full
___________________________________ Home Phone #: ________________________
_________________________________ Bus. Phone #:
__________________________
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