EQUINE RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT
"Equine" means a horse, pony, mule, donkey, or hinny.
"Inherent risks of equine activities" means those dangers or conditions that are an integral part of engaging in an equine activity, including any of the following:
a. The possibility of an equine behaving in ways that may result in injury, harm, or death t persons on or around them.
b. The unpredictability of an equine's reaction to such things as sounds, sudden movement, unfamiliar objects, persons, or other animals.
"Participant" means any person, whether amateur or professional, who engages in an equine activity, whether or not a fee is paid to participate in the equine activity.
By signing this Equine Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement (Release), I represent that I have read this agreement and that I fully understand agreement. These Equine activities involve the risk of serious bodily injury including but not limited to permanent disability, paralysis and even death. I represent that I am in good health and in proper physical condition to participate in these activities. I understand the nature and risk of participating in Equine activities. I understand that this release is intended to include all activities whether on or off the equine.
I have read this EQUINE RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
AGREEMENT from Dawn Berard, Riptide Stables, 4220 Buck Drive, Castle Hayne, NC 28429, and I understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature. I intend this to be a complete and unconditional release of all liability to the greatest extent allowed by law which includes employees, officers and contract employees of Dawn Berard, Riptide Stables and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect. I further agree to indemnify, defend and hold Dawn Berard, Riptide Stables, and their officers, directors, employees, and agents, harmless from any liability relating to personal injury or injury to real or personal property of any kind arising out of the ordinary negligence, willful or wanton negligence, or intentional acts of the undersigned.
This Release is governed by the law of the State of North Carolina. By signing this agreement, I agree to be the exclusive jurisdiction of the courts of the state of North Carolina, and that the only venue for any legal proceedings shall be New Hanover County, North Carolina.
Printed Name of Participant: ______________________ Participant Age:_____
Signature of Participant: __________________________ Date_________________
Phone Number ___________________
PARENTAL CONSENT (Only needs to be signed and dated if the participant is under the age of 18)
I, _______________________ the minor’s parent and/or legal guardian, understand the nature of the above-referenced activities and the minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I have read and understand the above EQUINE RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AGREEMENT.
Printed Name of Parent/Legal Guardian
_________________________________________ Date: __________________
Signature of Parent/Legal Guardian
Emergency Phone # (___) ______- ___________
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