Riding Instruction Agreement & Liability Release Form
This form must be completed by and for each participant
Lyons Core, Inc
(Hereinafter known as "THIS STABLE")
PLEASE READ CAREFULLY BEFORE SIGNING
SERIOUS INJURY MAY RESULT FROM YOUR PARTICIPATION IN THIS ACTIVITY - THIS STABLE DOES NOT GUARANTEE YOUR SAFETY
A. REGISTRATION OF RIDERS AND AGREEMENT PURPOSE: In consideration of the payment of a fee and the signing of this agreement, I, the following listed individuals, and the parent or legal guardian thereof if a minor, do voluntarily request and agree to participate in riding instructions as a student at THIS STABLE and that the student will either ride his/her own horse or a school horses provided by THIS STABLE for instructional purposes today and all future dates:
Please write initials below after reading each section. Parents and/or guardians must also initial.
B. AGREEMENT SCOPE AND TERRITORY AND DEFINITIONS: This agreement shall be legally binding upon the registered student, and the parents or 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 country of THIS STABLE's physical location. Any 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 term "RIDER" shall herein refer to a person who rides a horse mounted or otherwise handles or comes near a horse from the ground. The terms "I", "ME" and"MY" shall herein refer to the above-registered rider and the parents or legal guardians thereof if a minor.
C. ACTIVITY RISK CLARIFICATION - I UNDERSTOOD THAT: Horseback riding is classified as a RUGGED ADVENTURE RECREATIONAL SPORT ACTIVITY, and that there are numerous obvious and non-obvious inherent risks always 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. 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 ARE OR REGION, AS OF FOREST and/or HILLS and/or MOUNTAINS, and/or PLAINS, and/or WETLANDS, WHICH WOULD LIKELY BE UNINHABIATATED BY PEOPLE AND INHABATTED 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 disposition and sound basic training as is required for use as a riding horse for novice and beginner riders, and THIS STABLE follows a rigid safety program. Yet, no horse is a completely safe horse. Horses are 5 to 15 times larger, 20 to 40 times more powerful ad 3 to 4 times faster than a human. If a rider falls from a horse to the ground it will generally be a distance of 4 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 it may divert from its training and act according to its natural survival instincts which may include, but are not limited to: stopping short, changing direction 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 him/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 the care of their 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, lightning, rain, wind, water, wild and domestic animals, insects, reptiles, which may walk, run, or fly near, bite or sting a horse or pony, and irregular footing on out-of-door groomed or wildland which is subject to the Change in condition according to weather, temperature, and natural and man-made changes in the scape.
G. CARRY ON OBJECTS AND SHARP NOISES - I UNDERSTAND THAT: Rider must not carry loose items on rides, which may fall, blow away, flap in the wind, bounce, r make sharp noises, possibly scaring a horse. SOME EXAMPLES ARE cameras, hats not securely fastened under the chin, toys, and purses. Riders must not make sharp, loud noises, such as screaming and yelling, which may scare a horse.
H. SADDLE GIRTHS - NATURAL LOOSENING- I UNDERSTAND THAT Saddle Girth (Saddle fasteners around the horse's body) May loosen during a ride. If a rider notices this he/she miss alert the nearest guide or wrangler as quickly as possible so action can be taken to avoid slippage of the saddle and a potential far from the animal.
I. ACCIDENTAL/MEDICAL INSURANCE- I AGREE THAT: Should emergency medical treatment be required, I and or my own accidental/medical insurance company shall pay for all such a courage expenses. My accident/medical insurance company is ___________________________ and my policy number is ____________________________________
J. PROTECTIVE HEADGEAR OFFERING: I, For myself and on behalf of my child and or legal ward, have an offered protective headgear riding helmets by this table, and do you understand that the wearing of such headgear wall mounting writing dispensing and otherwise being on horses may prevent or reduce the severity of some head injuries and may even prevent death happening as a result of a fall or other occurrence. It is understood that this stable-provided protective headgear may not be the perfect fit for each rider's head and that once provide 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:
K. LIABILITY RELEASE: In consideration of THIS STABLE allowing my participation in this activity, under the terms set forth herein, I, the rider, and/or the legal guardian thereof if a minor, do agree to hold harmless and release this STABLE, its owners, agents, employees, officers, members, premise owners, insurers, and affiliated organizations from legal liability due to THIS STABLE's ordinary negligence, and I do further agree that except in the event of THIS STABLE's gross and willful negligence, I shall bring no claims, demands, actions and cause 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 damages, sustained by ME and/or my minor child or legal ward in relation to the premises 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 SIGN:
SIGNER STATEMENT OF AWARENESS
I/WE THE UNDERSIGNED, HAVE READ AND UNDERSTAND THE FOREGOING AGREEMENT, WARNINGS, RELEASE,AND ASSUMPTION OF RISK. I/WE FURTHER ATTEST THAT ALL FACTS RELATING TO THE APPLICANT'S PHYSICAL CONDITION, EXPERIENCE, AND/OR AGE ARE TRUE AND ACCURATE