Partridge Horse Hill

ACKNOWLEDGMENT of RISK and RELEASE of LIABILITY


 Date of Birth:   
Full Address:   

Participants need to sign this form if over 18. If under 18, a parent or guardian can sign on your behalf. Which are you?

If you are a parent/guardian, please provide your name and address (if different from participant) here:

All members of a family can use the same waiver. If you are the parent/guardian, please put the other names and Dates of birth of family members here:   

Every Person must Read and Understand this form before Participating in Equine Activities
TO: Lindsey Partridge (LP), Harmony Horsemanship (HH), Natural Horsemanship Association (NHA) and Partridge Horse Hill (PHH) ,
Initial each item below After Reading and Understanding the item their directors, employees, officers, volunteers, business operators, family, friends, and site property owners. (all of them collectively called the HOST)
  1. I Understand there are Inherent DANGERS, HAZARDS and RISKS, (collectively called RISKS) associated with Equine Activities and injuries resulting from these “RISKS” are a common occurrence.
 2. I Acknowledge that the Inherent “RISKS” of Equine Activities mean those DANGEROUS conditions which are an integral part of Equine Activities,
• The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people, or objects.
including but not limited to:
• The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects.
• The potential for other participant (s) to act in a negligent manner that might contribute to injury to themselves or others, such as failing to act within their ability or to maintain control over an equine.
 3. I Freely Accept and Fully Assume All Responsibility for the Inherent “RISKS” and the possibility of personal injury, death, property damage or loss resulting from my Participation in Equine Activities.
 4. I Acknowledge that it remains my Sole Responsibility to act in such a manner as to be responsible for my own safety and to Participate Within My Own Limits.
 5. In addition to consideration given for my Participate in Equine Activity, I and my heirs, executors, administrators and assigns (collectively called my “Legal Representatives”) agree
• To Waive All Claims that I might have against the “HOST”; and
• To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I or my “Legal Representatives” might suffer as a result of my Participation due to any cause whatsoever including any NEGLIGENCE ON THE PART OF THE “HOST”; and
• To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or personal injury to any third party which might result from my Participation in Equine Activities.
Before signing this form I read it (as indicated by my initials above) and I stated that I understand it. I know that signing this form, waives certain legal rights I or my “Legal Representatives” might have against the “HOST”.
SIGNED 
Do Not Sign Until You Understand All Items Above

I am completing this form so that I can participate in:

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If you are participating in a clinic with Lindsey Partridge that is not hosted at Partridge Horse Hill, please specify here the location and/or date of the clinic so we know which organizer to notify:

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Signed by Lindsey Partridge Partridge
Signed On: May 11, 2017

Partridge Horse Hill http://partridgehorsehill.com
Signature Certificate
Document name: ACKNOWLEDGMENT of RISK and RELEASE of LIABILITY
Unique Document ID: 2a973ee2e3b4442451c5607637d64bb6cad0f91d
Timestamp Audit
2017-03-18 18:32:10 EDTACKNOWLEDGMENT of RISK and RELEASE of LIABILITY Uploaded by Lindsey Partridge Partridge - [email protected] IP 104.249.227.10