Release and Waiver of Liability, Assumption of Risk, and Imdemnity Agreement at a glance
What it is: This is the Release and Waiver of Liability, Assumption of Risk, and Imdemnity Agreement, signed in consideration for allowing you or your minor child to handle and ride a horse.
Who signs: If the person who is to enter into this Agreement is less than eighteen (18) years of age, his or her parent or guardian must read this Agreement and sign on the behalf of the minor.
A filled-in Release and Waiver of Liability, Assumption of Risk, and Imdemnity Agreement example: a parent signs for a child
How to fill out Release and Waiver of Liability, Assumption of Risk, and Imdemnity Agreement, box by box
Your name, your child's name and where you reside
Print your First and Last Name and the Child's Name, on behalf of you and your minor child.
Enter the Street Address, City, State and Zip where you reside.
Helmet initials
It is recommended that your child and all riders wear a protective helmet.
Initial here if you decline, for you and for your child, to wear a helmet.
Date and Signature
Write the Date and sign on the Signature line.
More rules for Release and Waiver of Liability, Assumption of Risk, and Imdemnity Agreement
By signing this agreement, you and your child are giving up certain legal rights, including the right to sue or recover damages in case of injury, death or property damages, for any reason, including but not limited to, the negligence of the Stable, its owner, employee and agents.
I have read this entire Release of Liability Document. I understand it is a promise not to sue and to release the stable, its owners, employees and agents for all claims. I have made a free and deliberate choice to sign this Release and Waiver as a condition to Releasees allowing me or my child to ride or handle a horse.
Acknowledge that a horse or mule may, without warning or any apparent cause, buck, stumble, fall, rear, bite, kick, run, make unpredictable movements, spook, jump obstacles, step on a person's feet, push or shove a person, and that saddles or bridles may loosen or break.
Acknowledge that horseback riding is an inherently dangerous activity and involves risks that may cause serious injury and in some cases death.
Voluntarily assume the risk and danger of injury or death inherent in the use of the horse, equipment and gear provided to you by the Stable.
Release, discharge and promise not to sue the Stable and any of its owners, officers, employees and agents (the Releasees).
Indemnify, and save and hold harmless the Stable, instructors, its employees and agents.
The Undersigned expressly agrees that the release and waiver of liability, assumption of risk, and indemnity agreement is governed by the State of Arizona, and that if any portion of this Agreement is determined to be invalid, illegal, or unenforceable, the validity, legality and enforceability of the balance of the Agreement shall not be affected or impaired in any way.
Acknowledge that this document is a contract and agree that if a lawsuit is filed against the Stable or its owner, agents, employees, guides or wrangles for any injury or damage in breach of this contract, the Undersigned will pay all attorney's fees and costs incurred by the Stable in defending such an action.
State that you are not now pregnant and that you have no history of epileptic seizures, heart condition or any other medical problem that could be affected by horseback riding.
Sources
[1] Release and Waiver of Liability, Assumption of Risk, and Imdemnity Agreement (the served file; no issuer file found) (the Official source link on this page).