RIDING INSTRUCTION AGREEMENT AND LIABILITY RELEASE FORM

FOR INDIVIDUALS

This form must be completed by and for each participant

 

RYMAR RANCH, INC.

STABLE NAME; hereinafter know as “This stable”

LOCATION OR ADDRESS 8265 S. LECANTO HWY. LECANTO, FL 34461

 

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 individual, and the parent or legal guardians thereof if a minor, do hereby voluntarily request and

agree to participate in riding instruction as a student at THIS STABLE and that this student will either ride his/her own horse, or

school horses provided by THIS STABLE for instructional purpose of horseback riding today and on all future dates:

 

RIDERS NAME

 

AGE
(If under 21)

WEIGHT

(Over 240#)

HORSE RIDING EXPERIENCE

(Check one which applies)

 

 

_______ YES

_______  NO

_____ BEGINNER (UNDER 10 HRS)

_____ OVER 10 HRS 

Does this rider have physical or mental conditions, which may affect his/her safety and ability to ride a horse of which we should

be aware? YES    NO (Circle One) If "yes”, how can we help this rider with his/her with special needs?

 

 

 

B. AGREEMENT SCOPE AND TERRITORY AND DEFINITIONS -This agreement shall be legally binding upon me the registered rider,

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 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 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' '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 always present in such

activity despite all safety precautions. According to NEISS (National Electronic Injury Surveillance Systems of United State

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.

 

D. NATURE OF STABLE HORSES-I UNDERSTAND THAT: THIS STABLE chooses its rental horses for their calm dispositions and

sound basic training as is required for use of STUDENT 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, and 3 to 4 times faster than a human. If a

rider falls from horse to ground it will generally be at a distance of from 3 ½ 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 his 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 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.

 

F. CONDITIONS OF NATURE AND INSPECTION OF PREMISES-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, 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. The rider and parent or legal guardian

have inspected THIS STABLE’S facilities and are satisfied that all premise conditions are reasonably safe for rider’s intended purpose,

usage and presence upon THIS STABLE’S PREMISES.

 

G. 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 saddle and a potential fall from the animal.

 

H. 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 ________________________________.

 

I. PROTECTIVE HEADGEAR OFFERING- I, for myself and on behalf of my child and/or legal ward, have been fully warned and

advised by THIS STABLE that protective headgear which meets or exceeds the quality standard of the SEI CERTIFIED AS TM

STANDARD F1163 Equestrian Helmet, should be purchased and worn while riding and being near horses and I do understand that

the wearing of such headgear at these times may reduce severity of some of the wearer’s head injuries and possibly prevent the

wearer’s death from happening as the result of a fall and other occurrences.

 

J. LIABILITY RELEASE: I AGREE THAT: In consideration of THIS STABLE allowing my participation in this activity, under the terms

set forth herein, I, the rider, for myself and on behalf of my child and/or legal ward, heirs, administrators, personal representatives

or assigns, do agree to hold harmless, release, and discharge THIS STABLE, its owners, agents, employees, officers, members,

promises owners, insurers, and affiliated organizations, and insurers, and others acting on its behalf (hereinafter, collectively

referred to as “Associates”), of and from all claims demands, causes of action and legal liability, whether the same be known or

unknown, anticipated, unanticipated, due to THIS STABLE’S and/or ITS ASSOCIATES ordinary negligence; and I do further agree

that except in the event of THIS STABLE’S gross negligence and will and wanton misconduct, I shall not bring any claims, demands

legal actions and causes of action, 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 premises and operations of THIS STABLE, to include while riding, handling, or otherwise being near horses owned by

or in in case, custody and control of THIS STABLE, whether on or off premises of THIS STABLE.

 

All Riders and Parents or Legal Guardians must sign below after reading this entire document:

SIGNER STATEMENT OF AWARENESS

I/WE THE UNDERSIGNED, HAVE READ AND DO 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 AGE ARE TRUE AND ACCURATE.

 

________________________________________________________________________DATE ___________________________

SIGNATURE OF RIDER (Spouses must sign for themselves)

 

______________________________________________ for _______________________________DATE___________________

SIGNATURE OF PARENT, GUARDIAN AND/OR SPOUSE #1                       NAME (Please Print)

 

______________________________________________ for _______________________________ DATE ___________________

SIGNATURE OF PARENT, GUARDIAN AND/OR SPOUSE #2                       NAME (Please Print)

 

Address in full: _________________________________________   Home Phone # ______________________________________

                        _________________________________________    Bus. Phone # _______________________________________

 

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