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This liability release form is provided by Lazy 8 Riding Stables to release its future liability during the rider's participation in horse riding activities.
SOME EXAMPLES ARE: thunder, lightening, rain, wind, wild and domestic animals, insects, reptiles,
which may walk, run, fly near, bite and/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.
G. INPSECTION OF PREMISES – RIDER has inspected LAZY 8 RIDING STABLES facilities and trails
and is satisfied that all premises conditions are reasonably safe for RIDER’S intended purpose, usage and
presence upon the LAZY 8 RIDING STABLES premises.
H. ACCIDENT/MEDICAL AND PERSONAL LIABILITY INSURANCE – Should 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
____________________. Should my actions or that of my horse cause injury or damage of any kind, I
and/or my own personal liability shall pay for such damages. My personal liability insurance company
is____________________________ and my policy number is ____________________.
I. PROTECTIVE HEADGEAR WARNING – I have been fully warned and advised by LAZY 8 RIDING
STABLES that the RIDER should purchase and wear protective headgear (riding helmet), and that the
wearing of such headgear while mounting, riding, dismounting, and otherwise being around horses, may
prevent or reduce severity of some head injuries and even prevent death from happening as the result of a
fall or other occurrence. Minors 16 and under are required to wear protective headgear.
J. LIABILITY RELEASE – In consideration of LAZY 8 RIDING STABLES allowing my participation in
this activity, under the terms set forth herein, I, the RIDER, and the parent or guardian thereof if a minor,
do agree to hold harmless and release LAZY 8 RIDING STABLES, its owners, agents, employees,
officers, members, premises owners, insurers, and affiliated organizations from legal liability due to LAZY
8 RIDING STABLES ordinary negligence; and I do further agree that except in the event of LAZY 8
RIDING STABLES gross negligence and willful and wanton misconduct, I shall not bring any claims,
demand, legal actions and causes of action, against LAZY 8 RIDING STABLES and/or its associates, 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 LAZY 8 RIDING
STABLES, to include while riding, handling, or otherwise being near horses owned by or in the care,
custody and control of LAZY 8 RIDING STABLES.
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 ARE TRUE AND ACCURATE.
_________________________________________________________ DATE ______________________
SIGNATURE OF RIDER (Parent must sign for rider 17 & under.)
__________________________________________ for ________________________________________
SIGNATURE OF PARENT, or GUARDIAN (Please print)
Address in full: _________________________________________________________________________
Home Phone #: ________________________ Bus. Phone #: ______________________
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