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Pennsylvania Horse Riding Liability Release Form

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Pennsylvania Horse Riding Liability Release Form
Pennsylvania Horse Riding Liability Release Form
HORSE RIDING AGREEMENT AND LIABILITY RELEASE FORM
This form must be completed by and for each participant.
OWNERS NAME IS , Cornerstone Farm Bed & Breakfast, Inc. hereinafter referred to as Cornerstone Farm
ADDRESS: 305 Crooked Creek Road Gettysburg, PA 17325 .
PLEASE READ CAREFULLY BEFORE SIGNING
SERIOUS INJURY MAY RESULT FROM YOUR PARTICIPATION IN THIS ACTIVITY. Cornerstone Farm DOES
NOT GUARANTEE YOUR SAFETY OR THAT OF YOUR HORSE. IT IS HEREBY AGREED TO AS FOLLOWS
THAT:
A. REGISTRATION OF RIDERS AND AGREEMENT PURPOSE I, the following individual hereinafter known as
the “RIDER”, and the parents or legal guardians thereof if a minor, do hereby voluntarily request and agree to
participate in horse riding on the Gettysburg National Military Park, and that this RIDER will ride his/her own horse
or one borrowed or leased by RIDER own arrangement today , ____/___/_____.
RIDER NAME :____________________________________
RIDER date of birth ______/_______/__________.
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
Adams County in the State of Pennsylvania. Any disputes by the RIDER shall be litigated in and venue shall be
Adams County in the State of Pennsylvania.
The term “HORSE” herein shall refer to all equine species. The term “HORSEBACK RIDING” or “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 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.
_______
D. NATURE OF RIDING HORSES 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 a horse to ground it will
generally be at a distance of from 31/2 to 51/2 feet, and the impact may result in injury to the rider. Horseback
riding is the only sport where a much smaller, weaker predator animal (human) tries to impose its will on, and
become a unit of movement with, 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 directions or speed at will; shifting its weight; bucking; rearing; kicking; biting; or running from danger
_______
E. RIDER RESPONSIBILITY 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. The RIDER shall be responsible for his/her own safety.
_______
Pennsylvania Horse Riding Liability Release Form
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