Fillable Printable Release And Hold Harmless Agreement

Release And Hold Harmless Agreement

RELEASE AND HOLD HARMLESS AGREEMENT

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(IF APPLICABLE) Under ____________________ Law, an equine professional is not liable for an

injury or death of a participant in equine activities resulting from the inherent risks of equine

activities, pursuant to Section ____________________, ____________________.

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NAME: _____________________________________________________ AGE: ____________

ADDRESS: ___________________________________________________________________

CITY/STATE: ________________________________________________ ZIP: _____________

HOME PHONE: _______________________ BUSINESS PHONE: _______________________

ACKNOWLEDGEMENT OF RISK

I, ____________________, acknowledge that I have read the above statements and

definitions, and hereby indemnify and hold harmless, ____________________, and its

employees or owners from any liability arising from accident, injury, theft, or damages to myself,

my representatives, and helpers, all equipment and property, and all animals under my

jurisdiction. I have received a copy of ____________________’s Rules and will adhere to them

strictly. This agreement shall continue for each and every visit to ____________________’s

property.

The terms of this release form shall be construed as the entire agreement and may not

be altered, amended, or modified except in writing and signed by both parties. The terms of this

release shall be governed by the laws of the State of ____________________.

If under 21, the parent or guardian must read and sign the above, indicting his/her acceptance.

Date: _________ Signed: __________________________

Participant

Date: _________ Signed: __________________________

Parent/guardian (if minor)

GRANT OF PERMISSION

I/we the undersigned, (student/rider above named for, if minor, parents/guardians) hereby

grant permission and authority to ____________________, its officers and authorized employees

to act for us in executing verbal instructions of if unable to contact us, to act for us in dealing with

physicians, available ambulance companies and hospitals, to obtain prompt medical attention for

the participant named above in the event of any perceived medical emergency. I hereby covenant

and agree to release ____________________, it’s officers, agents and employees, and owners

of any property concerned, and hold harmless from liability for any injury or damage which the

rider may sustain while at ____________________. Or participating in any activity sponsored by

____________________, and from any liability connected with obtaining prompt medical

attention for the rider named above.

Date: _________ Signed: __________________________

Participant

Date: _________ Signed: __________________________

Parent/guardian (if minor)