Visitor Sheet and Disclaimer
The Euroa Horse Park Pty Ltd provides facilities for people to ride horses and acts as an agent for Equine Sports Breeding (ESB) and Euroa Agistment Centre (EAC)
Sign in to Google to save your progress. Learn more
Your first name: *
Your surname name: *
Your email address: *
Your residential address: *
Your mobile phone number: *
Purpose of your visit: *
Name of the rider if under the age of 18 years old: *
Name of the horse(s) you are wanting to see:
Please provide an emergency contact name and phone number if on your own:
Please provide the names of the people visiting with you: *
Please provide us with any relevant information which would assist us in helping you in an  emergency situation, such as Allergies, Blood group, Weight, any medical conditions:
Do you wish to restrict any medical medical treatments? *
Do you have current ambulance cover? *
Do you agree NOT to use any photos or videos on social media without the written consent of the property owner? *
Arrival date:
How did you find out about us? *
Do you have current membership with ? *
What is your horse experience? *
What is your or your child's level of riding competence?
What is your or your child's highest level of competition achieved?
BIOSECURITY QUESTION: I understand that outbreaks of endemic or exotic diseases such as Equine Influenza are possible and that Government authorities may quarantine, restrict or prevent the movement of horses, vehicles, equipment and personnel for a period of time. I acknowledge and agree that such action is in everyone’s best interests and shall comply with all directions given from organisers and officials and shall pay for any additional costs incurred as a result of such an incident. Have you been in contact with horses showing any signs of illness or disease in the last 48 hours? *
SAFETY: I agree to wear and ensure any others visiting with me wear, an approved helmet, suitable clothing and footwear at all times whilst participating in activities and agree that I am solely responsible for ensuring that any saddlery, gear and equipment is safe, well-kept and in good order. I also understand and acknowledge the additional dangers associated with the consumption of alcohol or any mind altering drugs before and during the activity and I take full responsibility for any injury, loss or damage associated with their consumption. *
COVID-19: I agree not to enter the property if experiencing cold or flu like symptoms. I agree to follow the current protocols recommended by the State and Federal Governments as stated -  I understand and acknowledge the risks involved in having contact with people and I take full responsibility for any loss, sickness or expense associated with my actions. *
RISKS: I (on behalf of myself and the above named persons) understand, acknowledge, and accept that horse sports and stud activities are dangerous and that horses can act in sudden and unpredictable ways, especially around breeding times or if frightened or hurt.These activities pose significant risks that may result in serious INJURY or DEATH. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the Directors of the Euroa horse Park Pty Ltd. I voluntarily participate at my own risk and assume sole responsibility for any injury, death or property damage I may suffer or cause that may arise from my participation in the activities organised by this entity.I agree to follow the directions of any event organiser or official and that any wilful or unorganised pursuit, misconduct or refusal by me to follow any direction of an organiser or official can result in the cancellation of my participation in the event and my immediate removal from the property. I understand that any such non-compliance may result in injury, death and/or permanent disability and I agree to indemnify the organisers and property owners against all claims made by any person as a result of my failure to comply.I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless and agree not to sue the Euroa Horse Park Pty Ltd, any event organiser, their officers, officials, volunteers, coaches, agents and/or employees, other participants, sponsoring agencies, sponsors, state bodies, affiliated clubs and if applicable, owners and lessors of the premises used to conduct the activities with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of them or otherwise. *
RELEASE: I (the above named person) have had sufficient opportunity to read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without inducement of any kind. I understand that my agreement to this document constitutes a complete and unconditional release of all liability to the entities and their associated parties in the greatest extent allowed by law in the event of me and/or the other parties and children under my care and jurisdiction, suffering injury or death. *
Thank you. We hope you enjoy your visit.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy