Acknowledgement of Risk and Release of Liability and Registration
For participants under 18 years of age.
To: Horseman's School of Equitation

their directors, employees, officers, volunteers, business operators, and site property owners. (collectively called the HOST)
First name of Participant *
Last name of Participant *
Date of Birth (participant) *
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/
DD
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Street Address (participant) *
City *
Province *
Guardian's first name *
Guardian's last name *
Guardian's Date of Birth *
MM
/
DD
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YYYY
Guardian's Street Address *
City
Province *
Guardian's email address (a valid personal email address to which you have sole access) *
Guardian's Phone Number *
I am the Parent and/or Legal Guardian of the minor Participant named above and am executing this form on behalf of the minor Participant in my capacity as parent and/or guardian and with the intent that this form be binding on myself and minor Participant for all legal purposes. *
Required
I Understand there are Inherent DANGERS, HAZARDS and RISKS, (collectively called RISKS) associated with Equine Activities and injuries resulting from these “RISKS” are a common occurrence. *
Required
I Acknowledge that the Inherent “RISKS” of Equine Activities mean those DANGEROUS conditions which are an integral part of Equine Activities, including but not limited to: The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people, or objects. The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects. The potential for other participant (s) to act in a negligent manner that might contribute to injury to themselves or others,such as failing to act within their ability or to maintain control over an equine. *
Required
I Freely Accept and Fully Assume All Responsibility for the Inherent “RISKS” and the possibility of personal injury, death, property damage or loss which might result from the minor being a Participant. *
Required
I Acknowledge that it remains my Sole Responsibility for the safety of the minor Participant and for the minor to Participate within his/her own limits. *
Required
In addition to consideration given for the minor to Participate in Equine Activity, I and my heirs, executors, administrators and assigns (collectively called my “Legal Representatives”) agree To Waive All Claims that I or the minor Participant might have against the “HOST”; and To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I, the minor Participant or our “Legal Representatives” might suffer as a result of the minor’s Participation due to any cause including any NEGLIGENCE ON THE PART OF THE “HOST”; and To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or personal injury to the minor Participant or to any third party which might result from the minor’s Participation. *
Required
I hereby acknowledge that I have read, understood and accepted the terms of this agreement and that all information I have supplied herein is accurate. Checking the box below will constitute my digital signature. *
Required
Emergency contact
Emergency contact phone number
Are there any medical conditions that the staff of Horseman's School of Equitation should be aware of? (If so please explain)
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