Rider - Non-Member Liability & Release Waiver General Terms & Conditions The following general terms and conditions apply to the activities described on the Release & Waiver of Liability: Exercise of Care. I promise to exercise the highest standard of care in being watchful and alert for potential dangers to myself, the horse and equipment, other persons, and the property of others, so that no injuries or losses shall occur. Horse Control. I also promise to exert every effort to control the horse which I may be riding or which I rented, as well as other horses in my presence so that no bodily injury or property damage is inflicted upon others. Head Gear. I acknowledge that Trinity Farm L.L.C Instructors have advised me that while mounting, riding, dismounting and otherwise being around horses, I should wear a SEI certified ASTM standard F1163 Equestrian Helmet. I understand that the wearing of such head gear while mounting, riding, dismounting and otherwise being around horses may prevent or reduce the severity of some of the wearer's head injuries and possibly prevent the wearer's death as a result of a fall or other occurrences. If the headgear has been obtained from Trinity Farm L.L.C Instructors and riding facility, I acknowledge that it may not be of a perfect fit and that I will be solely responsible for securing the helmet at all times. If I am a student, I agree to wear such headgear at all times while riding. Natural Conditions. I am aware that weather conditions, water, wild and domestic animals, insects, reptiles, or objects which may walk, run or fly near, or bite or sting a horse, and the existence of potential hazards in the natural terrain or man made objects may scare a horse, cause it to fall, or cause it to react in an unsafe and unpredictable manner. I hereby assume all risk of injury to myself or my property as a result of such actions by the horse regardless of the cause. Safety Precautions. I agree to observe all necessary safety precautions while mounting, riding, dismounting or being around horses including, but not limited to, common sense and rules posted on the premises of Riding Facility where Trinity Farm L.L.C Instructors are teaching. Without limiting the foregoing, such precautions include not carrying loose items which may fall, blow away, flap in the wind, bounce or make sharp noises and making sure that saddle girths, which may loosen during a ride, are appropriately tightened at all times. I will obey all posted rules. Understanding of Risks. I am aware that horseback riding, whether it be on the trail or in the arena, as well as all associated activities, constitutes a calculated risk to the participants and that such activities involve inherent risks and dangers, including serious injury or death. I have sufficient experience with horses to understand the unpredictability and potentially dangerous character of horses generally and I understand that the use, handling, or riding of a horse always involves a risk of bodily injury to anyone who handles or rides horses as well as the risk of damaging the property of others. I understand that any horse irrespective of its training and usual past behavior and characteristics, whether characterized as gentle or otherwise, may act or react unpredictably at times based upon instinct or fright. I agree to assume the risk inherent in these activities. Release of Liability. I release Trinity Farm L.L.C Instructors and riding facility owners, agents, employees, successors or assigns, lessors and joint ventures from any and all liability, claims, demands,actions and causes of action whatsoever arising out of any damages, both in law and in equity, in any way resulting from personal injuries, conscious suffering, death, or property damage sustained by me or by others arising out of horseback riding by me while taking horsemanship instruction, training horses, being escorted on trail rides, participating in group jumping or dressage lessons, while using riding facilities, or while grooming, caring for or exercising horses, or while participating in any of the activities conducted by Poppy Gunter Doyle, or during the transportation of horses and/or students. I hereby expressly waive all claims that I may have against Poppy Gunter Doyle and the owners of riding facility for each and all of the foregoing. Indemnity. I promise to exert every effort to control the horse which I may be riding or which I may have rented, as well as any other horses in my presence, so that no bodily injury or property damage is inflicted upon others. I hereby agree for myself, my heirs, personal representatives and assigns to indemnify and hold harmless Trinity Farm L.L.C Instructors and the owners, agents, employees, successors or assigns, lessors and joint ventures from any and all losses, claims, demands, actions, or proceedings of any kind which may be initiated against any of the foregoing by any person and arising out of any action o r inaction on my part or on the part of Trinity Farm L.L.C Instructors and/or riding facility, its owners, agents, employees, successors or assigns and in any way related to any of the activities described in the preceding paragraph or contemplated under this Agreement. Disputes. This Agreement shall be interpreted in accordance with the laws of the state and county where the Trinity Farm L.L.C Instructors are located. Any dispute shall be litigated in the county in which Trinity Farm L.L.C Instructors are located. WARNING Under Tennessee Law, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Tennessee Code Annotated, title 44, chapter 20. Release & Waiver of Liability Student/Border information Name of Student/Boarder First Name * Last Name * Date of Birth Month * January February March April May June July August September October November December Day * 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year * 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Street Address * City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code * Parent/Legal Guardian Information Parent/Legal Guardian's Full Name First Name Last Name Other Required Fields Phone Number * Email Address * Enter Email Confirm Email Address * Confirm Email Emergency Contacts Emergency Contact 1 First & Last Name * Emergency Contact Relationship * Husband Wife Mother Father Daughter Son Sister Brother Grandmother Grandfather Friend Neighbor Emergency Contact Phone Number * Emergency Contact 2 First & Last Name Emergency Contact 2 Relationship Husband Wife Mother Father Daughter Son Sister Brother Grandmother Grandfather Friend Neighbor Emergency Contact 2 Phone Number Legalese I hereby apply for permission for Trinity Farm L.L.C instructors to instruct/coach myself, or my child. As a condition of such permission, I hereby represent to Trinity Farm L.L.C instructors as follows: 1. I am aware that horseback riding is a dangerous activity that could result in serious injury or death. * 2. I understand that horses are unpredictable and potentially dangerous. * 3. I agree to assume all risk associated with horseback riding and to absolve Trinity Farm L.L.C instructors from any liability for injury to me or my property. * 4. I have been offered by Trinity Farm L.L.C (Riding Facility) the use of protective head gear and if I am under age 18 or jumping I am required to use protective head gear of my own or Trinity Farm L.L.C (Riding Facility) at all times. * 5. I agree to pay any losses incurred by Trinity Farm L.L.C (Riding Facility) for damage to the person or property of others caused by me while horseback riding. * 6. I am at least 18 years of age. * 6. I am at least 18 years of age. * Yes No Legalese for Minors THE FIELD BELOW SERVES AS MY SIGNATURE THAT I AM THE PARENT OR LEGAL GUARDIAN OF THE STUDENT. I AGREE TO THE PROVISIONS ABOVE AND HAVE READ AND UNDERSTAND AND AGREE TO ALL OF THE GENERAL TERMS SPELLED OUT ON THIS FORM. I HAVE READ AND UNDERSTAND ALL OF THE TERMS OF THIS AGREEMENT, INCLUDING THE GENERAL TERMS PRINTED ABOVE THIS FORM. I AGREE ON BEHALF OF THE STUDENT AND MYSELF TO BE BOUND BY THOSE TERMS. IF THE STUDENT FAILS TO COMPLY WITH THE TERMS OF THIS AGREEMENT OR CLAIMS NOT TO BE BOUND BY THE TERMS OF THIS AGREEMENT BY REASON OF MINORITY STATUS OR OTHERWISE, I HEREBY AGREE TO INDEMNIFY AND HOLD TRINITY FARM L.L.C INSTRUCTORS OR THE RIDING FACILITY, ITS OWNERS, PARTNERS, AGENTS, ATTORNEYS, EMPLOYEES, SUCCESSORS OR ASSIGNS FROM ANY AND ALL LIABILITY OR LOSSES RESULTING FROM ANY SUIT AGAINST TRINITY FARM L.L.C INSTRUCTORS BY THE STUDENT OR OTHERWISE RESULTING FROM A BREACH OF THIS AGREEMENT. Clear Parent/Guardian's Signature Legalese for Adults THE FIELD BELOW SERVES AS MY SIGNATURE AS THE STUDENT/BOARDER THAT I AGREE TO THE PROVISIONS ABOVE AND HAVE READ AND UNDERSTAND AND AGREE TO ALL OF THE GENERAL TERMS SPELLED OUT ON THIS FORM. I HAVE READ AND UNDERSTAND ALL OF THE TERMS OF THIS AGREEMENT, INCLUDING THE GENERAL TERMS PRINTED ABOVE THIS FORM. I AGREE TO BE BOUND BY THOSE TERMS. I HEREBY AGREE TO INDEMNIFY AND HOLD TRINITY FARM L.L.C INSTRUCTORS OR THE RIDING FACILITY, ITS OWNERS, PARTNERS, AGENTS, ATTORNEYS, EMPLOYEES, SUCCESSORS OR ASSIGNS FROM ANY AND ALL LIABILITY OR LOSSES RESULTING FROM ANY SUIT AGAINST TRINITY FARM L.L.C INSTRUCTORS BY THE STUDENT OR OTHERWISE RESULTING FROM A BREACH OF THIS AGREEMENT. Clear Student/Boarder's Signature Date Date * Role * Birthday Party Camp Lesson/Gift Certificate Memphis PE PATH Meeting Scout Retreat Single Ride Team building Other Role Event Group * If you are human, leave this field blank.
