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Johnson’s Old Desperado Ranch Adventures LLC
20784 CR 207 
Eminence, MO. 65466
573.915.8970
olddesperadoeminence@gmail.com

I understand that horseback riding and equine activities are inherently dangerous and involve risks that may result in serious injury, permanent disability, or death.

These risks include, but are not limited to:

• The unpredictable behavior of horses (kicking, biting, bucking, bolting, rearing, stumbling, or falling)

• Equipment or tack failure

• Slippery or uneven terrain

• Steep hills, wooded trails, rocks, and natural obstacles

• River and water crossings

• Wildlife encounters

• Weather conditions

• Other riders’ actions

• Falling from a horse

I voluntarily choose to participate in trail rides and related equine activities provided by Johnson’s Old Desperado Ranch Adventures LLC d/b/a Eminence Trailrides.

WARNING

Under Missouri law, an equine activity sponsor, an equine professional, a livestock activity sponsor, a livestock owner, a livestock facility, a livestock auction market, or any employee thereof is not liable for an injury to or the death of a participant in equine or livestock activities resulting from the inherent risks of equine or livestock activities pursuant to the Revised Statutes of Missouri.

I knowingly and voluntarily assume full responsibility for all risks associated with horseback riding and related activities.

To the fullest extent permitted by law, I release and hold harmless Johnson’s Old Desperado Ranch Adventures LLC, Eminence Trailrides, its owners, managers, employees, wranglers, guides, volunteers, landowners, and agents from any and all claims arising from my participation, including injury, death, or property damage.

I agree to indemnify and defend the Released Parties against any claims brought by or on behalf of me or any minor participant under my supervision.

Minimum riding age is 10 years old. Exceptions may be made for younger riders with prior riding experience at the discretion of management.

Maximum rider weight is 240 pounds. Riders exceeding this limit may not be permitted to ride.

Approved riding helmets are available and strongly encouraged.

I certify that I am physically capable of participating and will follow all guide instructions. I will not participate under the influence of alcohol or drugs.

If the participant is under 18 years of age, a parent or legal guardian must sign this agreement and agrees to the release and indemnification provisions.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Ride Information & Safety Confirmation
1. Rider Experience*
Rider Info
Weight *
Height *
3. Rider Weight (must be under 240 lbs)
Are You Under 240#? *
Yes, I attest that I am under 240lbs for the safety of myself and the horse.
No I am NOT under 240lbs.
4. Emergency Contact Name & Phone
Emergency Contact Name *
Emergency Contact Phone *
Required
I agree that: *
I understand horseback riding involves inherent risk
I am not under the influence of drugs or alcohol
I agree to follow all guide instructions
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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