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Silver Eagle Stable

RELEASE AND WAIVER OF LIABILITY

I am aware that horseback riding, hunting, riding to hounds and other equine activities are athletic events, which

pose potentially serious risks of injury or death to their participants. I understand that my horse or I may be injured

or die as a result of my negligence. the negligence of others, or even without apparent human fault, because of the

nature of the activity in which I am going to be engaged. I also understand that even trained horses are often

unpredictable and are more often difficult to control. With this waiver. I accept notice of the provisions of the Equine

Activity Liability Act (Code of Virginia, 1950. 3.1-796.13 through 3.1- 796.133 as amended) which states in part' (1)

the propensity of an equine to behave in dangerous ways which may result in injury to the participant; (II) the

inability to predict an equine's reaction to sound, movements, objects, persons, or animals; and (III) the hazards of

the surface or subsurface conditions". This waiver shall remain valid unless expressly revoked by the participant or

parent or guardian of a minor. in writing, with acknowledged by Silver Eagle Stable. Furthermore, with this waiver,

I expressly assume the risk of injury or death due to negligence by Silver Eagle Stable, its agents, employees,

members, officers, directors, and staff, for my own safety and/or of my minor child. With the knowledge of the

foregoing, and as an inducement for Silver Eagle Stable, hereby agree to waive or release any and all rights that I or

my heirs have to make claim against Silver Eagle Stable or any members of its Board of Directors, employees, and

participants or any landowners over those whose land ride. arising from any damages, injury or death which might

sustain or which might occur to any horse that am riding as a result of my horseback riding. I further agree to

indemnify and hold harmless all of the foregoing from any claims which might be made on my behalf by others,

families, employees, or tenants, for any injury, death, loss, or damage to any personal property which might occur

during an equine activity as defined by 3.1-796.130 of the Code of Virginia. 1950. as amended. or social functions

sponsored by Silver Eagle Stable or held in its behalf or for its benefit. when such injury. death. loss, or damage

occurs on the property of a landowner.

BY SIGNING THIS WAIVER AND RELEASE, I UNDERSTAND THAT I AM GIVING UP (WAIVING AND

RELEASING) ANY RIGHT I HAVE TO SUE OR MAKE A CLAIM WHICH I MIGHT HAVE OR WHICH

MIGHT SUBSEQUENTLY ARISE OR OCCUR AGAINST SILVER EAGLE STABLE'S MEMBERS AND

PARTICIPANTS, OR ITS BOARD OF DIRECTORS, OR ANY LANDOWNERS, THEIR FAMILIES,

EMPLOYEES, OR TENANTS, OVER WHOSE LAND I RIDE, FOR ANY INJURIES I MIGHT SUSTAIN WHILE

HORSEBACK RIDING OR PARTICIPATING IN AN EQUINE ACTIVITY, AND THAT I AM INDEMNIFYING

AND HOLDING HARMLESS, SILVER EAGLE STABLE, ITS BOARD OF DIRECTORS, MEMBERS AND

EMPLOYEES, TENANTS, OVER WHOSE LAND I RIDE, FOR INJURING ANYONE ELSE OR ANY HORSE

RIDDEN BY ANOTHER WHILE SO ENGAGED. IT IS MY INTENT TO GIVE UP THOSE RIGHTS AND

PROVIDE THE HOLD HARMLESS AGREEMENT, AND I DO SO KNOWINGLY AND VOLUNTARILY. 

{Date}

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
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*

Last Name*

Phone*
Parent or Guardian's 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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