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MILLBROOK EQUESTRIAN LLC RIDING INSTRUCTION LIABILITY RELEASE and HOLD HARMLESS AGREEMENT

This Agreement is entered into TODAY’S DATE: by and between participant, hereinafter referred to as “I” and Millbrook Equestrian LLC and Alexia Honegger who resides at 38643 County Road 13, Elizabeth, CO 80107, hereinafter referred to as “INSTRUCTOR” and Aspenglow Horse Center, Carol and Bill Remington who reside at 40273 County Road 13, Elizabeth, CO 80107, hereinafter referred to as “FACILITY”.

IT IS HEREBY AGREED TO AS FOLLOWS:

** Please note there is a stringent 24 hour cancellation policy on all lessons ** All make up lessons must be done within the same month or the lesson is lost **

1.That, I, the undersigned, do for myself and on behalf of my child or legal ward, hereby voluntarily request to participate in riding instruction as a student(s) with INSTRUCTOR, and that student will either ride his or her own horse or horses provided by Millbrook Equestrian LLC for instructional purposes.

2.That parent or guardian and student understand that horses are unpredictable by nature: that when frightened or angry or under stress by such things as sounds, sudden movements, unfamiliar objects, people, other animals, horses’ natural instincts are to jump forward or sideways, to run away from danger at a trot or gallop, to kick, to buck, to rear up in front, or to bite; that horses are extremely powerful; and that if a rider falls to the ground, the fall distance will be generally from 3 ½ to 5 ½ feet.  I understand these risks, and I voluntarily assume these risks and dangers that may result in physical injury or in extreme cases, death. 

3.That parent or guardian and student understand that upon mounting the horse and taking up the reins the rider is in primary control of the horse and that INSTRUCTOR is not responsible for the results of the student’s actions or inactions.  The rider further agrees to not abuse, misuse or deliberately agitate the horse as these actions may result in increased risk to INSTRUCTOR, to rider and others.

4.That I have been advised that students are required to purchase and wear a helmet or hard hat and wear it to prevent horse related injuries while riding on the premises (40255 or 40273 N County Road 13, Elizabeth, CO or riding off the property.

5.That I assume the unavoidable risks inherent in all horse-related activities, including but not limited to bodily injury, physical harm and with extreme cases death to horse, rider, other riders, visitors and spectators.

6.LIABILITY HOLD HARMLESS AND RELEASE

DEFINITIONS

i.Definition of “Indemnified parties”: INSTRUCTOR, Aspenglow Horse Center, Bill and Carol Remington referred to as FACILITY OWNER, employees, agents, subcontractors, other participants, visitors, spectators, clients, other horse owners, operators, sponsors, investors, their respective servants, agents, officers and all other participants.

ii.Definition of “Costs and Expenses”: attorney’s fees, court costs and all costs of defense or any other fees related to claims, causes of action suits, judgments, other liabilities.

That I understand that I am responsible for bodily injury or property damage which I or my child or legal ward should sustain on Millbrook Equestrian’s premises and Aspenglow Horse Center premises (40273 and 40255 County Road 13, Elizabeth, CO 80107) and/or trails and/or while riding a horse, and/or while in transit to or at horse shows, trail rides, or similar expeditions, and for any time/income I or my child or legal ward shall lose from employment or school or other activity, and for medical expenses or any other “Costs and Expenses” incurred because of such bodily injury or property damage alleged or held to have been caused by, in whole or in part, the negligence, active or passive, sole or concurrent of any of the “Indemnified parties” or if alleged or held to have been caused, in  whole or in part, by any act, omission or series of event which could result in any or all of the “Indemnified parties’ being liable based upon any theory of strict liability.
That I hereby, for myself, my heirs, administrators and assigns release and hold harmless the INSTRUCTOR, the FACILITY OWNER and all “Indemnified parties” from all claims, demands, actions, causes of action for such injuries sustained to my person or that of my child or legal charge or property.

 

WARNING:

 

Under Colorado Law, an equine (horse) 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 section 13-21-119, Colorado Revised Statutes.

 

7.That the student is currently covered by accident-medical insurance and will remain insured for the duration of all riding instruction by INSTRUCTOR.

8.That this agreement is entered into in the state of Colorado and will be interpreted and enforced under the laws of that state.

9.That All fees are payable at the beginning of the month and $25 late fee will be applied to bills paid after the 10th of the month.

10. MEDICAL RELEASE FORM - I do hereby give my permission to the attending physician to render medical attention to my child in the absence of my presence to sign medical release forms in the hospital.  The staff at Aspenglow Horse Center/Millbrook Equestrian will provide you with insurance information, nearest friend, relative information, and my phone number to contact me at home or at work.  In case of a medical emergency, please do not wait for my arrival, but give immediate medical attention to my child.

 

I, THE UNDERSIGNED BEING OF LEGAL AGE AND OF SOUND MIND AND NOT BEING UNDER THE INFLUENCE OF ALCOHOL, DRUGS, OR INTOXICANTS, HAVE READ AND UNDERSTAND THE FOREGOING AGREEMENT AND RELEASE.  I ALSO ACKNOWLEGE RECEIPT OF A COPY OF THIS AGREEMENT THIS DATE.

First Property Visitor/Participant Name

First Name*

Last Name*

Phone*
First Property Visitor/Participant Date of Birth*
First Property Visitor/Participant Signature*
Second Property Visitor/Participant Name

First Name*

Last Name*
Second Property Visitor/Participant Date of Birth*
Third Property Visitor/Participant Name

First Name*

Last Name*
Third Property Visitor/Participant Date of Birth*
Fourth Property Visitor/Participant Name

First Name*

Last Name*
Fourth Property Visitor/Participant Date of Birth*
Fifth Property Visitor/Participant Name

First Name*

Last Name*
Fifth Property Visitor/Participant Date of Birth*
Sixth Property Visitor/Participant Name

First Name*

Last Name*
Sixth Property Visitor/Participant Date of Birth*
Seventh Property Visitor/Participant Name

First Name*

Last Name*
Seventh Property Visitor/Participant Date of Birth*
Eighth Property Visitor/Participant Name

First Name*

Last Name*
Eighth Property Visitor/Participant Date of Birth*
Ninth Property Visitor/Participant Name

First Name*

Last Name*
Ninth Property Visitor/Participant Date of Birth*
Tenth Property Visitor/Participant Name

First Name*

Last Name*
Tenth Property Visitor/Participant Date of Birth*
Property Visitor/Participant 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 or Guardian's Email Address

Email*

Confirm Email*
Check to receive Millbrook information by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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.
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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