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Release of Liability and Assumption of Risk Agreement

IN CONSIDERATION of being permitted to participate among and on horses on the premises of or under the auspices of King’s Stables at King's Home (herein after reffered to as King's Stables), on my behalf and on behalf of the participant named above (we will collectively call ourselves “I” in this release), I acknowledge, appreciate, and agree that:

1) The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis or death. This risk includes, but is not limited to, my being in the presence of, mounted on, and/or leading horses and includes but is not limited to property damage, injury, or death resulting from the dangers or conditions that are an inherent risk of equine activity. 

2) By signing this RELEASE OF LIABILITY, I UNDERSTAND AND KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, EVEN IF ARISING FROM THE NEGLIGENCE OR LEGAL LIABILITY of those persons released from liability below, and assume full responsibility for my participation. I understand that there may be other risks, as well, and I agree to assume them; I am not relying on King’s Stables to list all possible risks for me.

3) I will comply with all rules and regulations of King’s Stables. If I have any question, or observe any unusual or unnecessary hazard during my participation, I will immediately notify the nearest instructor, director, or manager of King’s Stables.

4) I feel that the possible benefits to myself/my son/my daughter/my ward of participation in equine activities or being around horses or on King’s Stables property are greater than the risk assumed. I hereby, intending to be legally bound, for myself on behalf of my heirs and assigns, personal representatives, and next of kin, waive and release forever all claims of damages against King’s Stables, and its Officers, Directors, Instructors, Therapists, Physicians, Aides, Volunteers, Employees, Agents, Donors and affiliated persons for any and all injuries and/or losses I/my son/my daughter/my ward may sustain while participating in King’s Stables horsemanship programs either on or off site, or while being on or near the premises of King’s Stables.

5) I hereby agree/do not agree to allow myself or my child to be photographed, videotaped and/or voice recorded and for my/his/her image, likeness, and voice to be used in photographs, videos, publications, internet, news and social media and web pages for special projects or publicity. I hereby waive the right to receive any payment for King’s Stables use of any of the material described above.

I Agree

(If disagree - leave checkbox blank)

 

                                                                      WARNING                    

UNDER ALABAMA LAW, AN EQUINE ACTIVITY SPONSOR OR 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 THE EQUINE ACTIVITIES LIABILITY PROTECTION ACT.

October 20, 2020

 

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First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
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 or Guardian's Email Address

Email
Check to receive information and barn news by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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*

Relationship*

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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