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Release and Waiver of Liability Agreement (revised 9/17) 

 

5900 Edgmon Road, Ooltewah, TN 37363

423-488-3993 

 

 

 

In consideration for allowing me (or my minor child) to handle and ride or be near a horse and take part in any activity or event on the premises of Hidden Hills Farm & Saddle Club (herein called “Hidden Hills”) and/or a property associated with Hidden Hills or a Hidden Hills event, and on behalf of myself (or my child), or my (our) heirs, personal representatives, next-of-kin, administrators, spouses, and assigns, I hereby represent to Hidden Hills the following:

  1. Understanding of Risks:Warning - Under Tennessee Law, an equine professional is not liable for an injury to or death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Tennessee Code Annotated, title 44, chapter 20. I understand the unpredictable and potentially dangerous character of horses generally, and I understand that my 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. The inherent risks include, but are not limited to the propensity of equines to behave in ways such as, running, bucking, biting, kicking, shying, stumbling, rearing, falling or stepping on, that may result in an injury, harm or death to persons on or around them; the unpredictability of equine's reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals; certain hazards such as surface and subsurface conditions; collisions with other animals; the limited availability of emergency medical care; and the potential of a participant to act in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the animal or not acting within such participant's ability. I acknowledge that horseback riding and all associated activities, including being and working on the premises of Hidden Hills, may involve inherent risks and dangers to myself and to others, including serious injury or death, as well as the risk of damaging the property of myself or others, and I hereby expressly assume all risks associated with participating in such activities.  
    I Agree
  2. Natural and Manmade Conditions: I understand that though Hidden Hills strives to maintain a safe environment, I am aware that natural and manmade conditions, including but not limited to weather conditions, water, wild and domestic animals, insects, and the existence of potential hazards in the natural terrain or manmade objects (including but not limited to holes, barbed wire, and other hazards) may result in injury, damage, or loss of property and/or life of either myself or the horse I may be riding. I hereby assume all risk of injury or death to myself, my horse(s), or my property as a result of such actions by the horse regardless of the cause. 
    I Agree
  3. Physical Fitness and Exercise of Care: I understand that a reasonable level of physical fitness and a weight limit of 240 lbs. is required to ride a horse belonging to Hidden Hills, and I am within these criteria. I also promise to be watchful and alert for potential dangers to myself, the horse and equipment, other persons, and the property of others, and to exert every effort to control the horse which I may be handling or riding in a safe and responsible way, whether it be my own or not, as well as other horses in my presence, so that no bodily injury or property damage is inflicted upon others. I agree to pay for any expenses, losses or damages incurred by Hidden Hills caused by me beyond normal wear and tear.
    I Agree
  4. Safety Helmets: I acknowledge that Hidden Hills has advised me that I should wear an ASTM/SEI certified equestrian helmet while mounting, riding, and dismounting. I understand that wearing such a helmet may prevent or reduce the severity of some of the wearer’s potential head injuries and possibly prevent the wearer’s death as a result of a fall or other occurrences. If the helmet has been obtained from Hidden Hills, I acknowledge that it may not be a perfect fit and that I will be solely responsible for securing the helmet at all times. I agree to wear a certified equestrian helmet at all times while riding on Hidden Hills property if I am under 18 or if I am riding a horse belonging to Hidden Hills.
    I Agree
  5. Safety Precautions, Payment of Losses, and Farm Rules: I agree to observe all necessary safety precautions while on the premises of Hidden Hills, including but not limited to the posted Farm Rules.
    I Agree
  6. Medical Care:  In the event that I am injured during any activity at Hidden Hills and emergency contacts, if named, cannot be reached, I understand that Hidden Hills will procure medical care as deemed necessary at my expense. 
    I Agree
  7. Release of Liability: I release Hidden Hills, its owners, property owners, associated property owners, employees and contract personnel, agents and volunteers, 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 actions by me while taking horsemanship instruction, while grooming or caring for horses, while participating in any of the activities or events conducted by Hidden Hills, whether caused by the negligence or other wrongful conduct of Hidden Hills or other released parties, during the transportation of horses and/or myself and/or others, while riding my own horse on the premises or associated property of Hidden Hills, or while doing anything on the premises of Hidden Hills. I hereby expressly waive all claims that I may have against Hidden Hills for each and all of the foregoing.
    I Agree
  8. Indemnity: I hereby agree for myself, my heirs, personal representatives and assigns to defend, indemnify and hold harmless Hidden Hills, its owners, property owners, associated property owners, employees and contract personnel, agents and volunteers, successors or assigns, lessors and joint ventures from any and all losses, claims, demands, actions, or proceedings of any kind, including court costs and attorney’s fees, which may be initiated against any of the foregoing by any person and arising out of any action or inaction on my part or on the part of Hidden Hills or its owners, property owners, associated property owners, employees and contract personnel, agents and volunteers, successors or assigns, lessors and joint ventures and in any way related to any of the activities, whether caused by the negligence or other conduct of Hidden Hills or other released parties, described in the preceding paragraphs or contemplated under this Agreement.
    I Agree
  9. Continuation of Terms: I agree and acknowledge that the terms and conditions of this Agreement, including my assumption of risk, release of liability, and indemnity shall continue in full force and effect at all times during which I am engaged as a Student, Lessee, Boarder, Event Participant, Guest, Day Rider, or any other capacity on the premises of Hidden Hills, and after the termination of these activities. Furthermore, in the event that any portion of this Agreement is determined to be invalid or unenforceable for any reason, the balance of the Agreement shall not be affected or impaired in any way and shall continue in full legal force and effect.  
    I Agree
  10. Disputes: Any dispute shall be litigated in and this Agreement shall be interpreted in accordance with the laws of the state and county where Hidden Hills is located.
    I Agree

I am least 18 years of age, or I am the parent or guardian of the above named, and I have read and initialed each part of this document. I understand that it is a promise not to sue and to release Hidden Hills, its owners, property owners, associated property owners, employees and contract personnel, agents and volunteers, successors or assigns, lessors and joint ventures from any and all liabilities, claims, lawsuits, losses, costs, causes of action and damages of any kind. I have made a free and deliberate choice to sign this Release and Waiver as a condition to Releasees allowing me or my child to participate in activities provided by Hidden Hills and/or to use Hidden Hills premises for my own approved activities. I have concluded that the risks involved and the release and waiver of liability is worth the pleasure of the experience. 

Date: May 15, 2024

This is the date on which the release was filled out. This agreement is not only for today but for all visits or riding lessons/activities in the future.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

First Participant's Signature*
Second Participant's Name

First Name*

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

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

Third Participant's Name

First Name*

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

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

Fourth Participant's Name

First Name*

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

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

Fifth Participant's Name

First Name*

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

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

Sixth Participant's Name

First Name*

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

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

Seventh Participant's Name

First Name*

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

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

Eighth Participant's Name

First Name*

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

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

Ninth Participant's Name

First Name*

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

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

Tenth Participant's Name

First Name*

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

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

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, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last 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.


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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Medical Release and Emergency Treatment:

In case emergency to myself or my minor child,*

Hidden Hills to secure and retain medical treatment and transportation, if needed, including x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital service rendered under the general or specific instructions of any physician or hospital. It is further understood that the undersigned will assume full responsibility for such action, including payment of all costs.

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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