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Harris Riding Academy, LLC


Brittany Harris

1975 Irby Lane. Murfreesboro, Tn 37127

EQUINE RELEASE AND WAIVER OF LIABILITY

This EQUINE RELEASE AND WAIVER OF LIABILITY is voluntarily and knowingly entered into by PARTICIPANT, and Harris Riding Academy LLC, Brittany Harris, Ronnie and Donna Barrett , its owners, their families, members, guides, employees, instructors, agents, volunteers and all other persons and organizations in any way connected with the events, property, boarding, lessons, and other activities described herein, hereinafter collectively referred to as PROVIDERS .

PARTICIPANT, for and on behalf of myself, my heirs, personal representatives, successors and assigns and any minor child for which I am the parent/legal guardian, hereby releases and forever discharges PROVIDERS, of and from any and all claims or demands of any kind or nature whatsoever which I may have or hereafter acquire or have accrued to them arising as a result of, or incident to; my presence on or utilization of PROVIDERS or any of its facilities.

Such release of liability includes, but is not limited to liability for any sickness, disease, theft, death or injury to or incurred by me, any horses or any property associated with PROVIDERS or any of its facilities or while in the custody of or under the direction of PROVIDERS at other locations. Any and all claims and demands are hereby waived and released. Furthermore, with this waiver, the PARTICIPANT expressly assumes the risk of injury or death due to negligence by PROVIDER for my own safety or for the safety of my minor child.

PARTICIPANT acknowledges that they are familiar with the hazards associated with horses, horse barns and all related equestrian facilities; that horses and riding and proximity to horses are dangerous activities; and assumes all risk associated with the foregoing.

Under Tennessee law, an equine professional is not liable for an injury to or the death of a participant in equine activities pursuant to the Tennessee code annotated, Title 44, Chapter 20, Part 1.

By Signing this release form you are consenting to the participant being photographed and/or video taped at various Harris Riding Academy events. Participants photo/video may appear on our website, Facebook, social media and/or other promotional material.

Today's Date: June 17, 2025

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
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*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*
Date of Birth
Parent or Guardian's Information

MEDICAL INFO

Does your child have any physical, emotional or mental handicaps or been diagnosed with any specific related illnesses?*
No
Yes

If yes, please explain:

HELMET OPT OUT AND WAIVER 

It is the policy of Harris Riding Academy, LLC that ASTM/SEI Certified helmets are MANDATORY UNLESS EXPRESSLY WAIVED. PARTICIPANT expressly acknowledges that they understand the risks associated with not wearing an ASTM/SEI approved riding helmet. Chose 'yes' if PARTICIPANT is voluntarily choosing not to wear a helmet and expressly assuming any additional associated risk.*
No
Yes
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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