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Haile Equestrian Open House

7680 SW 46 Blvd, Gainesville, FL 32608

(352) 665-7433 – info@haileequestrian.com

www.haileequestrian.com

Pre-Registration

Haile Equestrian LLC Liability Release & Hold Harmless Agreement

WARNING Under Florida 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. FLORIDA STATUTES 1993, Title XLV TORTS, CHAPTER 773 EQUINE ACTIVITIES, Fla. Stat. § 773.01 (1993).

1. I, the undersigned, signing as the legal parent or guardian of the minor, have read and understand, and freely and voluntarily enter into this Release and Hold Harmless Agreement with Regina Esterman and Plantation Community Club LLC, their agents and employees, collectively known as Haile Equestrian LLC (“Farm”), understanding that this Release and Hold Harmless Agreement is a waiver of any and all liability(ies).

2. I have read and fully understand the “WARNING” posted above.

3. I understand the potential dangers that I could incur in mounting, riding, walking, boarding, feeding said horse; including, but not limited to, any interactions with other horses. Understanding those risks I hereby release that Farm, its officers, directors, shareholders, employees and anyone else directly or indirectly connected with that Farm from any liability whatsoever in the event of injury or damage of any nature (or perhaps even death) to me or anyone else caused by or incidental to my electing to mount and ride a horse owned or operated by Regina Esterman, Plantation Community Club LLC, or Haile Equestrian LLC. I have read and understand FLORIDA STATUTES for EQUINE ACTIVITIES, Fla. Stat. § 773.01 (1993).

4. I understand and recognize and warrant that this Release and Hold Harmless Agreement, is being voluntarily and intentionally signed and agreed to, and that in signing this Release and Hold Harmless Agreement I know and understand that this Release and Hold Harmless Agreement may further limit the liability of equine professionals beyond that statutorily provided by the above referenced Florida Statutes; to include any activity, whatsoever, involving an equine, including death, personal injury and/or damage to property.

5. I recognize and agree that I know which equine professional(s) I will be working with, and acknowledge that I agree said equine professional(s) has/have made reasonable and prudent efforts to determine my ability to engage in the equine activity, and has/have sufficient knowledge of my equine and horseback riding skills as to relieve, release and hold harmless said equine professional(s) from any continuing duty to monitor my equine activities.

6. I further voluntarily agree and warrant to Release and Hold Harmless this (these) equine professional(s) from any liability whatsoever, including, but not limited to, any incident caused by or related to said equine professional’s (s’) negligence, relating to injuries known, unknown, or otherwise not herein disclosed; including, but not limited to, injuries, death or property damage from: mounting; riding; dismounting; walking; grooming; feeding; use of horse barn, paddock, trails or horse ring, in any capacity; falling off horse whether horse is bucking, flipping, spooked; or my failure to understand any equine professional’s directions relating to my riding or otherwise use and control, or lack thereof, of my horse or the horse I have been assigned to.

NOTICE: Wearing an ASTM/SEI approved hard hat is REQUIRED for ALL independent riders. Wearing an ASTM/SEI approved hard hat is HIGHLY RECOMMENDED, but not required for leadline horse or pony rides.

Date: March 5, 2021

First Attendee's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
Additional Information
How did you hear about us? *
Facebook
Craigslist
From a friend
Visiting the farm
Other
Which of our services are you most interested in? *
Horseback Riding Lessons
Horse Camps - Spring Break & Summer Camps
Pony Birthday Parties
Casual Horseback Rides
Horse Leasing
Horse Boarding
Visiting the Farm
Horseback Riding Workshops (Girl Scouts or other groups)
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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