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MUSIC MEADOWS RANCH WAIVER, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK ACKNOWLEDGMENT

Under Colorado Law, an 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 section 13-21-119, Colorado Revised Statutes.

By this instrument (adult participant or guardian of minor participant) I hereby hold harmless Utmost Enterprises, a Colorado LLC dba Music Meadows Ranch for any injury or consequences of said injury arising while participating in any horse and ranch related activities offered by Music Meadows Ranch including but not limited to horseback riding, wagon rides, unguided riding, horsemanship clinics and moving cattle.  

As guardian for any minors listed on this waiver and/or for myself I have executed this waiver on my behalf being fully informed of all of risks to the Participant and making this waiver in the Participant’s best interest and at the Participant’s request. I recognize and acknowledge that these Activities are rigorous and inherently dangerous Activities and may include damage to or destruction of personal property, serious physical injury or even death to the Participant.

  • I am submitting this release, waiver of liability, and assumption of risk declaration voluntarily and of my own free will.
  • I understand that it is my responsibility to assess the hazards presented by the Activities and the ultimate determination as to whether to participate is to be made in my sole judgment.
  • I understand and EXPRESSLY ASSUME all the dangers incident to these Activities and hereby RELEASE ALL CLAIMS, including but not limited to, personal injury, property damage or destruction and death, whether caused by NEGLIGENCE, breach of contract or otherwise and whether for bodily injury, property damage or loss or otherwise, which I may ever have against Utmost Enterprises dba Music Meadows Ranch.
  • I agree to assume all financial responsibility for any medical, rescue or other expenses that we may incur or may be incurred on Participant’s behalf and agree to defend, hold harmless and indemnify Utmost Enterprises dba Music Meadows Ranch for any loss or damage, including attorneys’ fees, that I/they may suffer should Participant or anyone else on Participant’s behalf pursue an action or claim that is waived or barred by this release or waiver or any other claim by or on behalf of myself arising out of the activity to which this release relates.

This waiver, release and assumption of liability shall be binding upon us, our heirs, executors, assigns and administrators.

 

 

RIDING HELMET WAIVER

 

I the undersigned acknowledge that there are dangers inherent with horseback riding including being thrown to the ground.  I am assuming this and other hazards upon myself since I wish to ride.  I realize I am subject to injury from this activity and that no form of pre-planning can remove all dangers to which I am exposing myself.  I have chosen to ride without a protective helmet, which could prevent permanent brain damage in the even of an accident.  Even considering my own knowledge of the medical statistics relating to horse related injuries I am refusing this critical safety precaution.

Initial Box if You (Participant or Guardian of Minor) have READ and UNDERSTAND □

 

Adult Participant Signature

   

                                                 

In consideration for the above minor being permitted by (Guardian)  to ride as a guest on MUSIC MEADOWS RANCH which include, without limitation, the use of its property and facilities, I agree to the following waiver, release, and indemnification:

The undersigned parent or legal guardian of the above minor for himself/herself and on behalf of said minor(s), hereby joins in the foregoing Waiver and Release and hereby stipulates and agrees to save and hold harmless, indemnify, and forever defend Utmost Enterprises dba MUSIC MEADOWS RANCH, their liabilities (including reasonable attorney fees and NEGLIGENCE made or brought by said minor or by anyone on behalf of said minor, as a result of said minor’s activity of riding his/her horse  and his or her use of the property and facilities.  I, for myself and on behalf of said minor, further agree not to sue as a result of any injury, paralysis or death that said minor suffers in connection with his/her activity provided by Utmost Enterprises dba MUSIC MEADOWS RANCH, in particular with regard to the free choice decision made to allow said minor to RIDE WITHOUT A HELMET.   

 

Signature of Parent or Legal Guardian

 

  

 

Utmost Ent dba Music Meadows Ranch * 719-783-2222 * musicmeadows.com

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
No
Yes
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 letters, and discounts 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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Are you currently pregnant?*
No
Yes
Not applicable
Is your BMI 30 or greater?*
No
Yes
Is your body weight greater than 270?*
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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