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PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

In consideration of the services of Lamary & Associates d.b.a. Rancho Cortez, their agents, owners, officers, volunteers, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "RC"), I hereby agree to release, indemnify, and discharge RC, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

1. I acknowledge that my participation in horseback riding, hiking, camping, backpacking, personal fitness, and indoor gym activities entails known and unanticipated risks that could result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks may include, but is not limited to: exposure to and travel in rugged terrain, collisions, and flipping over; slips and falls; falling objects; water hazards; pinches, bruises, abrasions, strains, cuts and lacerations; exhaustion; exposure to potentially dangerous wild animals, insect bites, and hazardous plant life; exposure to temperature and weather extremes; loss of appendage, being jolted, jarred, bounced, thrown about and otherwise shaken during rides; it is possible that riders could be injured if they come into contact with other passengers; losing control of you horse and falling; my own physical condition, and the physical exertion associated with this activity; negligence of other visitors, participants, or other persons who may be present. A horse, regardless of its training and usual past behavior, may act unpredictably at times based upon instinct or fright which may cause you to be thrown from your horse or injured by the horse. Horses may do such things as bite, kick, buck, lie down, or stumble. Saddles may slip and other tack or saddle problems may develop as a result of normal use and wear. Your horse may collide with obstacles or encounter variations in terrain such as creeks, water, bridges, traveled roads, wild animals, birds, stump, forest growth, debris, rocks and cliffs and other obstacles whether obvious or not and whether man made or natural. Riding a horse requires the participant to balance on the saddle. Accidents or illness can occur in remote places without medical facilities and emergency treatment or other services rendered.

Furthermore, RC personnel have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.

2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.

3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless RC from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of RC's equipment or facilities, including any such claims which allege negligent acts or omissions of RC.

4. Should RC or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

6. In the event that I file a lawsuit against RC, I agree to do so solely in the state of Texas, and I further agree that the substantive law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against RC on the basis of any claim from which I have released them herein. I also agree that this document is valid for subsequent visits and participation at RC.

I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

September 27, 2023

 

First Guests Name

First Name*

Last Name*

Phone*
First Guests Date of Birth*
I certify that I am 18 years of age or older
First Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
First Guests Signature*
Second Guests Name

First Name*

Last Name*
Second Guests Date of Birth*
Second Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
Third Guests Name

First Name*

Last Name*
Third Guests Date of Birth*
Third Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
Fourth Guests Name

First Name*

Last Name*
Fourth Guests Date of Birth*
Fourth Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
Fifth Guests Name

First Name*

Last Name*
Fifth Guests Date of Birth*
Fifth Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
Sixth Guests Name

First Name*

Last Name*
Sixth Guests Date of Birth*
Sixth Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
Seventh Guests Name

First Name*

Last Name*
Seventh Guests Date of Birth*
Seventh Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
Eighth Guests Name

First Name*

Last Name*
Eighth Guests Date of Birth*
Eighth Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
Ninth Guests Name

First Name*

Last Name*
Ninth Guests Date of Birth*
Ninth Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
Tenth Guests Name

First Name*

Last Name*
Tenth Guests Date of Birth*
Tenth Guests Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
Guests 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 other information via email
PHOTO RELEASE
I give my permission for Rancho Cortez to make use of photos that may include me or members of my family for their marketing use on their website, or any printed publication that they may use to advertise the Dude Ranch or Fitness Ranch.*
No
Yes
In consideration of ("Minor") being permitted by RC to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless RC from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.


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*
I certify that I am 18 years of age or older
Parent or Guardian's Headgear/Helmet Offering
Minors under the age of 16 are REQUIRED to wear the protective headgear while participating in horse riding activities during their stay at Rancho Cortez.*
I AGREE
I acknowledge that Rancho Cortez shall offer me protective a headgear/helmet. I acknowledge that once provided, and I choose to wear the protective headgear/helmet that I will be responsible for properly securing the headgear/helmet on my head. I am not relying on Rancho Cortez and or its associates to check any headgear/helmet, or headgear/helmet strap that I may wear, or to monitor my compliance with this suggestion at any time now or in the future.*
I UNDERSTAND
PROTECTIVE EQUESTRIAN HEADGEAR REFUSAL AGREEMENT ADDENDUM I, for myself and/or on behalf of my child or legal ward, have been fully warned and advised by Lamary & Associates d.b.a. Rancho Cortez(hereinafter collectively referred to as "RC") that we should wear a properly fitted and secured ASTM/SEI (Equestrian standard) certified helmet while participating in horse riding activities in order to protect against and reduce the severity of potential head trauma that could result in serious injury, including death, as the result of a fall, collision, kick from a horse, or other occurrence associated with horse activities. Against the advice of RC, the guide/instructor, common sense, and RC's insurance company, I (and any Minor for whom I am signing) am refusing to wear a helmet and assuming all risk of injury. I further agree to indemnify and hold harmless RC from any and all claims that are brought by, or on behalf of myself, and any listed Minor, as the result of head trauma resulting from participation in any horse activities. I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.*
I REQUEST TO WEAR PROTECTIVE headgear/helmet which Rancho Cortez provides, and will be solely responsible for securing the headgear/helmet.
I REFUSE THE PROTECTIVE HEADGEAR/HELMET and assume full responsibility for my safety in this decision
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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