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UNDER TENNESSEE LAW, AN EQUINE ACTIVITY SPONSOR OR PROFESSION SHALL NOT BE LIABLE FOR ANY INJURY TO, OR THE DEATH OF A PARTICIPATE IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISK OF EQUINE ACTIVITIES. 


I, _________, the undersigned, understand the potential dangers that the I could incur in equine activities, including but not limited to mounting, riding, walking, boarding, feeding and any interactions with other horses. 

 

Understanding the aforementioned risks, I, on behalf of myself, and my estate, heirs, personal representatives, executors, administrators, and assigns, do release and discharge and covenant not to sue Georgetown Riding Academy, its owners, any of their regents, employees, instructors, or agents, and any and all other persons or entities whatsoever [herein refereed to as the “Released Parties”] from and with respect to any and all present and future claims, of whatever nature or kind, regardless of the basis therefore and including but not limited to any claim based upon any wrong doing or negligence, of whatever nature or kind including ordinary and/or gross negligence, on the part of the Released Parties, or any related individual/organization, and including but not limited to any claim for injury to property of injury or death to person that may arise from or is related, in any manner, to participation or involvement in equine activities including lessons, boarding, or any activities, including instruction and traveling to or from events, related to any manner thereto. [Collectively referred to as the “Released Claims”]  

 

Further, I am aware that horse riding is a vigorous sport involving severe cardiovascular stress in violent physical contact. I understand that it involves certain risks including but not limited to, death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage, and serious injury to virtually all bones, joints, muscles, and internal organs and that equipment provided for the participant’s protection may be inadequate to prevent serious injury. I further understand that horse riding involves a particularly high risk or head and neck injury. In addition, I understand that participation in horse riding involves activities incidental thereto, including but not limited to, travel to and from the site of the activity, participation at sites that may be remote from available medical assistants, and the possible reckless conduct of other participants.  

 

I am voluntarily agreeing to participate in this activity with knowledge of the danger involved and hereby agree on my behalf to accept any and all risks of property damage, personal injury, or death. A helmet should be worn by the undersigned at all times while riding a horse on above property. In the event of a helmet is not worn the undersigned assumes full responsibility for any injuries incurred. 

 


WAIVER AND RELEASE OF LIABILITY FOR GEORGETOWN RIDING ACADEMY


By initialing here, the undersigned and/or their guardian agrees that they recognize that the risk of serious injury is increased by not wearing a certified helmet while horseback riding and agree to wear a certified protective helmet at all times while horseback riding. 

 

I, on behalf of myself, and my estate heirs, personal representatives, executors, administrators, and assigns, further agree to indemnity and hold harmless the Released Parties, together and individually, in the event any claim is made against them or/and of them, related in any manner or arising directly or indirectly from the Released Claims, or any of them or the effects thereof even if it is alleged or proven that any such claims arise from negligence, including gross negligence, or wrong doing on the part of the Released Parties or any related individual/organization.  

 

I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of Tennessee and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. 

 

I affirm that I am of legal age and am freely signing this agreement. I have read this form in fully understand that by signing this form, I, on behalf of the participant and myself are giving up legal rights and/or remedies which may be available to me and the participant against the Released Party.  

 

 

First Participant's Name

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First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

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Second Participant's Date of Birth*
Third Participant's Name

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Third Participant's Date of Birth*
Fourth Participant's Name

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Fourth Participant's Date of Birth*
Fifth Participant's Name

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Fifth Participant's Date of Birth*
Sixth Participant's Name

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Sixth Participant's Date of Birth*
Seventh Participant's Name

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Seventh Participant's Date of Birth*
Eighth Participant's Name

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Eighth Participant's Date of Birth*
Ninth Participant's Name

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Ninth Participant's Date of Birth*
Tenth Participant's Name

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Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

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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*

Middle Name

Last Name*

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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