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APPLICATION AND ASSUMPTION OF RISK

ASSUMPTION OF RISK

In consideration of the equine services being provided by Guest Services, Inc., its officers, trustees, agents and employees, (collectively referred to as "Guest Services" or “We”, or “Us”), I agree as follows:

Although Guest Services has taken reasonable steps to provide me with appropriate equipment and skilled guides so I can enjoy equine-related recreation, I understand that this activity has risks. Certain risks cannot be eliminated without destroying the unique character of this activity. The same elements that contribute to the unique character of this activity can be causes of loss or damage to my equipment, or accidental injury, illness, or in extreme cases, permanent trauma or death.

We do not want to frighten you or reduce your enthusiasm for this activity, but we do think it is important for you to know in advance what to expect and to be informed of the inherent risks. Before proceeding, we ask that you acknowledge that there are various risks involved in horseback riding, and you assume responsibility for these risks. The following describes some, but not all, of those risks:

  • Horses may lose foothold (slipping)
  • Horses may react to animals such as dogs or deer
  • Horses may kick and/or bite
  • Horses can buck
  • Horses can step on people’s feet
  • Horses are large animals which can exhibit unpredictable behavior

I am aware that horseback riding entails risks of injury or death to myself. I understand the description of these risks is not complete and that other unknown or unanticipated risks may result in injury or death. I agree to assume responsibility for the risks identified herein and for those risks not specifically identified. My participation in this activity is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of the risks.

I understand there are prerequisites to participate in this activity:

  • Riders must be 2½ years of age and be at least 30” in height.
  • Riders must wear appropriate footwear (hard-soled boot or shoe with a small heel).
  • Riders must wear long pants
  • Riders must wear an ASTM/SEI Certified riding helmet at all times when mounted. 

I certify that I am fully capable of participating in this activity. Therefore, I assume full responsibility for myself, including my minor child(ren) or those under my guardianship, for bodily injury, death and loss of personal property and expenses thereof as a result of those inherent risks and dangers of participating in this activity.

I have read, understood and accepted the terms and conditions stated herein and acknowledge that this Agreement shall be effective and binding upon myself, my heirs, assigns, personal representative and estate and for all members of my family, including any minors accompanying me.

I further understand that the Rock Creek Park Horse Center reserves the right to refuse to accept any person it judges to be incapable of participating in the activities, or inappropriate for the program.

Date: June 26, 2022

Please select who will be participating...
AdultMinor
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First Rider's Name

First Name*

Last Name*

Phone*
First Rider's Date of Birth*
First Rider's Information
Choose the activity you are interested in:*

Height: *

Weight: *
Riding Level:*
Riding Skills: Mark all that apply *
Walk
Trot
Canter
Jump
None of the above

Please write a brief description of your riding experience

We seek to provide you a fun and safe horseback riding experience. Please help us achieve that goal by listing below any physical or mental conditions which could affect your ability to ride horses: *
Are there any accommodations you would like us to provide?*
No
Yes

If yes, please describe those accommodations which would enable you to ride with us:
Will you allow us to use photographs of you in our advertising?*
No
Yes

In case of Emergency contact:


Name: *

Phone: *

We will attempt to reach the Emergency Contact, but if we are unable to or in the sole discretion of the Rock Creek Park Horse Center the situation requires immediate medical attention, you hereby authorize us to call 911.

First Rider's Signature*
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*
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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Choose the activity you are interested in:*

Height: *

Weight: *
Riding Level:*
Riding Skills: Mark all that apply *
Walk
Trot
Canter
Jump
None of the above

Please write a brief description of your riding experience

We seek to provide you a fun and safe horseback riding experience. Please help us achieve that goal by listing below any physical or mental conditions which could affect your ability to ride horses: *
Are there any accommodations you would like us to provide?*
No
Yes

If yes, please describe those accommodations which would enable you to ride with us:
Will you allow us to use photographs of you in our advertising?*
No
Yes

In case of Emergency contact:


Name: *

Phone: *

We will attempt to reach the Emergency Contact, but if we are unable to or in the sole discretion of the Rock Creek Park Horse Center the situation requires immediate medical attention, you hereby authorize us to call 911.

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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