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K Diamond Consulting Pty Ltd ABN 96 135 966 488 trading as GUNNAMATTA TRAIL RIDES

PLEASE READ & COMPLETE ALL DETAILS ON THIS FORM INCLUDING SIGNING

WARNINGS UNDER THE VICTORIAN FAIR TRADING ACT 1999 AND THE AUSTRALIAN CONSUMER LAW (COMMONWEALTH)

Under the Australian Consumer Law (Victoria) and under the Australian Consumer Law (Commonwealth), several statutory guarantees apply to the supply of certain goods and services. These guarantees mean that Gunnamatta Trail Rides (Supplier) is required to ensure that the recreational services it supplies to you are rendered with due care and skill; are reasonably t for any purpose which you, either expressly or by implication, make known to the supplier; and might reasonably be expected to achieve any result you have made known to the supplier.

Under section 32N of the Fair Trading Act 1999 and under the Australian Consumer Law (Commonwealth), the Supplier is entitled to ask you to agree that these statutory guarantees do not apply to you.

Exclusion, Restriction or Modification of Rights under the Australian Consumer Law (Victoria) & the Australian Consumer Law (Commonwealth).

If you sign this form, you will be agreeing that your rights to sue the Supplier because services provided were not in accordance with the guarantees are excluded, restricted or modified as set out below.

By signing this form, I agree that the liability of Gunnamatta Trail Rides for any death; physical or mental injury (as de ned in the Fair Trading Act 1999 and including the aggravation, acceleration or recurrence of such an injury); the contraction, aggravation or acceleration of a disease; the coming into existence, the aggravation, acceleration or recurrence of any other condition, circumstance, occurrence, activity, form of behavior, course of conduct or state of a airs:

  • that is or may be harmful or disadvantageous to me or the community,
  • that may result in harm or disadvantage to me or the community,
  • that may be su ered by me (or a person for whom or on whose behalf I am acquiring the services) resulting from the supply of recreational services is excluded.

PRIVACY STATEMENT - PRIVACY ACT 1988 TALENT RELEASE

By completing this form you are supplying Gunnamatta Trail Rides with personal information that is needed to ensure your safety during your time with us. We are required to collect this information by our insurance company and by the department of Workplace Health and Safety. The information you provide will not be supplied to any other organization or used for any purpose other than which is stated above.

TALENT RELEASE

During your visit to Gunnamatta Trail Rides you may be photographed by a member of our staff. We love to capture the magic moments between rider and horse and encourage you to also share your photos with us on Facebook and Instagram. These images may then be used for promotion of Gunnamatta Trail Rides. If you wish to read our full Talent Release and Limited Liability Release please see the staff at reception. We greatly appreciate being able to take photos of riders and sharing the joy and adventure for others to see. 

FOR PARENTS SIGNING FOR MINORS

PRIVACY STATEMENT - PRIVACY ACT 1988 By completing this form you are supplying Gunnamatta Trail Rides with personal information that is needed to ensure your safety during your time with us. We are required to collect this information by our insurance company and by the department of Workplace Health and Safety. The information you provide will not be supplied to any other organization or used for any purpose other than which is stated below.

This document is a deed poll in favour of K Diamond Consulting Pty Ltd trading as Gunnamatta Trail Rides (supplier) of 150 Sandy Road, Fingal 3939 (Centre) and (Personnel)

I, the undersigned, am aged over 18 years of age and am the parent or legal guardian of the participant or participants named on this form, see details below and overleaf. (Participant)

I consent to the Participant attending Gunnamatta Trail Rides to take part on the horse riding activities and any other activity offered by the Supplier or otherwise in connection with it (Activities).

I acknowledge and agree:

  • that I have read and understood the Supplier's rules and any other rules applying to the Activities;
  • that the nature of the Activities involves being in the vicinity of horses and may include horse riding and that risks may arise during these Activities, including the risk of Personal Injury (as defined below);
  • that the Supplier would be unable to feasibly operate the Business if it were liable for such risks; and
  • that the Participant attends Gunnamatta Trail Rides and participates in all Activities at my own risk.

I indemnify Gunnamatta Trail Rides and each of its Personnel against any and all losses, costs, damages, expenses and liabilities (including legal costs on a full indemnity basis) sustained or incurred by Gunnamatta Trail Rides or any of its Personnel in connection with:

  • any claim, action, demand or proceedings (whether based in contract, tort (including negligence) or otherwise) by any person in relation to any Personal Injury occasioned by the Participant at, or as a result of, the Centre, or in the course of, or as a result of, any Activities;
  • any failure of the Participant to follow any rules of the Centre or any directions given by Gunnamatta Trail Rides or its Personnel; or any act or omission of the Participant at the Centre or in the course of any Activities which causes or contributes to Personal Injury to any person.

In this deed poll, a reference to Personal Injury includes: death; physical or mental injury (including the aggravation, acceleration or recurrence of such an injury); the contraction, aggravation or acceleration of a disease; the coming into existence, the aggravation, acceleration or recurrence of any other condition, circumstance, occurrence, activity, form of behavior, course of conduct or state of affairs:

  • that is or may be harmful or disadvantageous to the person who suffers it or the community, or
  • that may result in harm or disadvantage to the person who suffers it or the community. 

I agree that in the event of the Participant being involved in an accident, becoming ill, or otherwise requiring medical treatment or care, Gunnamatta Trail Rides or its Personnel may, in their absolute discretion, obtain medical treatment for the Participant & that I must pay all expenses incurred in obtaining such medical treatment or care.

Signed, sealed & delivered as a deed poll by a parent or guardian of the Participant who is under 18 years:

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
Participant's 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*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Please select your weight fully clothed including shoes:*

For the rider's safety and the welfare of our horses we have a maximum weight capacity of strictly Strictly 90kg.

All riders are weighed in the office prior to their ride to ensure they fall within the weight range they have declared and do not exceed our maximum safety weight policy. 

This will allow us to select the most suitable horses for the day and make it an enjoyable and memorable experience.

In the event that you underestimate your weight, we cannot guarantee that we will have a suitable horse for you to ride on the day as the horses will be first offered to Customers that have accurately declared their weight.




Do you suffer from any of the following medical conditions that may effect the risk to you or any other person that may result in loss, damage or injury? *
None at all
Allergic Reactions
Asthma
Back Injury
Diabetes
Epilepsy/Fits
Fainting
Heart Condition
Medications
Mental Disability
Physical Disability
Pregnancy
Recent Injury
Other
COVID RELATED QUESTIONS:
Do you or any Household members feel unwell, especially any cold or flu like symptoms?
Have been in contact with someone suspected to have COVID-19?
Are waiting on a COVID-19 Test Result?
Have attended any exposure sites?
Traveled overseas in the past month?
I HAVE READ, UNDERSTAND AND AGREE TO THIS ASSUMPTION OF RISK FORM, AND THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT*
Yes
No
I confirm that I am double vaccinated against COVID-19. All vaccination certificates will be checked upon checking-in. If a vaccination certificate is not presented or incomplete, there will be no credit, no rescheduling, no transfer to any other person(s), no refunds. *
Agree
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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