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Jumping Branch Farm Release & Hold Harmless Agreement

Under South Carolina law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in an equine activity resulting from an inherent risk of equine activity, pursuant to Article 7, Chapter 9 of Title 47, Code of Laws of South Carolina, 1976.

The Undersigned assumes the unavoidable risks inherent in all horse-related activities, including but not limited to bodily injury and physical harm and death to horse, rider and spectator.

In consideration, therefore, for the privilege of riding and/or working around horses at Jumping Branch Farm located at 179 Fox Pond Rd in Aiken, South Carolina, the Undersigned does hereby agree to hold harmless and indemnity Jumping Branch Farm, owners Tim, Vickie and Tate Shaw, adjacent property owners, all employees and volunteers of Jumping Branch Farm and further release them from any liability or responsibility for accident, damage, injury, illness or death to the Undersigned, to any family member of the Undersigned, to any horse owned by the Undersigned, or to any spectator accompanying the Undersigned on the premesis. 

First Rider Name

First Name*

Last Name*
First Rider Date of Birth*
I certify that I am 18 years of age or older
First Rider Signature*
Second Rider Name

First Name*

Last Name*
Second Rider Date of Birth*
Third Rider Name

First Name*

Last Name*
Third Rider Date of Birth*
Fourth Rider Name

First Name*

Last Name*
Fourth Rider Date of Birth*
Fifth Rider Name

First Name*

Last Name*
Fifth Rider Date of Birth*
Sixth Rider Name

First Name*

Last Name*
Sixth Rider Date of Birth*
Seventh Rider Name

First Name*

Last Name*
Seventh Rider Date of Birth*
Eighth Rider Name

First Name*

Last Name*
Eighth Rider Date of Birth*
Ninth Rider Name

First Name*

Last Name*
Ninth Rider Date of Birth*
Tenth Rider Name

First Name*

Last Name*
Tenth Rider Date of Birth*
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*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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