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WINNE LIVESTOCK

DBA TOMBSTONE ADVENTURES ON HORSEBACK

PO Box 963

TOMBSTONE AZ 85638

REGISTRATION OF PARTICIPANT AND AGREEMENT PURPOSES: I, the following listed individual and the parents or legal guardians there if a minor, do hereby voluntarily agree to participate in horse rental services and/ or equestrian services and / or guide and outfitter services provided by THIS STABLE


1. AGREEMENT SCOPE AND TERRITORY AND DEFINITIONS:

This agreement shall be legally binding upon me the registered participant, and the parents or legal guardians thereof if a minor, my heirs, estate, assigns, including all minor children, and personal representatives; and it shall be interpreted according to the laws of the state and county of THIS STABLE"S physical location.  This agreement is intended to be valid an binding at all times now and in the future when THIS STABLE permits me (directly or indirectly) to enter THIS STABLE'S property, be on THIS STABLE'S property, be near any horse, receive instruction or guidance from its associates and / or the I ride and/ or am near horses on or off THIS STABLE'S property.  Any disputes by the participant shall be litigated in and venue shall be the county in which THIS STABLE is physically located.  This agreement is intended to be as broad and inclusive as the law permits. If any clause, phrase, or word is in conflict with state law, then that single part is null and void.  The terms HORSE and Equine herein shall refer to all equine species. The terms "I, "WE", "ME", "MY" shall herein refer to the above registered participant and the parents or legal guardians thereof if a minor. 


2.  INHERENT RISKS, ASSUMPTIONS OF RISKS.

 I ACKNOWLEDGE THAT: Horseback riding is classified as a RUGGED ADVENTURE RECREATIONAL SPORT ACTIVITY and that risks, conditions, and dangers are inherent in (meaning an integral part of) hores/ equine/ animal activities, regardless of all; feasible safety measures which can be taken, and I agree to assume them.  The inherent risks include but are not limited to any of the following: The propensity of an animal to behave in ways that may result in injury, harm, death, or loss to persons on or around the animal. The unpredictability of an equine's reaction to sounds, sudden movement, unfamiliar objects, persons or other animals; Hazards, including but not limited to, surface or subsurface conditions; A collision, encounter and/ or confrontation with another equine, another animals, a person or an object.  The potential of an equine activity participant to act in a negligent manner that may contribute to injury, harm, death or loss to the participant brother persons, including but not limited to, failing to. maintain control over an equine and / or failing to act within the ability of the participant.  Horses are 5 to 15 times larger, 20-40 times more powerful and 3 to 4 times faster than a human.  If a rider falls from here to ground it will generally be t a distance of from 3.5 to 5.5 feet and the impact may result in harm to the rider.  horseback riding is an activity in which one much smaller ,weaker predator animal (the human) tries to impose its will on and become on unit of movement with another much larger stronger prey animal that has a mind of its own (the horse) and each has a limited understanding of the other.  If a horse is frightened or provoked it may divert from its training and act according to its natural instincts which may include but are not limited to: stopping short, spinning around, changing directions and or speed at will, shifting its weight bucking, rearing, kicking, biting and or running from danger.  I ACKNOWLEDGE THAT THESE ARE JUST OME OF THE RISKS AND I AGREE TO ASSUME OTHERS NOT MENTIONED BAOVE.  I AM NOT RELYING ON THIS STABLE TO LIST ALL POSSIBLE RISKS FOR ME. 



3. WILDERNESS EXPERIENCE PARTICIPATION, CONDITIONS OF NATURE WARNING, UNFAMILIAR AND SUDDEN SIGHTS, SOUNDS AND MOVEMENTS WARNING AND INSPECTION OF PREMISES.

I / WE ACKNOWLEDGE THAT: The participant may be taking part in a "WILDERNESS EXPERIENCE" that may be hazardous to people.  I / WE ACKNOWLEDGE THAT The meaning of " WILDERNESS EXPERIENCE" is defined as the pursuit of activity in a natural and or wild and or rugged and or uncultivated region, as of forest and or hills and or mountains and or plains and or wetlands and or desert which would like be uninhabited by people and inhabited by wild animals of many types and species to include but not limited to: mammals, reptiles and insects which are not tame, may be savage and unpredictable in nature and also wandering at their will. I / WE ACKNOWLEDGE THAT: This STABLE is NOT RESPONSIBLE for total or particle acts, occurrences or elements of nature and/ or sudden and/ or unfamiliar sights, sound and / or unfamiliar sights, sounds and / or sudden movements that can scare a horse, cause it to fall or react in some other unsafe way. SOME EXAMPLES ARE: Thunger, lightening, rain, wind, wild and domestic animals, insects, reptiles, which may walk, run or fly near or bite or sting a horse or person and irregular footing on our of door groomed or wild land which is subject to constant change in condition according to weather, temperature and natural or man made changes in landscape. I also acknowledge that these are just some of the risks and I agree to assume others not mentioned above.  I am not relying on THIS STABLE to list all possible conditions for me.  The participant and parent or legal guardian have inspected THIS STABLE's facilities and are satisfied that all premise conditions are erasable safe for this participants intended purpose, usage and presence upon THIS STABLE'S premises. 


4.  CARRY ON OBJECTS WARNING AND SHARP LOUD NOISES WARNING. I / WE ACKNOWLEDGE THAT:  When approaching, mounting and riding horses, I must not carry loose items that may fall or blow away or flap in the wind or bounce or make sharp loud noises.  The action of this may scare horses causing them to react in unsafe ways.  SOME EXAMPLES ARE: Cameras, cell phones, hats not securely fastened under chin, toys, purses.  When near or riding a horse, participants must not make sharp or loud noises, such as whistling or screaming or yelling, the sound which may scare horses causing them to react in unsafe ways.  


5.  SADDLE GIRTH LOOSENING WARNING.  I / WE ACKNOWLEDGE THAT:  Saddle Girths ( fastener straps around the horse's belly) may loosen during riding.  Riders must alert the nearest attendant of any girth looseness so action can be take to avoid saddle slippage and the potential for the rider to fall from the horse. 


6.  PROTECTIVE HEADGEAR/ HELMET WARNING AND OFFERING: I / WE AGREE THAT: I for myself and on behalf of my child and / or legal ward have been fully warned and advised by THIS STABLE that protective headgear/ helmet which meets or exceeds the quality standards of the SEI CERTIFIED ASTM STANDARDS F 1163 EQUESTRIAN HELMET should be worn while riding, handling and / or being near horses, and I understand that the wearing of such headgear / helmet at these times may reduce severity of some of the wearer's head injuries and possible prevent the wearer's death from happening as the result of a fall and other occurrences  I / WE ACKNOWLEDGE THAT: THIS STABLE has offered me and my child and / or legal ward if applicable protective headgear / helmet that meets or exceeds the quality standards of the SEI CERTIFIED ASTM STANDARD F 1163 EQUESTRIAN HELMET.  I /WE ACKNOWLEDGE THAT: Protective headgear. helmet provided by THIS STABLE may not be of perfect fit for the participants head and that once provided I / WE will be responsible for securing the headgear/ helmet on the participants head at all times.  I AM NOT RELYING ON THIS STABLE AND / OR ITS ASSOCIATES TO CHECK AMNY HEADGEAR / HELMET OR HEADGEAR / HELMET STRAPS THAT I MAY WEAR, OR TO MONITOR MY COMPLIANCE WITH THIS SUGGESTION AT ANY TIME NOW OR IN THE FUTURE. 


7.  PROTECTIVE HEAD GEAR / HELMET POLICY:  THIS STABLE'S protective headgear and helmet policy requires that all riders MUST WEAR ASTM STANDARD F 1163 PROTECTIVE HEADGEAR/ HELMETS. 

BY SIGNING AND DATING BELOW I AGREE THAT I HAVE READ AND UNDERSTAND THAT RIDERS ARE REQUIRED TO WEAR A HELMET AND IF I / WE OR MY LEGAL GUARDIANS DECLINE I AM DOING SO AGAINST THIS STABLES ADVISEMENT AND AGAINST THIS STABLE'S RULES.May 16, 2024 


8.  LIABILITY RELEASE: I AGREE THAT: In consideration of THIS STABLE allowing my participation in this activity under the terms set forth herein, I for myself and on behalf of my child and / or legal ward, heirs, administrators, personal representatives, assigns,do agree to release, hold harmless and discharge THIS STABLE, its owners, agents, employees, officers, directors, representatives, assigns, members, owners of premises and trails, affiliated organizations, and Insurers and others acting on their behalf (hereinafter, collectively referred to as " ASSOCIATES"), of and from all claims, demands, causes of action and legal liability, whether the same be known or unknown, anticipated or unanticipated, due to THIS STABLE'S and / or ITS ASSOCIATE'S ordinary negligence or legal libailty; and I do further agree that except in the event of THIS STABLE'S gross negligence and / or willful and / or wanton misconduct, I shall not bring any claims, demands, legal actions and causes of action, against THIS STABLE and ITS ASSOCIATES as stated above in this clause for any economic and non economic losses due to body injury and/ or death and / or property damage sustained by me and / or my minor child or legal ward in relation to the premise and operations of THIS STABLE, to include while riding, handling or otherwise being near horses owned by me or owned by THIS STABLE or in the care, custody or control of THIS STABLE, whether on or off the premises of THIS STBLE, but not limited to being on THIS STABLE'S premises. 


EACH PARTICIPANT AND PARENTS OR LEGAL GUARDIANS MUST SIGN BELOW AFTER READING AND COMPLETING THIS ENTIRE DOCUMENT. 

SIGNER STATEMENT OF AWARENESS:

I/ WE THE UNDERSIGNED, REPRESENTS THAT I / WE HAVE READ AND DO UNDERSTAND THE FOREGOING AGREEMENT, LIABILITY RELEASE AND ASSUMPTION OF RISK AGREEMENT.  I /WE UNDERSTAND THAT BY SIGNING THIS DOCUMENT I /WE AM GIVING UP RIGHTS TO SUE TODAY AND IN THE FUTURE.  I / WE ATTEST THAT ALL FACTS ARE TRUE AND ACCURATE. I AM SIGNING THIS WHILE SOUND OF MIND AND NOT SUFFERING FROM SHOCK, OR UNDER THE INFLUENCE OF ALCOHOL, DRUGS OR INTOXICANTS. 


SIGNATURE OF PARTICIPANT:

 May 16, 2024



First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
Parent or Guardian's Email Address

Email*

Confirm Email*
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(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 Information

AGE OF PARTICIPANT *

WEIGHT OF PARTICPANT *** DRAFT HORSE FEE IF OVER 220 POUNDS *
HORSE RIDING EXPERIENCE (Check One that Applies) *
BEGINNER ( UNDER 10 Hours)
INTERMEDIATE (10-50 Hours)
ADVANCED (OVER 50 Hours, Owned your own horse or leased one)
Medical Insurance: I/ WE AGREE THAT: Should Medical treatment be required, I and / or my medical insurance SHALL PAY for ALL such incurred expenses*
Yes

My Medical insurance company is:

My Policy Number is:
I DO NOT CARRY MEDICAL INSURANCE
I do not carry medical insurance

EMERGENCY CONTACT NAME *

EMERGENCY CONTACT PHONE NUMBER: *
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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