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Horseback Riding Acknowledgement Agreement & Liability Release Form

STATUTORY NOTICE:  “Under Alabama law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to the Equine Activities Liability Protection Act.” §6-5-337, Code of Alabama, 1975."

On behalf of myself and/or my child(ren)/legal ward(s), I hereby request to participate in equine activities offered by A Leap Of Faith Equestrian Center LLC. I understand and agree that I and/or my child(ren)/legal ward(s) enrolled herewith shall ride their own horse(s), a borrowed horse(s) or a horse(s) provided for said activities by A Leap Of Faith Equestrian Center LLC. 

I have been advised that horseback riding lessons and other equestrian events sponsored by A Leap Of Faith Equestrian Center LLC shall include petting, grooming, riding, tacking/untacking or otherwise handling horses owned by me, one I borrowed or one who is provided for said activities by A Leap Of Faith Equestrian Center LLC.  No horse is a completely safe horse.  If a horse is frightened or provoked it may divert from its training and act according to its natural survival instincts which may include, but is not specifically limited to: stopping short, changing direction or speed at will, bucking, rearing, kicking, biting, jumping, or any other unspecified unpredictable behavior. A fall from the horse to the ground may result injury of the rider. Upon mounting, the rider is primarily in control of the horse.  The rider’s safety is largely dependent upon their ability to carry out simple instructions and their ability to remain balanced on a moving animal.  The rider shall be responsible for their own safety. 

I either have been instructed on safe horse handling procedures and/or have received and read a horse safety handout furnished by my instructor, and I understand the safety requirements.  I have been given an opportunity to ask any questions I may have.  I understand the safety recommendations must be followed at all times for participation in these activities.  Failure to comply with these safety recommendations may result in elimination from the equestrian center’s activities. 

In the event that I or my child(ren)/legal ward(s) should require medical treatment, I grant permission to be transported to local doctors, clinics, or hospitals in the event of any injury and I and/or my medical insurance provider will assume full responsibility for paying all associated costs and expenses, including costs of collection that may include reasonable attorney fees.  Additionally, should my actions, or those of my child(ren)/legal ward(s) or the horse being ridden by said party or parties cause injury or damage of any kind, I and/or my personal liability insurance will assume full responsibility for paying the costs resulting from this occurrence. 

By signing this Acknowledgment Agreement & Liability Release Form, I acknowledge, understand and agree that any injuries or loss can result from participation in A Leap Of Faith Equestrian Center LLC’s activities.  Furthermore, I acknowledge, understand and agree that working with or around horses and riding horses is an inherently dangerous activity due to the unpredictable nature of the animal and have elected to take part in these contracted activities.  I hereby release A Leap Of Faith Equestrian Center LLC, its faculty, staff, instructors and registered agent from any and all liability as to any right of legal action, claim, demand or other cause of action that may accrue to my heirs or representatives for any injury to me and/or my child(ren)/legal ward(s) for any injury or loss that I/they may suffer while participating in these activities involving horse handling and riding and shall indemnify and hold harmless A Leap Of Faith Equestrian Center LLC and its agents, associates or assigns from any other cause, including but not limited to bodily injury, illness or death resulting from Corona-virus (COVID-19 and/or its variants), defective tack, appliances, machinery, pets or any other kind of property of A Leap Of Faith Equestrian Center LLC.  Any aforementioned action which may arise shall be controlled by the laws of the State of Alabama.  I also agree to indemnify and reimburse A Leap Of Faith Equestrian Center LLC and its associates for any fees and costs, should they be required to incur attorney fees and costs to enforce this agreement. 

 

First Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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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