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Release, Indemnification and Hold Harmless Agreement

7762 Pounds Rd 

Underwood IN 47177

812-786-6624

**Ally's Riding Lessons & Trail Rides**


**Trial Ride Prices:**


- 1 Hour - $40

- 1.5 Hours - $50

- 2 Hours - $60


A non-refundable deposit of $10 per spot is required to book a ride. This deposit will be deducted from your total upon arrival. Clients can choose from a 1, 1.5, or 2-hour ride. All riders must be at least 10 years old and weigh no more than 225 lbs. A representative will accompany you on the trails during your ride to assist with any questions you may have regarding the horses and to provide guidance on safe trails. Please note that the representative is not responsible for your safety; you are responsible for your own well-being.


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**Indiana Equine Law and Liability**


In Indiana, equine law is governed by Ind. Code § 34-31-5-1 through § 34-31-5-5. According to Ind. Code § 34-31-5-1, “an equine activity sponsor or equine professional is not liable for:


1. An injury to a participant; or

2. The death of a participant;


resulting from an inherent risk of equine activities.”


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**Lesson Policies:**


- The weight limit for riders on lesson horses is 225 pounds.

- Proper attire is required, including jeans or long pants, closed-toe shoes (no sandals, crocs, or rubber shoes; rubber boots are acceptable), and an ASTM/SEI approved riding helmet (no bike helmets).

- A parent or guardian must remain on-site during lessons for riders under the age of 18.

- Payment is due at the time of service by cash or check.

- Cancellations must be made with at least 24 hours' notice. In the event of severe weather, we will attempt to contact you before your lesson to reschedule.

- We ask that you be punctual for your scheduled time and prompt in concluding the lesson.


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By participating in equestrian activities, I hereby agree to release and discharge from liability arising from negligence all owners, directors, officers, employees, agents, volunteers, participants, and all other persons or entities associated with these activities (hereinafter collectively referred to as "Releasees"). This release is made on behalf of myself, my children, parents, heirs, assigns, personal representatives, and estate, and I agree to the following:


1. I acknowledge that equestrian activities involve known and unanticipated risks that could result in physical or emotional injury, paralysis, permanent disability, death, and property damage. Risks include, but are not limited to, serious injury or death from falls while riding horses; broken bones, bruises, and other bodily injuries caused by contact with horses (e.g., bites, kicks, or being stepped on); medical conditions resulting from physical activity; and damage to clothing or other property. I understand that such risks cannot be eliminated without compromising the essential nature of the activity.


2. I expressly accept and assume all risks inherent in this activity, including those that may arise from the negligence of the Releasees. My participation is voluntary, and I choose to participate despite the risks. If at any time I believe the conditions are unsafe or that I am unable to participate due to physical or medical conditions, I will immediately discontinue my participation.


3. I voluntarily release, discharge, and agree to indemnify and hold harmless the Releasees from any claims, demands, or causes of action arising from my participation in this activity, or my use of their equipment or facilities, related to negligence. This release does not apply to claims arising from intentional conduct. Should the Releasees or anyone acting on their behalf incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for those fees and costs.


4. I represent that I have adequate insurance to cover any injuries or damages I may suffer or cause while participating in this activity, or I agree to bear the costs of such injuries or damages myself. I further represent that I have no medical or physical condition that could interfere with my safety in this activity or, if I do, I am willing to assume all risks associated with that condition.


5. If I file a lawsuit, I agree to do so solely in the state where the Releasees' facility is located, and I further agree that the substantive law of that state shall apply.


6. If any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.


By signing this document, I agree that if I am injured or my property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to sue the parties being released for any claims of negligence.


I have had sufficient time to read this entire document and, should I choose to do so, I may consult with legal counsel prior to signing. I also understand that... [ends here]

First Client's Name

First Name*

Last Name*

Phone*
First Client's Date of Birth*
First Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
First Client's Signature*
Second Client's Name

First Name*

Last Name*
Second Client's Date of Birth*
Second Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
Third Client's Name

First Name*

Last Name*
Third Client's Date of Birth*
Third Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
Fourth Client's Name

First Name*

Last Name*
Fourth Client's Date of Birth*
Fourth Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
Fifth Client's Name

First Name*

Last Name*
Fifth Client's Date of Birth*
Fifth Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
Sixth Client's Name

First Name*

Last Name*
Sixth Client's Date of Birth*
Sixth Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
Seventh Client's Name

First Name*

Last Name*
Seventh Client's Date of Birth*
Seventh Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
Eighth Client's Name

First Name*

Last Name*
Eighth Client's Date of Birth*
Eighth Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
Ninth Client's Name

First Name*

Last Name*
Ninth Client's Date of Birth*
Ninth Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
Tenth Client's Name

First Name*

Last Name*
Tenth Client's Date of Birth*
Tenth Client's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Client'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:*
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
ALL RIDERS AND PARENTS OR LEGAL GUARDIANS MUST SELECT YES OR NO: Protective Headgear Offering: I, for myself and on behalf of my child and/or legal guardian, have been offered protective headgear (riding helmet) by this stable and do understand that the wearing of such headgear around horses may prevent or reduce severity of some head injuries, and may even prevent death happening as the result of a fall or other occurrence. It is understood that the stable provided protective headgear may not be of perfect fit for each rider's*
NO I/we refuse to wear any type of protective headgear or will provide my/our own.
YES, I/we request to wear protective headgear which THIS STABLE provides
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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