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Under the Michigan equine activity liability act, an equine professional is not liable for a injury to or the death of a participant in an equine activity resulting from an inherent risk of the equine activity. History: 1994, Act 351, Eff. March 30, 1995.


I, on behalf of myself and my minor child (hereafter the “Releasor/s”), and on behalf of our personal representatives, heirs, next-of-kin, spouses and assigns, do acknowledge, agree and consent to the following: A horse may, without warning or cause, buck, stumble, fall, rear, bite, kick, run, make unpredictable movements, spook, jump, step on a person’s feet, and or push or shove a person--resulting in serious bodily injury or death. In addition, tack, saddles or bridles may loosen or break without warning which also could case the rider or vaulter to fall or be jolted--also resulting in serious bodily injury or death. Surface or subsurface defects pose further hazards to participants in horse-related activities. Vaulting does not require helmets or protective footwear and it is not recommended. Thus, HORSEBACK RIDING AND VAULTING ARE INHERENTLY DANGEROUS ACTIVITIES AND INVOLVE RISKS THAT MAY CAUSE SERIOUS BODILY INJURY AND POTENTIALLY DEATH, because of the unpredictable nature and irrational behavior of horses, regardless of their training and past performance.

Releasor/s assume all risks and waive their right to sue AJS Farms LLC, its employees, volunteers, trainer(s), horse owner(s), subcontractors, premises owners, agents, or coaches (hereafter, the “Releasees”). To the greatest extent allowed under Michigan law, Releasors shall indemnify, hold harmless, release, and discharge the Releasees from any and all claims or lawsuits including but not limited to personal injury, death, property damage, or property loss suffered by Releasor/s that may arise in connection with participating in any horse and horse-related activities provided by Releasees. In the event of a lawsuit filed by Releasor(s), now or at a later time when minor participants reach the age of majority, further agree to pay the Releasee’s actual attorney’s fees, court costs, and expenses incurred in defense of any claims brought wrongful death, negligence, recklessness, negligence, and or gross negligence. This Agreement shall be legally binding upon the heirs, estate, assigns, and personal representatives of the Releasor/s. This agreement shall be interpreted according to the laws of Michigan. Should any clause conflict with State law, that clause will be null and void and the remainder of this Agreement shall remain in effect. Any disputes shall be litigated in a state or federal court of proper jurisdiction located in or nearest to Allegan County, Michigan. If Releasor is a minor, this agreement is fully approved by and binding upon the undersigned, as the minor’s parents and or guardians, and shall endure up to 12 months after the minor reaches the age of majority.

  • Releasor/s, if participating, are not pregnant and have no history of epileptic seizures, heart condition or any other medical problems that could be affected by horseback riding or vaulting.
  • Releasor/s are of sound mind, and are not under the influence of alcohol, drugs or intoxicants.
  • Releasor/s authorize Releasees to be able to secure emergency medical treatment for Releasor/s in the event of an emergency.
  • Releasor/s grant permission to the Releasees to use their or their child’s image and or likeness in photos, videos, and/or artwork for use in Releasees’ general information, promotional materials, Instagram account, TikTok account, Facebook account, and any other marketing activities or promotional materials published or utilized by Releasees.
  • Releasor/s have read this entire document and have concluded that the risks involved are worth the pleasure of engaging in horseback riding and or equestrian vaulting.
  • Releasor/s affirm that the information they have provided in this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT is true and accurate.
  • Releasor/s intend for this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT to be valid and binding today and at all times in the future.

July 21, 2024

First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Signature*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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*

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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