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WAIVER OF LIABILITY & LEGAL RELEASE

  586 Ranch, Inc

 586 Anderson Hozak Rd

Clinton, PA 15026

(480)-221-0101



 I acknowledge and accept that horseback riding and any activity related thereto, involve the risk of personal injury. By my signature, (and, in case of a minor, the parent’s or guardian’s signature), they and I, hereby waive all rights, if any, claims, causes of action and lawsuits against 586 Ranch, Inc,Three D Ranch,LLC, their family, heirs, executors, legal representatives, administrators, successors, assigns, guests, employees, or agents affiliated with any of them in any manner (collectively, herein 586 Ranch, Inc), for any injury, liability or damages which may occur while participating in any activity whether leased or owned by me or by any other person, or for any injury or damages which may occur while participating in any activity including but not limited to horseback riding, various animal encounters, hiking, walking, wagon/tractor rides, and all ATV rides. I agree to indemnify, defend and hold harmless 586 Ranch Inc. and Three D Ranch LLC or any person or entity whose land a horseback ride crosses or any activity, for any accident, injury, or loss that might occur, and free such persons from all liability for such injury or loss. I understand that horseback riding and farming related activities always involves danger and I ride and or participate at my own risk. 

I agree to take full responsibility for myself, my child and the animal I am riding or handling. I am aware that wearing a certified safety helmet is a good preventive measure against head injury, and further understand that helmets are required for all riders. Helmets will be provided. My signature below constitutes acceptance of the above terms and conditions. I have read and fully understand this liability release.

 Medical Release for Participants

 I further agree to allow and be financially responsible for any necessary emergency medical treatment by any available physician at any available medical institution in the event of my injury or illness. I have read and understand this liability release. 

                                         

                 

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*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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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