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2375 Schukraft Rd

Quakertown, PA 18951

1(267)374-0465

livingstreamsranch.org

LIVING STREAMS RANCH WAIVER

RANCHER, RETREATS, TOUR, GUEST



RELEASE OF LIABILITY AND HOLD HARMLESS AGREEMENT

The undersigned participant, and his or her parent or legal guardian if the participant is under the age of 18 years old, is aware that equine activities in which the participant may directly or indirectly engage, whether mounted or un-mounted, to include but not be limited to: horseback riding, training, driving, jumping or otherwise being a passenger upon an equine; and also handling, leading, grooming and otherwise attending to the equine, are activities and events which pose potentially serious risks of injuries or death to the participants. I understand that the participant may be injured or die as a result of the participant's negligence, the negligence of others, or through no fault of the participant or anyone else but because of the nature of the activity in which the participant is going to be engaged. I also understand that horses, even the most well-trained, are unpredictable and may be difficult to control. All or some of the activities noted herein may take place on the property (the “Premises”) located at 2375 Schukraft Road, Quakertown, PA, 18951. 

NOTICE OF INHERENT RISKS

Equines have the propensity to behave in ways that may result in injury, harm or death to persons on or around the equine; have unpredictable reactions to such things as sounds, sudden movement and unfamiliar objects, persons or other animals; are susceptible to certain hazards such as surface or subsurface conditions, collisions with other equines or objects; propensities include kicking, biting, stamping, stumbling, rearing, and others; tack equipment can fail resulting in falling or loss of control; and activities have the potential of a participant to act in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or not acting within the participant’s ability. Equine activities are INHERENTLY DANGEROUS.

ASSUMPTION OF RISK

I understand and acknowledge that the Activity I want to participate in may be dangerous and may involve the     risk that I will sustain serious injury, temporary or permanent disability, death, and/or property damage. I understand that the Activity may not be supervised and that the Company does not provide medical services. I further acknowledge that any injury I may sustain while participating in the Activity may be compounded by negligent or delayed medical service or negligent or delayed assistance by the Company. I VOLUNTARILY AND FREELY ASSUME ALL RISKS AND DANGERS THAT MAY OCCUR PURSUANT TO MY USE OF THE PREMISES AND PARTICPATION IN ACTIVITIES ON THE PREMISES, INCLUDING THE RISK OF INJURY, DEATH, OR PROPERTY DAMAGE, EVEN IF CAUSED BY NEGLIGENCE OF LIVING STREAMS RANCH.

RELEASE FROM LIABILITY

This waiver shall remain valid unless expressly revoked by me, or if a minor, by a parent or guardian, in writing, with receipt acknowledged in writing by an agent/director of the Living Streams Ranch. Furthermore, with this waiver, I expressly assume the risk of injury or death due to the ordinary negligence of the Living Streams Ranch, located at 2375 Schukraft Rd, Quakertown, PA 18951 and any and all of its employees, agents, volunteers, and representatives, However, I understand that this release is not intended to prevent or limit liability in the event of gross negligence or willful misconduct by any of the aforementioned parties.

With knowledge of the foregoing, and as an inducement for the participant's ability to participate in equine activities at the Living Streams Ranch, I hereby agree to waive and release any and all rights that I or my heirs may have to make a claim against Living Streams Ranch and all its agents, employees, representatives and volunteers, arising from any damages, injury or death which the participant might sustain while engaging in equine activities at Living Streams Ranch. I further agree to indemnify and hold harmless Living Streams Ranch, its agents, representatives and volunteers from any claims which I might make or which might be made on my behalf by others or which might be made against the Living Streams Ranch by others, arising from the participant's equine activities at the Living Streams Ranch. Furthermore, I agree to indemnify the Living Streams Ranch for any injury, death, loss or damage to any personal property when such injury, death, loss or damage arises from the participant's equine activities or at an event hosted by Living Streams Ranch.

Covenant Not to Sue 

I agree, for myself and all my heirs, not to sue Living Strems Ranch, their employees or volunteers, or initiate or assist in the prosecution of any claim for damages or cause of action against the Released Parties which I or my heirs may have as a result of any personal injury, death or property damage I may sustain while on or using the premises or while participating in activities.

 Indemnification

 I hereby agree to defend, indemnify and hold harmless Living Streams Ranch and the released parties from and against any third-party losses, damages, actions, suits, claims, judgments, settlements, awards, interest, penalties, expenses (including reasonable attorneys’ fees) and costs of any kind for any personal injury, loss of life or damage to property sustained by reason of or arising out of my use of Living Streams Ranch or participation in any activities on the premises.

 Medical Treatment Release

 I hereby authorize Living Streams Ranch to secure, and I consent to, any medical treatment that may be given to me should Living Streams Ranch determine, in its sole discretion, that I need medical care, as a result of my being on the premises or from participating in activities. I accept full responsibility for all costs related to my medical treatment, including any transport costs, and I release all parties involved from any type of liability for anything that may happen during my treatment or transport.

Responsibility for Personal Property

 I acknowledge and agree that I am fully and solely responsible for any of my property and personal belongings that I bring onto the premises or that I use during the ranch activities, and that Living Streams Ranch will not be responsible for or provide any security for my property and personal belongings.

 No Representations by Company

I acknowledge that Living Streams Ranch makes no representation as to the condition of the premises or the safety of the activities or any equipment either on the premises or used in the activity. I accept and shall use the premises, and its equipment, in its “AS IS” condition. I acknowledge and agree that I am not relying upon any representation or statement by Living Streams Ranch or the Ranch’s employees, agents, sponsors, or representatives regarding this agreement or the premises or activity, except to the extent such representations are expressly set forth in this agreement.

Governing Law and Venue

 This Release and Waiver of Liability agreement will be governed by and interpreted in accordance with the laws of the Commonwealth of Pennsylvania, without giving effect to the principles of conflicts of law of such state. I agree that any action arising out of this Release and Waiver of Liability agreement must be brought exclusively in any state or federal court located in Bucks County, Pennsylvania.

 Waiver

No waiver of any term or right in this Release and Waiver of Liability agreement shall be effective unless in writing, signed by an authorized representative of the waiving party. The failure of any party to enforce any provision of this agreement shall not be construed as a waiver or modification of such provision, or impairment of its right to enforce such provision or any other provision of this agreement thereafter.

 Survival

 Any provision of this Release and Waiver of Liability agreement providing for performance by either party after termination of this agreement shall survive such termination and shall continue to be effective and enforceable.

 Compliance with Laws

In the performance of the terms of this Release and Waiver of Liability agreement and use of the premises, the parties shall comply with all applicable federal, state, regional and local laws, rules and regulations.

 Severability

If any provision or portion of this Release and Waiver of Liability agreement shall be held by a court of competent jurisdiction to be illegal, invalid, or unenforceable, the remaining provisions or portions shall remain in full force and effect.

Entire Agreement; Modification; Binding Effect

This Agreement is the entire agreement between the parties with respect to the subject matter hereof and supersedes any prior agreement or communications between the parties, whether written, oral, electronic, or otherwise. No change, modification, amendment, or addition of or to this agreement shall be valid unless in writing and signed by authorized representatives of the parties. This agreement shall be binding upon and inure to the benefit of the successors, assigns, and legal representatives of the parties.

BY SIGNING THIS WAIVER AND RELEASE, I UNDERSTAND THAT I AM GIVING UP, WAIVING AND RELEASING, ANY RIGHT I MIGHT HAVE TO SUE OR MAKE A CLAIM AGAINST THE LIVING STREAMS RANCH AND ANY OF ITS AGENTS, EMPLOYEES, VOLUNTEERS OR REPRESENTATIVES, FOR ANY INJURIES THE PARTICIPANT MIGHT SUSTAIN TO ITS PERSON OR ITS PERSONAL PROPERTY, WHILE HORSEBACK RIDING OR OTHERWISE PARTICIPATING, EITHER DIRECTLY OR INDIRECTLY, MOUNTED OR UNMOUNTED, IN AN EQUINE ACTIVITY AT THE LIVING STREAMS RANCH, AND THAT I AM INDEMNIFYING AND HOLDING HARMLESS, THE LIVING STREAMS RANCH AND ALL OF ITS EMPLOYEES, AGENTS, VOLUNTEERS OR REPRESENTATIVES, FOR INJURIES TO ANYONE ELSE OR ANY HORSE RIDDEN BY ANOTHER WHILE I AM ENGAGED IN EQUINE ACTIVITIES AT THE LIVING STREAMS RANCH, EVEN IF CAUSED BY NEGLIGENCE OF LIVING STREAMS RANCH. IT IS MY INTENT TO GIVE UP THOSE RIGHTS AND PROVIDE THIS HOLD HARMLESS AGREEMENT AND I DO SO KNOWINGLY AND VOLUNTARILY. 

 

Today's Date: April 2, 2025

Notification and Consent for Photo/ Video Reproduction
Living Streams Ranch uses photos and videos to help with promotional and educational activities that benefit the Ranch programs and participants. Ranchers authorize the use of their photos and videos by providing their documented consent. LSR best practices are to share any photos collected with the rancher, submit the same photos to the Ranch photo file, and then delete the photo from their personal device. If consent is not given for photos to be collected by Living Streams Ranch, photos may still be taken of the rancher on the rancher’s personal device if they so desire.label I consent and authorize Living Streams Ranch to use photos approved by me for promotional and educational activities that benefit the Ranch, including marketing materials, website images, and posts on social media. If I am under the age of 18, I understand that the additional consent of my parent/guardian is required. *
No
Yes
First Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email
By completing this form you consent to be contacted by Living Streams Ranch about your participation, ranch news, and events.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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:*
Medical Insurance Coverage Verification

Medical Insurance Name:

All participants and volunteers must have current medical insurance coverage in order to attend Living Streams Ranch.

St. Luke’s - Quakertown
Grand View - Sellersville
Jefferson – Lansdale

Policy Holder’s Name:

In the event of an emergency, please indicate your nearest hospital preference: 

Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*

PARENT OR GUARDIAN RELEASE AND WAIVER:

Each parent/ guardian with legal custody (including shared custody) must sign their own copy of the release and waiver.

I am the parent or guardian of a minor, and on the minor’s behalf and on my/our own behalf as the parent or guardian of the minor, I accept the release and waiver of liability contained within this form as an inducement for allowing my child, or this minor, to participate in equine activities which may occur at Living Streams Ranch. I have carefully read and understand the provisions as stated above, particularly, the INTRINSIC DANGERS associated with all equine activities. I further authorize emergency medical care which may be necessary. I represent and warrant that I have the legal authority to give this release.



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*

Relationship*

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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