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GROUP LESSONS

THIS LABILITY RELEASE AND EXPRESS ASSUMPTION OF RISK is made and entered into on March 19, 2026 and between ELIQUE STABLES LLC dba Old Brookville Equestrian Center and Hunters Grove (“Equine Professional”) and the undersigned, located at 1254 Cedar Swamp Rd (“Participant”), and if Participant is a minor, Participant’s guardian or parent.

In return for the use of the property, facilities and services of the Equine Professional, the Participant, his heirs, assigns and legal representatives hereby expressly agree to the following:

1. Participant is responsible for full and complete insurance coverage on his horse, personal property and himself. Participant understands that there are real and inherent risks in and around equine activities.

2. Risks inherent to equine activities include dangers or conditions that are integral part of equine activities, including but not limited to, the propensity of the equine to behave in ways that may result in injury or harm or even death of persons around the equine including bucking, biting, kicking, rearing, shying, falling or stepping on such persons, the unpredictability of an equine’s reaction to such thing as medications, sounds, sudden movements, unfamiliar objects, persons or other animals; hazards such as surface and subsurface ground conditions, collisions with other equines or objects; or the potential of another participant not to maintain control over the equine or not to act within the person’s ability.

3. Participant expressly assumes all responsibility for risks involved in or arising from participant’s use of or presence upon equine professional’s property and facilities or use of services provided by equine professional, include but not limited to, the risk of death, bodily injury, falls, property, kicks, bites, collisions with vehicles, horses or stationary objects, fire or explosion, the unavailability of emergency medical care, and/or negligence and/or deliberate acts of another person.

4. Participant agrees to hold Equine Professional and each of its successors, assigns, subsidiaries, franchises, affiliates, officers, directors, employees and agents completely harmless and not liable and release them from any and all actions, injuries, damages, costs or expenses arising out of Participant’s use of or presence upon Equine Professionals property and facilities, including, without limitation, those based on death, bodily injury, property damage, including consequential damages, except if the damages were caused by the direct, willful and wanton gross negligence of the Equine Professional.

5. Participant agrees to indemnify and defend Equine Professional against, and hold harmless from, any and all claims, causes of action, damages, judgements, cost or expenses including attorney’s fees which in any way arises from Participant’s use of or presence upon the Equine Professional’s property and facilities or the use of any services provided by the Equine Professional such as shows or trail rides.

6. Participant agrees to abide by Equine Professionals rules and regulations, and Participant is responsible for using protective gear, i.e. hard hat and boots.

7. If Participant is using his own horse, the horse shall be free from infection, contagious or transmittable disease. Equine Professional reserves the right to refuse any horse that is not in proper health or is deemed dangerous and undesirable. 

I HAVE READ AND UNDERSTAND THIS LIABILITY RELEASE

DATE: March 19, 2026

First Rider Name
First Name*
Last Name*
First Guardian’s Age Acknowledgment*
First Guardian’s Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Rider Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
First Guardian/Parent Signature*
Second Rider Name
First Name*
Last Name*
Guardian’s Date of Birth*
Date of Birth
Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
Third Rider Name
First Name*
Last Name*
Guardian’s Date of Birth*
Date of Birth
Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
Fourth Rider Name
First Name*
Last Name*
Guardian’s Date of Birth*
Date of Birth
Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
Fifth Rider Name
First Name*
Last Name*
Guardian’s Date of Birth*
Date of Birth
Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
Sixth Rider Name
First Name*
Last Name*
Guardian’s Date of Birth*
Date of Birth
Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
Seventh Rider Name
First Name*
Last Name*
Guardian’s Date of Birth*
Date of Birth
Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
Eighth Rider Name
First Name*
Last Name*
Guardian’s Date of Birth*
Date of Birth
Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
Ninth Rider Name
First Name*
Last Name*
Guardian’s Date of Birth*
Date of Birth
Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
Tenth Rider Name
First Name*
Last Name*
Guardian’s Date of Birth*
Date of Birth
Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Street Address *
Town, State & Zip *
Phone Number *
Emergency Contact *
Emergency Phone *
I understand that there are no refunds, cancellations or make up dates*
No
Yes
I understand that Riders without proper riding attire may not be allowed to participate and no refunds will be given*
No
Yes
I would like to register for the following dates *
Friday 4/17
Saturday 4/18
Friday 4/24
Saturday 4/25
Friday 5/1
Saturday 5/2
Friday 5/8
Saturday 5/9
Friday 5/15
Saturday 5/16
Friday 5/22
Saturday 5/30
Registration is not complete without payment in full. Choose a desired payment option and a staff member will contact you to finalize *
Cash/check
Credit card
Venmo
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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