Loading...
Start Over

RELEASE OF LIABILITY
READ CAREFULLY - THIS AFFECTS YOUR LEGAL RIGHTS

In exchange for participation in the activity of pony rides, petting zoo, and riding lessons organized by Gabi's Barnyard Adventures LLC, of 3072 E Los Angeles Ave, Somis, California, 93066 and/or use of the property, facilities and services of Gabi's Barnyard Adventures LLC, I agree for myself and (if applicable) for the members of my family, to the following:

1. AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Gabi's Barnyard Adventures LLC, or the employees, representatives or agents of Gabi's Barnyard Adventures LLC.

2. ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Gabi's Barnyard Adventures LLC for injury, loss or damage arising out of my or my family's use of or presence upon the facilities of Gabi's Barnyard Adventures LLC, whether caused by the fault of myself, my family, Gabi's Barnyard Adventures LLC or other third parties.

3. INDEMNIFICATION. I agree to indemnify and defend Gabi's Barnyard Adventures LLC against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Gabi's Barnyard Adventures LLC.

4. FEES. I agree to pay for all damages to the facilities of Gabi's Barnyard Adventures LLC caused by any negligent, reckless, or willful actions by me or my family.

5. CONSENT. I, consent to the participation of my minor(s), in the activity of pony ride and horse ride, and agree on behalf of the above minor to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of the minor(s).

6. MEDICAL AUTHORIZATION. To be filled out in the section below.

7. APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under California law.

8. NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire. I further agree and acknowledge that Gabi's Barnyard Adventures LLC has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement.

9. ARM'S LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity. Accordingly, the Parties specifically reject the application of Cal. Civ. Code ยง1654 to this Agreement, as well as any other statute or common law principles of similar effect.

10. ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.

11. DISPUTE RESOLUTION. The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure.

Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation does not successfully resolve the dispute, then the parties may proceed to seek an alternative form of resolution in accordance with any other rights and remedies afforded to them by law.

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

Date: April 19, 2024



First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Information

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

First Participant's Signature*
Second Participant's Name

First Name*

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

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

Third Participant's Name

First Name*

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

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

Fourth Participant's Name

First Name*

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

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

Fifth Participant's Name

First Name*

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

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

Sixth Participant's Name

First Name*

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

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

Seventh Participant's Name

First Name*

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

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

Eighth Participant's Name

First Name*

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

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

Ninth Participant's Name

First Name*

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

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

Tenth Participant's Name

First Name*

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

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
Email me a copy of this document.
Emergency Contact Information

In case of an emergency, please call 


Name: *

Day Phone: *
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*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

6. MEDICAL AUTHORIZATION, continued

In the event of an injury to the above minor during the above described activities, I give my permission to Gabi's Barnyard Adventures LLC or to the employees, representatives or agents of Gabi's Barnyard Adventures LLC to arrange for all necessary medical treatment for which I shall be financially responsible.



This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above described activities are completed.

Gabi's Barnyard Adventures LLC shall have the following powers:

a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

b.The power to authorize medical treatment or medical procedures in an emergency situation; and

c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter. 

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.


One or more problems exist. Please scroll up.




Powered by Smartwaiver