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Participant Release, Waiver and Assumption of Risk

PLEASE READ CAREFULLY

 

WARNING: Under Florida law, an equine activity sponsor, equine professional, or any other person or legal entity is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities.

 

In consideration for participation in equine related activities, to include trail riding and/or carriage riding (“Equine Activities”) provided by Black Prong Adventures LLC taking place at the Black Prong Equestrian Village, I, on my own behalf or on behalf of my minor child (“Participant”), our respective heirs, next of kin, dependents, representatives, executors, administrators, successors or assigns, HEREBY FOREVER Release, IndemnifY and Hold Harmless Black Prong Adventures LLC, Black Prong Equestrian Village LLC, 6851 LLC, and their respective members, managers, representatives, volunteers, agents and employees (“Releasees”), from any cause of action, claims or demands of any nature whatsoever (including, but not limited to actions for costs and/or attorney’s fees) which I, or any person or entity on my behalf, may now have, or have in the future, against the Releasees on account of personal injury, loss, property damage, or accident of any kind, including death, arising out of my or my minor child’s participation in Equine Activities. 

                                                                                                                     

I understand that by signing this Release, I covenant and agree that I, as well as my heirs, next of kin, dependents, representatives, executors, administrators, successors or assigns, will never institute any suit or action at law or otherwise against the Releasees or in any way aid in the institution or prosecution of any claim, demand, action or cause of action for damages, costs, loss of services, expenses or compensation for or on account of any damage, loss or injury either to my or my minor child’s person or property or both, or death, which may result from my or my minor child’s participation in Equine Activities. I am hereby given notice of risk intrinsic and inherent in equine activities, including Equine Activities, including (i) the propensity of an equine to behave in dangerous ways which may result in injury to me or my minor child; (ii) the inability to predict an equine's reaction to sound, movements, objects, persons, or animals; and (iii) hazards of surface and subsurface conditions. I specifically assume this risk and the risk of acts or omissions that constitute negligence for the safety of me or my minor child by the Releasees, whether or not related to the preceding enumerated intrinsic dangers and inherent risks.        

 

I understand that no medical emergency services or emergency transportation services are or will be provided by the Releasees during Equine Activities, and if I am unable to timely do so on my own behalf or on behalf of my minor child, I hereby consent, direct and authorize the Releasees to call 911 and/or contact an emergency medical care provider to engage any emergency medical care, diagnosis or transportation as they may deem appropriate for me or my minor child, inclusive of necessary treatment, diagnosis or transportation, whether surgical or otherwise, and that this Participant Release, Waiver and Assumption of Risk extends to any and all liability arising out of, or in any way connected to such provision or emergency medical treatment, diagnosis or transportation. I hereby agree to assume all risk and to pay all costs in connection with or associated to such treatment, diagnosis or transportation.

 

I am cognizant of all of the intrinsic dangers and inherent risks of participation in Equine Activities including the dangers of participating in and observing Equine Activities; I am of lawful age and legally competent to sign this Participant Release, Waiver and Assumption of Risk which I have fully read and completely understand; I understand the terms herein are contractual and legally binding and not a mere recital; and I confirm that this Participant Release, Waiver and Assumption of Risk has been signed under free will by me for myself or on behalf of my minor child.

Acknowledged, agreed and executed this: November 21, 2024






First Rider Name

First Name*

Last Name*
First Rider Age Acknowledgment*
First Rider Date of Birth*
I certify that I am 18 years of age or older
First Rider Signature*
Second Rider Name

First Name*

Last Name*
Second Rider Date of Birth*
Third Rider Name

First Name*

Last Name*
Third Rider Date of Birth*
Fourth Rider Name

First Name*

Last Name*
Fourth Rider Date of Birth*
Fifth Rider Name

First Name*

Last Name*
Fifth Rider Date of Birth*
Sixth Rider Name

First Name*

Last Name*
Sixth Rider Date of Birth*
Seventh Rider Name

First Name*

Last Name*
Seventh Rider Date of Birth*
Eighth Rider Name

First Name*

Last Name*
Eighth Rider Date of Birth*
Ninth Rider Name

First Name*

Last Name*
Ninth Rider Date of Birth*
Tenth Rider Name

First Name*

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

Email
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Photo Release
I hereby grant to Black Prong Adventures LLC and Black Prong Equestrian Village LLC and its affiliates, the irrevocable, perpetual right, and permission to use my name, portrait, photograph, image, appearance, voice, and likeness (the “Publicity Rights”), for business, commercial, advertising, and/or trade purposes. I hereby waive any right of attribution and any right to payment or an accounting relating to use of the Publicity Rights, and I waive any right I may have to inspect or approve any use of the Publicity Rights
Yes
NO
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*

Relationship*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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