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Liberty Reins HoldRelease and Hold Harmless Agreement


I understand and acknowledge that this release is covered by the provision of Oregon Revised Statutes (ORS 30.687 through 30.697) regarding equine activities, equine professionals and equine activity sponsors. I understand that Liberty Reins, LLC ("Barn") is an equine professional and equine activity sponsor.

I acknowledge the inherent risks involved in riding and working around horses, which risks include bodily injury from using, riding, training, driving, grooming, or being in close proximity to horses, among other risks, including negligence, and further, that both horse and rider can be injured in normal use both on site and at non-specific off-site locations and I execute this written release of liability as a condition to being allowed the privilege of riding and working around horses with Liberty Reins, LLC. I agree to hold Liberty Reins, LLC, Heaton Creek Farm & Stables and Charlton Ridge Farms harmless and indemnify Liberty Reins, LLC, its employees and agents and further release them from any liability or responsibility for accident, theft, damage, injury, or illness to me or to any horse owned by me or to any family member, spectator accompanying me, or any property owned by me. I acknowledge that I have read the Barn's rules and agree to abide by them.

I understand that I am required to use ASTM/SEI protective headgear and approved footwear while on the premises of Heaton Creek Farm & Stables and Charlton Ridge Stables.


Barn Guidelines

Another Trainer:

Heaton Creek Farm & Stables has another trainer that works out of the barn. Her name is Kaitlyn and she operates Charlton Ridge Farms. She is very kind and I anticipate that we will be able to work together very cooperatively in the shared space. The barn has multiple riding areas so it shouldn't be a problem. In the winter, we will likely be sharing the indoor arena a lot, but it is larger than our current arena and we will have ample space to keep everyone safe.

Face Masks:

Please plan to have a facemask with you in case someone would like you to put it on. It is our goal that everyone feels accepted and safe in the environment and this topic has been very divisive for our country, but we do not want that to be the case for our clients. Our barn is our happy place and we want to keep it that way for all who come and enjoy the space and our horses. I don't anticipate there to be much difference from what we have been doing all along, but we want to make sure that all the folks that currently work out of Heaton Creek/Charlton Ridge feel respected as well. If you have any specific questions, please don't hesitate to ask.

Barn Ettiquette:

Heaton Creek Farm & Stables is a large facility so there will be activity when you arrive. Please be respectful of people and their space as they are working with their horses.

➢ If you'd like to observe other riders/lessons, please ask before doing so.

➢ NO TREATS! Horses have very sensitive digestive systems and they are not able to burp or throw up if they don't feel well in their tummy. If a horse gets a tummy ache, it can become life-threatening pretty quickly. Please don't feed horses any treats without specific permission from their owners.

➢ This is not a facility where you can wander around aimlessly. Our horses are in the small barns and you can feel free to visit any of them you would like. We will show you where you can be and where to avoid unless you are with a representative from Liberty Reins.

➢ Please do not pet horses that are not part of the Liberty Reins herd. This barn has 43 stalls and the spread of germs is something that we need to do our part to prevent.


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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Photo Release
We take photos during lessons/activities and will occassionally post them on our social media pages. We do not use names when doing so, we just use it as a way to show others what we do and what we are all about. Do you agree to us taking photos?*
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.
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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