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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 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 where Liberty Reins runs its operation.

 

Barn Guidelines

Individual Event Cancellation Policy:


By initialing above you agree to a 48-hour cancellation policy for lessons. If less than 48-hours notice is given, the client will be responsible for the full amount of the lesson. Last-minute cancellations due to illness or emergencies are an exception to be worked out with the owner.

Regular Spot Cancellation Policy:


By initialing above you agree to give 30 days notice when vacating a regular lesson spot. This means that the client will be responsible for the full monthly amount of the lesson spot for 30 days from the time that WRITTEN notice is given. Last-minute cancellations due to emergencies can be worked out with owner.

Barn Ettiquette:


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.

 

 

 


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*
Reason for Visit/Photo Release
We're glad you're visiting! Please choose the reason for you visit.*
Riding Lessons
Observing a lesson
Equine-Assisted Services (EAP/EAL)
Volunteer
B-day ride/party
Clinic
Other
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
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:*
Emergency Contact

Emergency Contact Name: *

Emergency Contact Phone Number: *

Relationship to Participant: *
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*

Middle 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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