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Release and Waiver of Liability and Assumption of Risk Agreement





I (as the Participant), the undersigned, understand, acknowledge and accept that in consideration for equestrian activities (including any and all training, advising, coaching, riding, supervising or any other services) provided by Melissa Spittall (which for the purpose of this Agreement, includes any business or company associated with her, its directors, officers, agents or employees, including any volunteers, other participants, other horse owners, owners or tenants of any property or premises used for any activity conducted by or with Melissa Spittall):

  1. All equestrian activity is a dangerous activity and at any time without warning horses can act in a sudden and unpredictable way, especially if frightened or hurt. There is a significant risk that equestrian activities may cause:
  2. Injury, disability or death to be suffered by the Participant/s, third parties or a horse/s; or
  3. Property damage to the Participant or third parties.
  4. I freely and voluntarily participate and assume sole responsibility of absolutely all risks, even if arising from the negligence of Melissa Spittall and acknowledge and accept that Melissa Spittall accepts absolutely no responsibility to the Participant or their horse/s, or any third party whatsoever for any injury, disability, death or property damage howsoever arising.
  5. I and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, hold harmless and agree not to demand, commence proceedings or sue Melissa Spittall, other participants, horse owners, owners or tenants of any premises used for any activity conducted by Melissa Spittall in relation to, arising from, or in connection with any and all injury, disability, death or loss or damage to person, horse or property associated with any act or omission of any person, whether caused by the negligence of Melissa Spittall or otherwise.
  6. I agree to indemnify Melissa Spittall, against absolutely all claims, actions, proceedings, damages, losses, costs, expenses, liabilities, outgoings or payments, however arising and whether present, future or contingent made by any person, including third parties, arising from or in any way connected to the services provided by her, even if arising by negligence.
  7. It is dangerous to consume alcohol or drugs before participating in any equestrian activity and accordingly, I agree not to drink alcohol or take drugs prohibited by law or medication that may impede my reactions or motor skills, before or during any equestrian activity conducted by Melissa Spittall and I take full responsibility for any injury, loss or damage associated with any such consumption.
  8. I will follow the directions of Melissa Spittall or any person associated with her and or any of the coach(es) instructed or employed by Melissa Spittall and understand that any misconduct (including causing any danger to Melissa Spittall, a horse, the Participant, or any other rider or a representative of Melissa Spittall) or refusal to follow the directions can result in the cancellation of my participation and my immediate removal from any horse no matter where that may occur. I understand that such non-compliance may result in injury, death and/or disability (permanent or otherwise) and I agree to indemnify Melissa Spittall, against absolutely all claims, actions, proceedings, damages, losses, costs, expenses, liabilities, outgoings or payments, however arising and whether present, future or contingent made by any person as a result of my failure to comply with any direction.
  9. I agree to wear a helmet at all times whilst participating in an any equestrian activity, and agree I am solely responsible for my actions and safety.


Effect of this Document

I, the undersigned, understand, acknowledge and accept that I:

  • Have accurately completed the attached Medical Details section;
  • Have had sufficient opportunity to read this Release and Waiver of Liability and Assumption of Risk Agreement;
  • Fully understand its terms;
  • Understand that I have given up substantial rights by signing it; and
  • Sign it freely and voluntarily, without inducement of any kind.


December 30, 2024


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Medical Details

I understand Melissa Spittall is dedicated to ensuring the health and safety of each Participant. For that purpose, I have accurately disclosed whether I am pregnant or have suffered from the following conditions.



Pregnant
Allergies
Asthma
Diabetes
Epilepsy
Previous injuries affecting the back, neck, head
Heart condition/ Angina
Stroke
Other condition which may impede riding ability
Any other condition

If you have ticked yes to any of the above conditions, please provide fulsome details:
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*

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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