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Name Of Provider: Charbella Performance Horses

Address Of Provider: 229 Sauls Rd, Mandalong, NSW

The‬‭ following‬‭ pages‬‭ affect‬‭ your‬‭ legal‬‭ rights‬‭ and‬‭ obligations.‬‭ Please‬‭ read‬‭ these‬‭ carefully‬‭ and‬‭ only‬‭ sign‬‭ if‬‭ you‬‭ fully‬ understand‬‭ their‬‭ contents.‬‭ For‬‭ Participants‬‭ under‬‭ 18‬‭ years‬‭ of‬‭ age,‬‭ these‬‭ documents‬‭ must‬‭ be‬‭ completed‬‭ by‬‭ a‬‭ parent‬ or legal guardian.‬

Description of Activities: Horse Riding, Horse Handling, Horse Riding Lessons, All Horse Related Activities for riders and spectators.


Risk Warning

‭I‬‭ am‬‭ aware‬‭ that‬‭ by‬‭ my‬‭ participation‬‭ in‬‭ any‬‭ activities‬‭ arranged‬‭ by‬‭ the‬‭ Provider,‬‭ certain‬‭ risks‬‭ or‬‭ dangers‬‭ may‬‭ occur which could include:‬‬

  • ‬‭Physical, bodily or psychological injury or death.‬
  • ‬‭Physical exertion to which I am not accustomed.‬
  • ‬‭Failure of equipment or use of inadequate equipment.‬
  • ‬‭There may be no or inadequate facilities for treatment or transport to treatment if I am injured.‬
  • ‭The conditions in which the activities are conducted may vary without warning.‬
  • ‬‭I may cause injury to other persons and/or other persons may cause injury to me.‬
  • I‬‭ may‬‭ be‬‭ injured‬‭ or‬‭ die‬‭ due‬‭ to‬‭ the‬‭ negligence,‬‭ breach‬‭ of‬‭ contract‬‭ or‬‭ breach‬‭ of‬‭ statutory‬‭ duty‬‭ or‬‭ guarantee‬‭ of‬ the provider.‬

I‬‭ acknowledge‬‭ that‬‭ the‬‭ activities‬‭ are‬‭ being‬‭ undertaken‬‭ for‬‭ the‬‭ purposes‬‭ of‬‭ recreation,‬‭ enjoyment‬‭ or‬‭ leisure,‬‭ and‬ involve a significant degree of risk of physical harm.‬

I‬‭ acknowledge‬‭ that‬‭ the‬‭ Activity‬‭ may‬‭ be‬‭ undertaken‬‭ with‬‭ one‬‭ or‬‭ more‬‭ other‬‭ persons‬‭ as‬‭ part‬‭ of‬‭ a‬‭ group‬‭ and‬‭ that‬‭ the‬ Provider is not liable for the actions of other participants in the group activity.

By‬‭ signing‬‭ below,‬‭ I‬‭ acknowledge,‬‭ agree‬‭ and‬‭ understand‬‭ that‬‭ the‬‭ risks‬‭ associated‬‭ with‬‭ the‬‭ Activities‬‭ and/or‬‭ recreational‬ services have been explained to me. I undertake any such risk voluntarily and at my own risk.‬

‭I‬‭ acknowledge‬‭ that‬‭ the‬‭ risk‬‭ warning‬‭ above‬‭ constitutes‬‭ a‬‭ “risk‬‭ warning” in‬‭ accordance‬‭ with‬‭ the‬‭ Civil‬‭ Liability‬‭ Act‬‭ 2002‬ (NSW) and the‬‭ Civil Liability Act 2002‬‭ (WA).‬

‭[1] Provider includes the officers, employees, agents,‬‭ contractors, franchisees and assigns of the Provider.‬

[2] Activities includes all activities and services ancillary‬‭ to or associated with the named Activity, both before and after the Activity, including‬ ‬transportation to and from the location of the Activity whether provided by the Provider or not, briefings, inductions, training, and the provision of‬ information in all manuals, safety guidelines and other documentation provided to or made available to the Participant with respect to the Activity, familarisation with clothing or equipment and methods of operation of equipment and the wearing and removal of any clothing or equipment‬ associated with the Activity. Unless otherwise specified, a reference to an Activity is a reference to a recreational service or a recreational activity as‬ defined in relevant legislation referred to herein.‬

‭Participant’s Warranties‬

I‬‭ agree‬‭ to‬‭ abide‬‭ by‬‭ any‬‭ of‬‭ the‬‭ Provider’s‬‭ rules,‬‭ and‬‭ any‬‭ direction‬‭ or‬‭ instruction‬‭ given‬‭ to‬‭ me‬‭ by‬‭ the‬‭ Provider‬‭ during‬‭ the‬ course of the Activities. I agree to use and/or wear any equipment given to me by the Provider.‬

I‬‭ declare‬‭ that‬‭ I‬‭ am‬‭ medically‬‭ and‬‭ physically‬‭ fit‬‭ and‬‭ able‬‭ to‬‭ participate‬‭ in‬‭ the‬‭ Activities.‬‭ I‬‭ acknowledge‬‭ that‬‭ I‬‭ must,‬‭ and‬ agree‬‭ that‬‭ I‬‭ will,‬‭ disclose‬‭ any‬‭ pre-existing‬‭ medical‬‭ or‬‭ other‬‭ condition,‬‭ injury‬‭ or‬‭ concern‬‭ that‬‭ may‬‭ affect‬‭ the‬‭ risk‬‭ that‬ either‬‭ I‬‭ or‬‭ any‬‭ other‬‭ person‬‭ will‬‭ suffer‬‭ injury,‬‭ loss‬‭ or‬‭ damage‬‭ during‬‭ the‬‭ course‬‭ of‬‭ the‬‭ Activities‬‭ and‬‭ notify‬‭ the‬‭ Provider‬ of‬‭ any‬‭ injuries,‬‭ illness‬‭ or‬‭ concerns‬‭ that‬‭ may‬‭ arise‬‭ during‬‭ the‬‭ Activity.‬‭ I‬‭ will‬‭ not‬‭ engage‬‭ in‬‭ any‬‭ reckless,‬‭ negligent‬‭ or‬ foolish behaviour or any other behaviour that is likely to cause injury to me, any other participant or person.‬

‭I‬‭ agree‬‭ that‬‭ if‬‭ I‬‭ suffer‬‭ any‬‭ injury‬‭ or‬‭ illness,‬‭ the‬‭ Provider‬‭ may‬‭ provide‬‭ evacuation,‬‭ first‬‭ aid‬‭ and/or‬‭ medical‬‭ treatment‬‭ at‬ my‬‭ expense‬‭ and‬‭ that‬‭ my‬‭ acceptance‬‭ of‬‭ these‬‭ terms‬‭ and‬‭ conditions‬‭ constitutes‬‭ my‬‭ consent‬‭ to‬‭ such‬‭ evacuation,‬‭ first‬ aid and/or medical treatment.‬

‭I‬‭ declare‬‭ that‬‭ I‬‭ have‬‭ not‬‭ consumed‬‭ any‬‭ alcohol‬‭ or‬‭ mind‬‭ altering‬‭ substance,‬‭ or‬ medication‬‭ that‬‭ may‬‭ impact‬‭ my‬ judgement or physical capacity, before or at the time of engaging in the Activities.‬

‭Exclusion of liability‬

I‬‭ agree‬‭ to‬‭ and‬‭ unconditionally‬‭ release,‬‭ waive,‬‭ discharge‬‭ and‬‭ forever‬‭ hold‬‭ harmless,‬‭ the‬‭ Provider‬‭ or‬‭ any‬‭ of‬‭ its‬ employees,‬‭ agents,‬‭ directors‬‭ or‬‭ officers,‬‭ from‬‭ any‬‭ claims‬‭ as‬‭ a‬‭ result‬‭ of‬‭ any‬‭ personal‬‭ injury‬‭ sustained,‬‭ whether‬‭ caused‬ by‬‭ the‬‭ Provider’s‬‭ negligent‬‭ act‬‭ or‬‭ wilful‬‭ act‬‭ or‬‭ omission,‬‭ breach‬‭ of‬‭ contract,‬‭ breach‬‭ of‬‭ statutory‬‭ duty,‬‭ error,‬‭ or‬‭ otherwise‬ in connection with or arising out of the Activities.‭‬

I‬‭ agree‬‭ that‬‭ the‬‭ Provider‬‭ will‬‭ not‬‭ be‬‭ liable‬‭ for‬‭ any‬‭ claims‬‭ for‬‭ personal‬‭ injury‬‭ that‬‭ may‬‭ be‬‭ brought‬‭ against‬‭ it‬‭ as‬‭ a‬‭ result‬‭ of‬ or‬‭ in‬‭ connection‬‭ with‬‭ any‬‭ act,‬‭ omission,‬‭ default,‬‭ failure‬‭ or‬‭ error‬‭ on‬‭ the‬‭ part‬‭ of‬‭ the‬‭ Provider,‬‭ and‬‭ agree‬‭ to‬‭ indemnify‬‭ and‬ keep indemnified the Provider in respect of any such claims.‬

‭Waiver

‭It‬‭ is‬‭ possible‬‭ for‬‭ a‬‭ supplier‬‭ of‬‭ recreational‬‭ services‬‭ to‬‭ ask‬‭ you‬‭ to‬‭ agree‬‭ that‬‭ the‬‭ statutory‬‭ guarantees‬‭ under‬‭ the‬ Australian‬‭ Consumer‬‭ Law‬‭ (which‬‭ is‬‭ schedule‬‭ 2‬‭ to‬‭ the‬‭ Competition‬‭ and‬‭ Consumer‬‭ Act‬‭ 2010‬‭ (Cth))‬‭ do‬‭ not‬‭ apply‬‭ to‬‭ you. If‬‭ you‬‭ sign‬‭ this‬‭ form,‬‭ you‬‭ will‬‭ be‬‭ agreeing‬‭ that‬‭ your‬‭ rights‬‭ (or‬‭ the‬‭ rights‬‭ of‬‭ a‬‭ person‬‭ for‬‭ whom‬‭ or‬‭ on‬‭ whose‬‭ behalf‬‭ you‬ are‬‭ acquiring‬‭ the‬‭ services)‬‭ to‬‭ sue‬‭ the‬‭ Provider‬‭ in‬‭ relation‬‭ to‬‭ the‬‭ Provider’s‬‭ services‬‭ or‬‭ the‬‭ activities‬‭ that‬‭ you‬‭ undertake‬ because‬‭ the‬‭ services‬‭ or‬‭ activities‬‭ provided‬‭ were‬‭ not‬‭ in‬‭ accordance‬‭ with‬‭ the‬‭ guarantees‬‭ are‬‭ excluded,‬‭ restricted‬‭ or‬ modified as set out below.‬

For‬‭ Queensland,‬‭ New‬‭ South‬‭ Wales,‬‭ Western‬‭ Australia,‬‭ Tasmania,‬‭ Northern‬‭ Territory‬‭ and‬‭ Australian‬‭ Capital‬ Territory and Commonwealth‭

By‬‭ signing‬‭ this‬‭ form,‬‭ you‬‭ agree‬‭ that‬‭ the‬‭ liability‬‭ of‬‭ the‬‭ Provider‬‭ in‬‭ relation‬‭ to‬‭ the‬‭ activities‬‭ (as‬‭ defined‬‭ by‬‭ the‬ Competition‬‭ and‬‭ Consumer‬‭ Act‬‭ 2010‬‭ (Cth),‬‭ the‬‭ Consumer‬‭ Affairs‬‭ and‬‭ Fair‬‭ Trading‬‭ Act‬‭ (NT)‬‭ and‬‭ the‬‭ Australian‬ Consumer‬‭ Law‬‭ )‬‭ and‬‭ recreational‬‭ activities‬‭ (as‬‭ defined‬‭ by‬‭ the‬‭ Civil‬‭ Liability‬‭ Act‬‭ 2002‬‭ (NSW)‬‭ and‬‭ the‬‭ Civil‬‭ Liability‬‭ Act‬ 2002‬‭ (WA)) for any:‬

(a) Deaths;

(b) Physical or mental injuries (including the aggravation, acceleration or recurrence of such an injury);

(c)‬‭ The contraction, aggravation or acceleration of a disease;‬

(d)‬ The‬‭ coming‬‭ into‬‭ existence,‬‭ the‬‭ aggravation,‬‭ acceleration‬‭ or‬‭ recurrence‬‭ of‬‭ any‬‭ other‬‭ condition,‬ circumstance,‬‭ occurrence,‬‭ activity,‬‭ form‬‭ of‬‭ behaviour,‬‭ course‬‭ of‬‭ conduct‬‭ or‬‭ state‬‭ of‬‭ affairs‬‭ in‬‭ relation‬‭ to‬ an individual:‬

(i)‬‭ That is or may be harmful or disadvantageous to you or the community; or‬

(ii)‬‭ That may result in harm or disadvantage to you or community;‬

That‬‭ may‬‭ be‬‭ suffered‬‭ by‬‭ you‬‭ (or‬‭ a‬‭ person‬‭ for‬‭ whom‬‭ or‬‭ on‬‭ whose‬‭ behalf‬‭ you‬‭ are‬‭ acquiring‬‭ the‬‭ services)‬‭ resulting‬‭ from‬ the supply of the recreational services or recreational activities is excluded.‬

You‬‭ acknowledge‬‭ and‬‭ agree‬‭ that‬‭ the‬‭ above‬‭ provision‬‭ operates‬‭ to‬‭ exclude‬‭ the‬‭ liability‬‭ of‬‭ the‬‭ Provider‬‭ as‬‭ a‬‭ result‬‭ of‬‭ a‬ breach‬‭ of‬‭ an‬‭ express‬‭ or‬‭ implied‬‭ warranty‬‭ that‬‭ the‬‭ recreational‬‭ services‬‭ will‬‭ be‬‭ rendered‬‭ with‬‭ reasonable‬‭ care‬‭ and‬‭ skill‬ in accordance with section 5J of the‬‭ Civil Liability‬‭ Act 2002‬‭ (WA)‬‭ and section 5N of the‬‭ Civil Liability‬‭ Act 2002‬‭ (NSW).‬

For South Australia

Exclusion, restriction or modification of rights under the‬‭ Australian Consumer Law‬‭ (SA)‬

Your rights:‬

Under‬‭ sections‬‭ 60‬‭ and‬‭ 61‬‭ of‬‭ the‬‭ Australian‬‭ Consumer‬‭ Law‬‭ (SA)‬‭ ,‬‭ if‬‭ a‬‭ person‬‭ in‬‭ trade‬‭ or‬‭ commerce‬‭ supplies‬‭ you‬‭ with‬ services (including recreational services‬‭[3]‬), there‬‭ is—

  • ‬‭A statutory guarantee that those services will be rendered with due care and skill; and
  • A‬‭ statutory‬‭ guarantee‬‭ that‬‭ those‬‭ services,‬‭ and‬‭ any‬‭ product‬‭ resulting‬‭ from‬‭ those‬‭ services,‬‭ will‬‭ be‬‭ reasonably‬‭ fit‬‭ for‬ the‬‭ purpose‬‭ for‬‭ which‬‭ the‬‭ services‬‭ are‬‭ being‬‭ acquired‬‭ (as‬‭ long‬‭ as‬‭ that‬‭ purpose‬‭ is‬‭ made‬‭ known‬‭ to‬‭ the‬‭ supplier);‬ and
  • A‬‭ statutory‬‭ guarantee‬‭ that‬‭ those‬‭ services,‬‭ and‬‭ any‬‭ product‬‭ resulting‬‭ from‬‭ those‬‭ services,‬‭ will‬‭ be‬‭ of‬‭ such‬‭ a‬‭ nature, and‬‭ quality,‬‭ state‬‭ or‬‭ condition,‬‭ that‬‭ they‬‭ might‬‭ reasonably‬‭ be‬‭ expected‬‭ to‬‭ achieve‬‭ the‬‭ result‬‭ that‬‭ the‬‭ consumer‬ wishes‬‭ to‬‭ achieve‬‭ (as‬‭ long‬‭ as‬‭ that‬‭ wish‬‭ is‬‭ made‬‭ known‬‭ to‬‭ the‬‭ supplier‬‭ or‬‭ a‬‭ person‬‭ with‬‭ whom‬‭ negotiations‬‭ have‬ been conducted in relation to the acquisition of the services).‬

Excluding, restricting or modifying your rights:

Under‬‭ section‬‭ 42‬‭ of‬‭ the‬‭ Fair‬‭ Trading‬‭ Act‬‭ 1987‬‭ ,‬‭ the‬‭ supplier‬‭ of‬‭ recreational‬‭ services‬‭ is‬‭ entitled‬‭ to‬‭ ask‬‭ you‬‭ to‬‭ agree‬‭ to‬ exclude,‬‭ restrict‬‭ or‬‭ modify‬‭ his‬‭ or‬‭ her‬‭ liability‬‭ for‬‭ any‬‭ personal‬‭ injury‬‭ suffered‬‭ by‬‭ you‬‭ or‬‭ another‬‭ person‬‭ for‬‭ whom‬‭ or‬‭ on‬ whose behalf you are acquiring the services (a‬‭ third‬‭ party consumer‬‭).‬

If‬‭ you‬‭ sign‬‭ this‬‭ form,‬‭ you‬‭ will‬‭ be‬‭ agreeing‬‭ to‬‭ exclude,‬‭ restrict‬‭ or‬‭ modify‬‭ the‬‭ supplier's‬‭ liability‬‭ with‬‭ the‬‭ result‬‭ that‬ compensation may not be payable if you or the third party consumer suffer personal injury.‬‭[4]

Important

You‬‭ do‬‭ not‬‭ have‬‭ to‬‭ agree‬‭ to‬‭ exclude,‬‭ restrict‬‭ or‬‭ modify‬‭ your‬‭ rights‬‭ by‬‭ signing‬‭ this‬‭ form.‬‭ The‬‭ supplier‬‭ may‬‭ refuse‬‭ to‬ provide‬‭ you‬‭ with‬‭ the‬‭ services‬‭ if‬‭ you‬‭ do‬‭ not‬‭ agree‬‭ to‬‭ exclude,‬‭ restrict‬‭ or‬‭ modify‬‭ your‬‭ rights‬‭ by‬‭ signing‬‭ this‬‭ form.‬‭ Even‬‭ if‬ you sign this form, you may still have further legal rights against the supplier.‬

A‬‭ child‬‭ under‬‭ the‬‭ age‬‭ of‬‭ 18‬‭ cannot‬‭ legally‬‭ agree‬‭ to‬‭ exclude,‬‭ restrict‬‭ or‬‭ modify‬‭ his‬‭ or‬‭ her‬‭ rights.‬‭ A‬‭ parent‬‭ or‬‭ guardian‬‭ of‬ a‬‭ child‬‭ who‬‭ acquires‬‭ recreational‬‭ services‬‭ for‬‭ the‬‭ child‬‭ cannot‬‭ legally‬‭ agree‬‭ to‬‭ exclude,‬‭ restrict‬‭ or‬‭ modify‬‭ the‬‭ child's‬ rights.‬‭

Agreement to exclude, restrict or modify your rights:‬

I‬‭ agree‬‭ that‬‭ the‬‭ liability‬‭ of‬‭ Charbella Performance Horses [‬‭ the‬‭ Provider‬‭ ]‬‭ for‬‭ any‬‭ personal‬‭ injury‬‭ that‬‭ may‬‭ result‬‭ from‬‭ the‬ supply‬‭ of‬‭ the‬‭ recreational‬‭ services‬‭ that‬‭ may‬‭ be‬‭ suffered‬‭ by‬‭ me‬‭ (or‬‭ a‬‭ person‬‭ for‬‭ whom‬‭ or‬‭ on‬‭ whose‬‭ behalf‬‭ I‬‭ am‬ acquiring the services) is excluded.‬

Further information:‬

Further information about your rights can be found at www.ocba.sa.gov.au‬‬

‭[3] Recreational services‬‭ are services that consist of‬‭ participation in—

  • a sporting activity or similar leisure-time pursuit; or‬
  • any‬‭ other‬‭ activity‬‭ that‬‭ involves‬‭ a‬‭ significant‬‭ degree‬‭ of‬‭ physical‬‭ exertion‬‭ or‬‭ risk‬‭ and‬‭ is‬‭ undertaken‬‭ for‬‭ the‬‭ purposes‬‭ of‬‭ recreation,‬‭ enjoyment‬ or leisure.‬

[4] Personal injury is bodily injury and includes mental and nervous shock and death.‬

For Victoria‬

Warning under the‬‭ Australian Consumer Law‬‭ And‬‭ Fair‬‭ Trading Act 2012‬‭ (Vic)‬

Under‬‭ the‬‭ Australian‬‭ Consumer‬‭ Law‬‭ (Victoria)‬‭ ,‬‭ several‬‭ statutory‬‭ guarantees‬‭ apply‬‭ to‬‭ the‬‭ supply‬‭ of‬‭ certain‬‭ goods‬‭ and‬ services.‬‭ These‬‭ guarantees‬‭ mean‬‭ that‬‭ the‬‭ supplier‬‭ named‬‭ on‬‭ this‬‭ form‬‭ is‬‭ required‬‭ to‬‭ ensure‬‭ that‬‭ the‬‭ recreational‬ services it supplies to you—

  • ‬‭ Are rendered with due care and skill; and‬
  • ‬‭ Are reasonably fit for any purpose which you, either expressly or by implication, make known to the supplier; and‬
  • Might reasonably be expected to achieve any result you have made known to the supplier.‬

Under‬‭ section‬‭ 22‬‭ of‬‭ the‬‭ Australian‬‭ Consumer‬‭ Law‬‭ and‬‭ Fair‬‭ Trading‬‭ Act‬‭ 2012‬‭ ,‬‭ the‬‭ supplier‬‭ is‬‭ entitled‬‭ to‬‭ ask‬‭ you‬‭ to‬ agree‬‭ that‬‭ these‬‭ statutory‬‭ guarantees‬‭ do‬‭ not‬‭ apply‬‭ to‬‭ you.‬‭ If‬‭ you‬‭ sign‬‭ this‬‭ form,‬‭ you‬‭ will‬‭ be‬‭ agreeing‬‭ that‬‭ your‬‭ rights‬‭ to‬ sue‬‭ the‬‭ supplier‬‭ under‬‭ the‬‭ Australian‬‭ Consumer‬‭ Law‬‭ and‬‭ Fair‬‭ Trading‬‭ Act‬‭ 2012‬‭ if‬‭ you‬‭ are‬‭ killed‬‭ or‬‭ injured‬‭ because‬‭ the‬ services‬‭ provided‬‭ were‬‭ not‬‭ in‬‭ accordance‬‭ with‬‭ these‬‭ guarantees,‬‭ are‬‭ excluded,‬‭ restricted‬‭ or‬‭ modified‬‭ in‬‭ the‬‭ way‬‭ set‬ out in this form.‬

NOTE:‬‭ The‬‭ change‬‭ to‬‭ your‬‭ rights,‬‭ as‬‭ set‬‭ out‬‭ in‬‭ this‬‭ form,‬‭ does‬‭ not‬‭ apply‬‭ if‬‭ your‬‭ death‬‭ or‬‭ injury‬‭ is‬‭ due‬‭ to‬‭ gross‬ negligence‬‭ on‬‭ the‬‭ supplier's‬‭ part.‬‭ Gross‬‭ negligence‬‭ ,‬‭ in‬‭ relation‬‭ to‬‭ an‬‭ act‬‭ or‬‭ omission,‬‭ means‬‭ doing‬‭ the‬‭ act‬‭ or‬ omitting‬‭ to‬‭ do‬‭ an‬‭ act‬‭ with‬‭ reckless‬‭ disregard,‬‭ with‬‭ or‬‭ without‬‭ consciousness,‬‭ for‬‭ the‬‭ consequences‬‭ of‬‭ the‬‭ act‬‭ or‬ omission.‬‭ See‬‭ regulation‬‭ 5‬‭ of‬‭ the‬‭ Australian‬‭ Consumer‬‭ Law‬‭ and‬‭ Fair‬‭ Trading‬‭ Regulations‬‭ 2012‬‭ and‬‭ section‬‭ 22(3)(b)‬ of the‬‭ Australian Consumer Law and Fair Trading Act‬‭ 2012‬‭.

Agreement to exclude, restrict or modify your rights:‬

I‬‭ agree‬‭ that‬‭ the‬‭ liability‬‭ of‬‭ the‬‭ Provider‬‭ for‬‭ any‬‭ personal‬‭ injury‬‭ that‬‭ may‬‭ result‬‭ from‬‭ the‬‭ supply‬‭ of‬‭ the‬‭ recreational‬ services‬‭ that‬‭ may‬‭ be‬‭ suffered‬‭ by‬‭ me‬‭ (or‬‭ a‬‭ person‬‭ for‬‭ whom‬‭ or‬‭ on‬‭ whose‬‭ behalf‬‭ I‬‭ am‬‭ acquiring‬‭ the‬‭ services)‬‭ is‬ excluded.

Declaration and Signature

I‬‭ have‬‭ read‬‭ carefully‬‭ and‬‭ understand‬‭ this‬‭ risk‬‭ warning‬‭ and‬‭ waiver‬‭ of‬‭ liability‬‭ and‬‭ sign‬‭ it‬‭ freely‬‭ and‬‭ voluntarily‬‭ without‬ inducement of any kind.‬

For Participants under age 18‬

This‬‭ is‬‭ to‬‭ certify‬‭ that‬‭ I,‬‭ as‬‭ a‬‭ parent/guardian‬‭ with‬‭ legal‬‭ responsibility‬‭ for‬‭ the‬‭ Participant,‬‭ acknowledge,‬‭ understand‬‭ and‬ accept‬‭ all‬‭ of‬‭ the‬‭ above‬‭ and‬‭ consent‬‭ to‬‭ his/her‬‭ release‬‭ as‬‭ provided‬‭ above.‬‭ I‬‭ release‬‭ and‬‭ agree‬‭ to‬‭ indemnify‬‭ and‬‭ hold‬ harmless‬‭ the‬‭ Provider‬‭ from‬‭ any‬‭ and‬‭ all‬‭ liabilities‬‭ arising‬‭ from‬‭ my‬‭ minor‬‭ child’s‬‭ involvement‬‭ or‬‭ participation‬‭ in‬‭ the‬ Activities and/or recreational services, even if arising from the negligence of the Provider.‬


Charbella Performance Horses - Terms and Conditions‬

To ensure the safety and enjoyment of all riders and horses, please follow these‬ guidelines when using our facilities:‬

General Rules‬

  • Helmet Policy:‬‭ Approved safety helmets must be worn at all times while‬ mounted.‬
  • Footwear:‬‭ Appropriate riding boots must be worn when‬‭ handling or riding‬ horses.‬
  • Signage:‬‭ Please observe and follow all signage around‬‭ the property this is in place for your safety.
  • Waivers:‬‭ All riders must sign a waiver before using‬‭ the facilities.
  • Insurance:‬‭ Coaches must provide proof of current public‬‭ liability insurance.‬
  • EA Members Only:‬‭ Riders must be current members of Equestrian Australia‬ (EA) to use the facilities.‬
  • No dogs permitted on the property under any circumstances.‬

Facility Use‬

  • Respect Facility Boundaries:‬‭ Stay within designated riding areas and do not‬ ‬enter paddocks or private property.‬
  • ‬‭Arena Rules:‬
  • Riders are only permitted in arenas covered by the hire agreement.‬
  • Keep gates closed at all times.
  • No lunging in the dressage or showjumping arenas without prior‬ approval.
  • No lunging or riding in the carpark area under any circumstances,‬ warm up is only permitted on the designated arena.‬
  • Round Yard:‬‭ Only one horse at a time unless under‬‭ instructor supervision for specific exercises.
  • Cross-Country Course:‬ 
  • Safety Vests:‬‭ Cross-country approved vests must be‬‭ worn at all times‬ while on course.
  • Do not ride alone.
  •  Check jumps and footing before use, and report any damage.‬
  • Use only approved cross-country obstacles appropriate to your‬ level.
  • Follow all signage and posted guidelines.

Horse Welfare‬

  • No Loose Horses:‬‭ Horses must be attended to at all‬‭ times and securely tied in‬ designated areas.‬
  • Clean-Up:‬‭ Riders must remove manure and tidy up grooming and tacking areas after use.
  • Feeding:‬‭ Do not feed horses without permission from the owner or manager.‬
  • Rubbish removal:‬‭ All rubbish must be taken away with‬‭ you, including any‬ unused feed and hay. 

‭Respect Others‬

  • Right of Way:‬‭ In arenas, riders should pass left shoulder to left shoulder and announce when entering or exiting.
  • Noise Control:‬‭ Keep noise levels to a minimum to avoid startling horses.‬
  • Parking:‬‭ Park vehicles and floats in designated areas‬‭ only.‬
  • Respect Agistees:‬‭ Be courteous and considerate of agistees and their horses at‬ all times. Abide by all signed areas that are agistee only access.

Important Contacts‬‭

Bel: Owner/Manager - 0438 437 781‬

Lorelle: Administration & Clinic Co-ordinator - 0400 086 661‬

Failure to follow these rules may result in suspension of facility access. We‬ appreciate your cooperation in maintaining a safe and welcoming environment‬ for all.

Please sign below to acknowledge you have read and agree to the Terms and‬ Conditions.

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
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
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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:*
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*

Phone*
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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