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BENT CREEK FARM, L.L.C.

& SLAUGHTER 2 SUCCESS EQUINE RESCUE

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT

READ THIS AGREEMENT CAREFULLY BEFORE SIGNING IT. YOUR SIGNATURE INDICATES YOUR UNDERSTANDING OF AND AGREEMENT TO ITS TERMS. BY SIGNING THIS AGREEMENT, YOU ARE GIVING UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES IN CASE OF INJURY, DEATH, OR PROPERTY DAMAGE FOR ANY REASON INCLUDING, BUT NOT LIMITED TO:

THE NEGLIGENCE OF TRAINERS, Andria Pooley, or any trainer, volunteer, guest, or visiting professional associated with Bent Creek Farm, Slaughter 2 Success Equine Rescue, and OWNER(S) OF PROPERTIES, Curtis Pooley, Barbara Pooley, or any other property owner where professionals associated with Bent Creek Farm OR Slaughter 2 Success are providing services. (“THE RELEASEES”). I FURTHER UNDERSTAND THAT ANY PERSON AFFILIATED, BOARDED, OR VISITING BENT CREEK FARM L.L.C. IS NOT LIABLE FOR THE DEATH OR INJURY OF MYSELF OR MY HORSE(S), AND NOT LIABLE FOR PROPERTY DAMAGES.

In consideration for allowing me (or my minor child) to handle and ride a horse on behalf of myself, my child or our personal representatives, heirs, spouses and assigns, THE UNDERSIGNED HEREBY:

1. Acknowledge that a horse, mule, donkey or farm animal (including dogs and cats) may engage in sudden and dangerous movements, without warning or any apparent cause, such as: buck, stumble, fall, rear, bite, kick, run, make unpredictable movements, spook, jump obstacles, step on a person’s feet, push or shove a person, saddles or bridles may loosen or break–all of which may cause a rider to fall or be jolted resulting in serious injury or death to the Undersigned or any person within close proximity of a horse.

2. ACKNOWLEDGE THAT HORSEBACK RIDING, THE HANDLING OF A HORSE OR BEING IN CLOSE PROXIMITY TO A HORSE IS AN INHERENTLY DANGEROUS ACTIVITY AND INVOLVES RISKS THAT MAY CAUSE SERIOUS INJURY AND IN SOME CASES DEATH because of the unpredictable nature and irrational behavior of horses and farm animals, regardless of their training or past performance.

3. Voluntarily assume the risk and danger of injury or death inherent in the handling or riding of the horse, or being in close proximity to a horse, or on the premises of the stable, or the failure to wear a protective helmet when riding a horse, and use of saddles, bridles, equipment and gear provided to me by Releasees.

4. RELEASE, DISCHARGE AND PROMISE NOT TO MAKE A CLAIM OR SUE the Releasees for any loss, damage, injury (including death) or cost to me or my child’s arising out of handling or riding of a horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse, and use of saddles, bridles, equipment and gear provided to me by Releasees.

5. Release the Releasees from any claim that such Releasees were negligent in connection with my or my child’s riding a horse including but not limited to training or selecting horses, maintenance, care, fit or adjustment of saddles or bridles, instruction on riding skills or leading and supervising riders or the use of any equipment provided by the Releasees or being on the premises of the Stable, which resulted in loss, damage, injury or death.

6. INDEMNIFY, AND SAVE AND HOLD HARMLESS the Releasees from and against any loss, liability, damage or cost they may incur arising out of or in any way connected with either my or my child’s handling or riding the horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse and/or use of saddles, bridles, equipment, and gear provided therewith from or contributed to by my or my child’s negligence.

7. Agrees to abide by and follow any instructions given or rules established by the Releasees or any of its employees, guides or independent contractors with regard to my or my child’s riding or handling of the horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse or any saddles, bridles, equipment and gear provided therewith.

8. Release the Releasees from any claim for loss or damage to property, including equines, due to negligence on the fault of any party, listed or unlisted.

8.1. Release the Releasees from liability relating to injury or death of my horse, regardless of fault or circumstance.

9. Agrees that the Undersigned has read and understands the following language: Warning - Under Iowa Law (Iowa Code Chapter 673), an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities.

10. The Undersigned expressly agrees that the foregoing release and waiver of liability, assumption of risk, and indemnity agreement is governed by laws of the State of Iowa and is intended to be as broad and inclusive as is permitted by Iowa law, and that in the event any portion of this Agreement is determined to be invalid, illegal, or unenforceable for any reason, the balance of the Agreement shall not be affected or impaired in any way and shall continue in full legal force and effect.

11. Acknowledge that this document is a contract and agree that if a lawsuit is filed by the Undersigned against the Stable or its owners, trainers, agents, visiting professionals, employees, volunteers, guides or independent contractors for any injury or damage in breach of this contract, the Undersigned will pay all attorney’s fees and costs incurred by the Stable in defending such an action.

12. IT IS REQUIRED THAT I, MY CHILD, AND ALL RIDERS WEAR A PROTECTIVE HELMET. IT IS MY UNDERSTANDING THAT A PROTECTIVE HELMET IS AVAILABLE AND IF I OR MY CHILD REFUSES OR NEGLECTS TO WEAR A HELMET, THE RELEASEES ARE NOT AT FAULT. BENT CREEK FARM LLC DOES NOT GUARANTEE THE SAFETY, EFFICACY, FIT, OR SUITABILITY OF ANY EQUIPMENT PROVIDED.

I have read this document. I release and indemnify the Trainer, the Stable, its owners, employees and agents for all claims, and waive my right to sue or pursue legal action. I have made a free and deliberate choice to sign the Release and Waiver as a condition to Releasees allowing me or my child to ride or handle a horse. I have concluded that the risks involved and the Release and Waiver of Liability is worth the pleasure of horseback riding experience and acknowledges that the same is valuable consideration for this Release and Waiver of Liability.

Date: November 26, 2024


First Participant's Name

First Name*

Last Name*

Phone*
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 Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
Third Participant's Name

First Name*

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
Fourth Participant's Name

First Name*

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
Fifth Participant's Name

First Name*

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
Sixth Participant's Name

First Name*

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
Seventh Participant's Name

First Name*

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
Eighth Participant's Name

First Name*

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
Ninth Participant's Name

First Name*

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
Tenth Participant's Name

First Name*

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
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 or Guardian's Email Address

Email*

Confirm Email*
Check to recieve occasional updates from Bent Creek Farm
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
I give Bent Creek Farm and Slaughter 2 Success the right to use photos and/or videos of me, my child, and/or my horse on social media, website, or in print.*
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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