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Release and Hold Harmless Agreement

EVERY HORSE OWNER/PARTICIPANT SHALL CAREFULLY READ THIS NOTICE BEFORE SIGNING. NO OWNER/ PARTICIPANT WILL BE ALLOWED TO PARTICIPATE IN EQUINE ACTIVITIES (CALLED THE ACTIVITY) OR HAVE THEIR HORSE BOARDED PRIOR TO READING AND SIGNING THIS FORM.

TO: Tina Llewellyn, Douglas McLean, Ceffyl Wellness Centre Inc., Inspirit Horsemanship and their directors, officers, employees, representatives, agents, officials, volunteers, business operators and site property owners, (all of them collectively called the HOST).

I am aware and understand that there are Inherent DANGERS, HAZARDS AND RISKS, (collectively called RISKS) associated with Equine Activities. I Acknowledge that these Inherent “RISKS” of Equine Activities mean those DANGEROUS conditions which are an integral part of Equine Activities, including but not limited to:

  1. The propensity of any equine to behave in ways that may result in injury, harm or death to persons on or around them and/or damage to property in their vicinity;
  2. The unpredictability of an equine’s reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals;
  3. The equine’s response to certain hazards such as surface and subsurface objects.
  4. Collisions with other equines, animals, people and objects.
  5. The potential of any participant to act in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or to act within his or her ability.

I understand that injuries resulting from such “RISKS” are a common and ordinary occurrence associated with Equine Activities. I freely accept and fully assume all the “RISKS” and the possibility of personal injury, death, property damage or loss from being a Participant. I acknowledge that it remains my sole responsibility to act in such a manner as to be responsible for my own safety and to Participate within my own limits. In consideration of the “HOST” Boarding my “HORSE(S) or permitting my Participation in the “ACTIVITY”, I together with my heirs, executors, administrators and assigns, (Collectively called my “Legal Representatives”) agree:

  1. To WAIVE ALL CLAIMS that I may have against the "Host"

  2. To RELEASE THE “HOST” FROM ANY AND ALL LIABILITY for any loss, damages, injury,, or expense that I or my “Legal Representatives” may suffer as a result of my horse(s) being Boarded or my Participation in the “ACTIVITY” due to any cause whatsoever INCLUDING NEGLIGENCE ON THE PART OF THE “HOST” 

  3. TO HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for any injury to the HORSE(S) or any property damage or personal injury to any third party resulting from my “HORSE(S) being boarded or my Participation in the “ACTIVITY”

and, I have read and understand the Rules of the Boarding facility and the “Activity” which apply to me. I agree to abide by those Rules and Acknowledge that a breach of the Rules may among other things, result in my expulsion from the Boarding facility or the “ACTIVITY”. Before I signed this Release and Acknowledgment, I read it and I state that I understand it. I am aware that by signing this Release and Acknowledgment, I am waiving certain legal rights which I might have against the “HOST”, or, if I die, by signing this Release and Acknowledgments, I am waiving certain rights that my Legal Representatives may have against the “HOST”

June 23, 2025

First Owner/Participant's Name
First Name*
Middle Name
Last Name*
Phone*
Select Gender
First Owner/Participant's Date of Birth*
Date of Birth
First Owner/Participant's Signature*
Second Owner/Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Owner/Participant's Date of Birth*
Date of Birth
Second Owner/Participant's Signature*
Third Owner/Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Owner/Participant's Date of Birth*
Date of Birth
Third Owner/Participant's Signature*
Fourth Owner/Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Owner/Participant's Date of Birth*
Date of Birth
Fourth Owner/Participant's Signature*
Fifth Owner/Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Owner/Participant's Date of Birth*
Date of Birth
Fifth Owner/Participant's Signature*
Sixth Owner/Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Owner/Participant's Date of Birth*
Date of Birth
Sixth Owner/Participant's Signature*
Seventh Owner/Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Owner/Participant's Date of Birth*
Date of Birth
Seventh Owner/Participant's Signature*
Eighth Owner/Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Owner/Participant's Date of Birth*
Date of Birth
Eighth Owner/Participant's Signature*
Ninth Owner/Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Owner/Participant's Date of Birth*
Date of Birth
Ninth Owner/Participant's Signature*
Tenth Owner/Participant's Name
First Name*
Middle Name
Last Name*
Select Gender
Owner/Participant's Date of Birth*
Date of Birth
Tenth Owner/Participant's Signature*
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*
Emergency Contact's Relation to Participant

IF THE OWNER/PARTICIPANT IS A MINOR (UNDER 18 YEARS OF AGE AT DATE OF SIGNING) I am the legal guardian of the Owner/Participant named herein and am executing this Release and Acknowledgment on behalf of the Owner/ Participant in my capacity as guardian and with the intent that this Release and Acknowledgment be binding on the infant Owner/Participant for all legal purposes.  Before I signed this Release and Acknowledgment, I read it and I state that I understand it.  I am aware that by signing this Release and Acknowledgment, I am waiving certain legal rights which I may have against the “HOST”, and which the infant Owner/Participant has against the “HOST”.  In the event of my death or the death of the infant Owner/Participant, by signing this Release and Acknowledgment, I am waiving all legal rights which my Legal Representatives or the Legal Representatives of the infant Participant my have against the “HOST” 





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*
Select Gender
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 Date of Birth*
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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