KJ Perfromance Horses LLC
Release of Liability and Waiver, Assumption of Risk and Indemnification
SIGNATURE INDICATES YOU UNDERSTAND IT AND AGREE TO ITS TERMS. BY SIGNING THIS AGREEMENT, YOU AND YOUR CHILD ARE GIVING UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR RECOVER DAMAGES IN CASE OF INJURY, DEATH, OR PROPERTY DAMAGES, FOR ANY REASON, INCLUDING BUT NOT LIMITED TO, THE NEGLIGENCE OF KJ PERFORMANCE HORSES LLC AND HUNTER STABLE AND ARENA; IT’S OWNER, EMPLOYEE AND AGENTS
Participant Information
- Name: ____________________________________
- Address: __________________________________
- City: _________________ State: ____ Zip: ________
- Phone: ____________________________________
- Emergency Contact Name: ___________________
- Emergency Contact Phone: __________________
Release of Liability
I, the undersigned, acknowledge and understand that horse riding and related activities can be hazardous and involve inherent risks, including but not limited to serious injury or death. I hereby voluntarily assume all risks associated with horse riding and related activities.
In consideration of being permitted to participate in horse riding activities, I agree to the following:
- Assumption of Risk: I understand and accept the inherent risks associated with horse riding, including but not limited to the unpredictable nature of horses, their reactions to various stimuli, and the potential for accidents. I acknowledge that a horse or mule may, without warning or apparent cause, buck, stumble, fall, rear, bite, kick, run, make unpredictable movements, spook, jump obstacles, step on a person’s feet, push or shove a person, or have saddles or bridles that may loosen or break—all of which may cause the rider to fall or be jolted, resulting in serious injury or death. I voluntarily assume all risks involved in horse riding and related activities.
- Release and Waiver: I release and forever discharge [KJ Performance Horses LLC/ Hunter Stables and Arena], its owners, employees, agents, representatives, and assigns from any and all claims, demands, causes of action, or liabilities, of any kind, whether known or unknown, arising out of or in any way connected with my participation in horse riding and related activities, including but not limited to any claims of negligence.
- I voluntarily assume the risk and danger of injury or death inherent in using the horse, equipment, and gear provided to me by KJ Performance Horses LLC/ Hunter Stables and Arena. I RELEASE, DISCHARGE, AND PROMISE NOT TO SUE KJ Performance Horses LLC/ Hunter Stables and Arena, operating under its own name or any other name, and/or any of its owners, officers, employees, and agents (hereinafter the “Releasees”), for any loss, liability, damages, or costs arising out of or related to any loss, damage, or injury (including death) to my person or property. (Initial here)_____________
- Indemnification: I agree to indemnify and hold harmless [KJ Performance Horses LLC/ Hunter Stable and Arena], its owners, employees, agents, representatives, and assigns from any and all claims, demands, causes of action, or liabilities, including attorney's fees, arising out of or in any way connected with my participation in horse riding and related activities.
- Medical Consent: In the event of an emergency, I give consent for [KJ Performance Horses LLC/ Hunter Stable and Arena] and its representatives to obtain medical treatment for me and agree to be financially responsible for any costs incurred as a result of such treatment.
- State that I am not now pregnant(INITIAL HERE)_________________, and list all medical conditions that could be affected by Horseback riding If no medical conditions write none.
- 1) ______________________
- 2) ______________________
- 3) ______________________
- Rules and Regulations: I agree to abide by all rules and regulations established by [KJ Performance Horses LLC/ Hunter Stables and Arena] regarding horse riding and related activities. I understand that failure to follow these rules may result in my removal from participation without refund. I agree that I read all policies listed on the website (Initial here) _____________
- IT IS RECOMMENDED THAT ALL CHILDREN WEAR A HELMET.
- I ( for my child) decline to wear a helmet, and hereby assume the risk. (Initial here)___________
- Photo Release (optional): I consent to the use of my photograph or likeness in promotional materials or social media posts by [KJ Performance Horses LLC]. (Initial here) ______________
By signing below, I acknowledge that I have read, understood, and agreed to the terms of this Release of Liability.
Participant Signature: ___________________________ Date: ___________
Printed Name: ___________________________________
If the participant is under 18 years of age, a parent or legal guardian must sign below:
Parent/Guardian Signature: _______________________ Date: ___________
Printed Name: ___________________________________
Relationship to Participant: ________________________
KJ Perfromance Horses LLC works out of Hunter Stables Facility.
Address: Phone Number:
Email:
2664 Rose Park Ln (435) 901-4034 info@kj-performancehorses.com
Salt Lake City, UT 84116. Call or text