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Capricorn Equine Services

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Liability Release

This liability form is required for all riders. 
Please print this form (1 for each rider in your party), fill it out and bring it with you on the date of your ride, lesson, etc.

Capricorn Equine Services

21688 Allyson Ln.

Magnolia, Texas 77355

281-404-5624     or    281-999-1857

LIABILITY RELEASE AGREEMENT

Please Read Carefully prior to signing

 

In consideration of the payment of a fee and the signing of this agreement, the undersigned individual and the parent or legal guardians thereof, if a minor, do hereby voluntarily request and agree to participate in riding instruction, trail riding or other horse related activity offered by Capricorn Equine Services.

The undersigned acknowledges the inherent risks involved in riding and working around horses and further realizes that risks include but are not limited to bodily injury up to and including death.

In exchange for the privilege of participating in equine activities offered by Capricorn Equine Services, and its employees, the undersigned and/or parent or legal guardian thereof, if minor, hereby agrees to:

  1. Release, waive, discharge, hold harmless and covenants not to demand, sue or otherwise claim from Capricorn Equine Services, it’s premises, owners, sponsors, etc. for any loss or damage, and any claim or demands therefore as a result of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence of the releasees or otherwise, while the undersigned is participating or observing any equine activities.
  2. Agree to indemnify and to hold harmless the releasees from any loss, liability, damage, or cost that they might incur due to the presence and/or participation of the undersigned in equine activities.
  3. Assumes full responsibility for all risk of bodily injury, death or property damage due to the presence or participation of the undersigned in any equine activity offered by Capricorn Equine Services.

All Information must be filled out

Rider’s Name:_________________________________________________________________ DOB:_______/_______/______

Legal Guardian/Parent (if Minor)______________________________________________ Hgt:_____ Wgt :________

Address: ____________________________________________ City:_____________________ State: __________ Zip: _______

Home #: ____________________________ Cell #: __________________________ Email: ______________________________

Emergency Name: _______________________________

Home # : ___________________ Cell #:_________________

Health related issues such as Asthma, etc.: _____________________________________________________________________

Horse riding experience:

Never Ridden         1 to 5X        6 to 10X       11 to 15X        16 to 20X      More than 21X

The last time you rode was: (circle one)

last 6 months       last year last       2 yrs last       3 yrs last      4 yrs        5 years/ more

I would rate my riding skills as:  (circle one)

  1               2             3             4              5              6               7                 8                 9            10

Never  *  Minimal exp.  *   lots of exp.  *  advanced exp.  *   expert exp.   *  trainer exp.

Under Texas law (Chapter 87, Civil. Practice and remedies code), an equine professional is not liable for any injury to or the death of a participant in equine activities resulting from the inherent risk of equine activities. I acknowledge that riding and involvement with horses is a high-risk activity. I have read this agreement and fully understand its content and do comply that this agreement is good until revoked in writing.

Please Sign here: __________________________________________________________

Signer is         Rider     /      Parent /      Legal Guardian   (circle one)

Please Print Name: _________________________________________________________

Date: ______________________________

Number of Riders in Party:_______________

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