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:
- 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.
- 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.
- 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:_______________
