RELEASE AND WAIVER
AGREEMENT FOR BEST FRIENDS FARM
OWNER EXPRESSLY RELEASES AND WAIVES MANAGER,
BEST FRIENDS FARM, ITS AGENTS AND EMPLOYEES, PROPERTY OWNERS AND/OR HEIRS
FROM ANY AND ALL CLAIMS AND RESPONSIBILITIES FOR BUT NOT LIMITED TO THE
FOLLOWING:
A. ANY SICKNESS, DISEASE,
THEFT, DEATH AND OR INJURY OF THE HORSE, WHICH MAY BE SUFFERED BY THE HORSE
OR ANY OTHER CAUSE OF ACTION, WHATSOEVER, ARISING OUT OF OR BEING CONNECTED
IN ANY WAY WITH THE BOARDING OF SAID HORSE, EXCEPT IF CAUSE IS BY THE
WILLFUL AND WANTON NEGLIGENCE OF THE MANAGER
B. ANY INJURY, DISABILITY
AND OR DEATH CAUSED TO THE OWNER AND OR OWNER’S GUEST(S) AND OR ANY LOSS OR
DAMAGE TO ANY PERSONAL PROPERTY OF OWNER AND OR OWNER’S GUEST(S) WHILE ON OR
OFF BOARDING PREMISES AND IT IS AGREED THAT IT IS THE OWNER’S RESPONSIBILITY
TO CARRY FULL INSURANCE, INCLUDING COVERAGE ON SAID HORSE, AND ALL PERSONAL
PROPERTY
C. ANY AND ALL INHERENT
RISKS AND ASSUMPTIONS OF RISKS WITH HORSES; THE OWNER ACKNOWLEDGES AND
ACCEPTS THAT THERE ARE INHERENT RISKS ASSOCIATED WITH EQUINE ACTIVITIES SUCH
AS DESCRIBED BELOW, AND HEREBY EXPRESSLY ASSUMES ALL RISKS ASSOCIATED WITH
PARTICIPATING IN SUCH ACTIVITIES; THE INHERENT RISKS INCLUDE, BUT ARE NOT
LIMITED TO THE PROPENSITY OF EQUINES TO BEHAVE IN WAYS SUCH AS, RUNNING,
BUCKING, BITING, KICKING, SHYING, STUMBLING, REARING, FALLING OR STEPPING
ON, THAT MAY RESULT IN AN INJURY, HARM, DISABILITY OR DEATH TO A PERSON ON
OR AROUND EQUINES; THE UNPREDICTABILITY OF EQUINE’S REACTION TO SUCH THINGS
AS SOUNDS, SUDDEN MOVEMENT AND UNFAMILIAR OBJECTS, PERSONS OR OTHER ANIMALS;
CERTAIN HAZARDS SUCH AS SURFACE AND SUBSURFACE CONDITION; COLLISIONS WITH
OTHER ANIMALS; THE LIMITED AVAILABILITY OF EMERGENCY MEDICAL CARE, AND THE
POTENTIAL OF A 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 ANIMAL OR NOT ACTING WITHIN SUCH PARTICIPANT’S ABILITY
D. ANY AND ALL CLAIMS ARISING FROM
DAMAGE OR INJURY CAUSED BY OWNER’S HORSE TO ANYONE, AND OWNER WILL DEFEND
MANAGER, BEST FRIENDS FARM, ITS AGENTS AND EMPLOYEES, PROPERTY OWNERS AND/OR
HEIRS FROM ANY SUCH CLAIMS. OWNER AGREES TO DISCLOSE ANY AND ALL HAZARDOUS
OR DANGEROUS PROPENSITIES OF THE HORSE BOARDED
E. ANY AND ALL CLAIMS
ARISING FROM DAMAGES SUCH AS BUT NOT LIMITED TO PERSONAL INJURY, DEATH,
PROPERTY LOSS, OR ANY OTHER LOSS SUSTAINED AS A RESULT OF OWNER’S ACTIVITIES
THAT ARE HORSE RELATED.
COMMENCEMENT OF THIS RELEASE AND WAIVER
AGREEMENT WILL BEGIN ON ______________________ ,2008.
RELEASE AND WAIVER SIGNATURE:
PRINTED FULL
NAME_________________________________
PARTICIPANT’S SIGNATURE(or guardian if
student is a minor)____________________________
DATE________________________________________________
CONTACT THE FOLLOWING PERSONS IN CASE OF
INJURY, DEATH, OR OTHER EMERGENCY:
________________________________________________________
HOME
PHONE:__________________________________________
CELL
PHONE:___________________________________________

Best Friends Farm/Equine Kingdom Day Camp Form
Name of
Student:______________________________________________________________
Date of
Birth:___/___/____
Address:_____________________________________________________________________
City:__________________________State:___________________ Zip:___________________
Father’s
Name:____________________Phone: (h)________________(c)_________________
Mother’s
Name:___________________Phone: (h)________________(c)_________________
Emergency
Contact:________________ Phone: (h)________________(c)_________________
Medical
Concerns: _____________________________________________________________
Allergies:_____________________________________________________________________
RIDING LEVEL EVALUATION
Previous Student at Best Friends Farm? YES or NO
If no, has your child attended any other riding camps or taken
lessons elsewhere (please list)?
___________________________________________________
Riding Level: _______________________________________
Riding Level classifications are:
Beginner: little or no riding
experience
Novice: can ride a gentle horse at a
walk or trot
Intermediate: can control the horse
at a walk/trot and has cantered/loped before
Advanced: can control the horse at a
walk, trot, and canter/lope
Number of hours ridden before? _______________________ 0-5, 5-10,
10-15, 15+
Lessons generally run a full hour – including tacking up,
grooming, riding, and untacking. ASTM approved helmets will be used, and all
reasonable measures taken to ensure your child’s safety.
Rider’s Signature_______________________________________________________
Rider’s Parent or Guardian
(If Rider is a minor)_____________________________________
Sally Cochran
equinekingdom@gmail.com
(336) 908-7453 |