Fun With Horses
4449 Carbon Canyon Rd
Brea, CA 92328
funwithh
Registration Liability form Student Information
Name of Ride__________________________age____
Class __________________________________________
Parent name____________________________________
Phone number_______________email________________
cell phone for text alerts___________________________
Date__________________________________________
Consent to photograph
I, the participant/parent/guardian, herby give consent to Fun With Horses to take and use photographs and video footage of me/my child without restriction, and use of such photographs and /or video footage for advertising and public relations purposes.
I hereby release and discharge Fun With Horse from all claims and demands arising out of or in connection with the including any claims for libel. I understand and acknowledge that me/my child will not receive compensation for such use.
Consent to Treatment for Emergency Medical and Dental and Insurance Disclaimer
I, the participant/parent/guardian, hereby authorize Fun With Horses to obtain all
emergency medical or dental care as is deemed necessary for my child. this care
may be given under whatever conditions are necessary to preserve the life, limb, or well being of my child. This authorization is given pursuant to Cali Family Code
Section 6910. I understand and agree that I will be responsible for the payment of all resulting medical and dental expenses.
Assumption of Risk
I, the participant/parent/guardian, understand and acknowledge that participation in the Fun With Horses program may involve the risk of serious injury which may result not only from my/child’s actions, but also from, the actions, inaction, or negligence o fothers; the condition of the facilities, equipment, or areas where the program is being conducted; or the nature of the program itself. I understand and acknowledge that participation in the program or activity with knowledge of the danger involved is voluntary, and I agree to accept and assume any and all risks of personal injury, wrongful death, property damage or other loss from participation in the programs and activities. By participating in this event or activity, you acknowledge that the inherent risk of exposure to COVID-19 exists, you voluntarily assume all risks related to such exposure and you agree not to hold Fun With Horses liable for any illness or injury.
I also understand that equestrian activities can carry a huge risk. Horses can spook, bite, bolt, kick, fall down, run, slam into the fence risking humans that on riding or nearby harm.
Equestrian equipment can also come loose and break.
I agree to wear equestrian riding boots and equestrian riding helmet at all times
when working around or riding.
Release of Liability, Hold Harmless, and Indemnity
I, the participant/parent/guardian, agree to release, hold harmless, indemnify and
defend Fun With Horses from any and all liabilities, losses, damages, claims, costs,
demands, or causes of action arising out of or related to my/child’s participation in
the riding program or activity, whether caused by action, inaction, or active or
passive negligence, and whether caused by Fun With Horses, me/my child, or any
other individual or entity.
I, the participant/parent/guardian, have carefully read the consents, disclaimer,
assumption of risk, acknowledgment, release of liability, hold harmless and indemnityprovisions in this agreement and understand its contents. I understand and agree that the foregoing, consents, assumption of risk, acknowledgment, release of liability, hold harmless and indemnity provisions in this agreement are intended to be as broad and inclusive as is permitted by the laws of the state of California, and that if any portion thereof is held invalid, it is agreed that the balance shall continue in full legal force and e;ect I am aware that this document relieves Fun With Horse and others from full liability for personal injury, wrongful death and property damage and,on behalf of myself, my child, and all successors in interest, sign it voluntarily and agree to its terms.
Participant/parent/
guardian_________________________________________________________________
Copyright 2010 Fun With Horses. All rights reserved.
Fun With Horses
4449 Carbon Canyon Rd
Brea, CA 92328
funwithh