PLEASE READ THE FOLLOWING VERY CAREFULLY
THIS RELEASE SHEET CONTAINS IMPORTANT LIMITATIONS
OF APPALACHIAN TRAIL RIDES AT S&T STABLES LLC
Name ________________________________ Age______Weight ______Riding Experience________
*No Experience- 1-2 times, Little Experience- 6 – 12 times, Some Experience- 12 or more, Experienced – ridden
extensively.
How did you hear about us?_______________Telephone:________________ Email__________________________
*I am aware that horses can act unpredictably and horseback riding may be a hazardous activity. I am voluntarily participating in this activity with knowledge of the dangers (included but not limited to bucking, rearing, kicking, biting, spooking, tripping, misstep, bolting, rolling, shaking, being stepped on, trampled, rubbed into trees, thrown off, etc.) involved and hereby agree to accept any and all risks and responsibilities of injury or death to my own self or caused by me to others. (INITIAL)__________
*Do you suffer from any of the following conditions?
__heart problems __seizures __ stroke__ Parkinson’s disease __osteoporosis __muscle impairment __allergies
You are required to by initialing to disclose this information here and notify your guide before mounting your horse of any and all conditions listed here or OTHERS that may affect or impair your ability to ride or control a horse. (INITIAL)- _______.
*** IF YOU HAVE CHECKED ANY OF THE ABOVE PLEASE SEE GUIDE ***
* I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself . I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume — and bear the costs of — all risks that may be created, directly or indirectly, by any such condition. (INITIAL)_____________
*I certify that I am not under the influence of any medication or alcoholic beverage that could impair judgment. (INITIAL) _______. Guide reserves right to refuse rental if alcohol or drug use is suspected.
*I am aware that the Appalachian Trail Rides at S&T Stables LLC offers helmets for all riders, and requires helmets for riders under 18 years of age. I have declined the use of a helmet even though the use of this helmet could prevent serious injury or death. (INITIAL)_____________
*One of the requirements to participate on our trail rides is to have the ability to understand the English language or have an interpreter if you plan to ride. This requirement is for safety purposes and the need to respond appropriately to instruction later given by our guides while on the horse. (INITIAL)_________
Appalachian Trail Rides at S&T Stables LLC relies on my answers to the above questions in selecting a saddle animal and is justified in such reliance. Appalachian Trail Rides at S& T Stables LLC makes no warranty of any kind, expressed or implied, as to the habits, disposition, suitability, nature, or physical condition of any saddle or carriage animal, and equipment supplied by it. Appalachian Trail Rides at S&T Stables LLC is not a carrier, all rental animals being under the control of guests. Appalachian Trail Rides at S&T Stables LLC is not responsible to guest or anyone else for injury arising out of the rental or riding of any saddle or animal provided by it, whether injury occurs through negligence of Appalachian Trail Rides at S&T Stables LLC or its contractors, employees, volunteers, agents, or associates. I further agree that I will defend, indemnify, and hold harmless Appalachian Trail Rides at S&T Stables LLC , its owners, contractors, employees, volunteers, land owner whose land where horseback riding activities may be conducted their insurers or assigns. Under Georgia law, any equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to chapter 12 of title 4 of the official code of Georgia annotated. In consideration for the rental fee paid I agree with and fully understand the contents of the above and limitation of liability and understand thats releases the liability of Appalachian Trail Rides at S&T Stables LLC and is a contract between Appalachian Trail Rides at S&T Stables LLC and myself. I authorize emergency medical treatment. I sign below of my own free will.
Name_______________________________
Signature ___________________________
Date __________________
Appalachian Trail Rides Adult Release
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