Please copy and paste, print, and return this form to
Ms. Sig. Thank you!
DOUBLE RAINBOW EQUESTRIAN CENTER
RELEASE OF LIABILITY FORM
I UNDERSTAND THAT HORSEBACK RIDING IS A HIGH RISK
SPORT AND THAT I(WE) ARE PARTICIPATING AT OUR OWN RISK.
UNDER LOUISIANA LAW,
AN 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 R.S. 9:2795.1.
I(WE) HEREBY ASSUME THE SOLE RESPONSIBILITY AND AGREE TO INDEMNIFY,
SAVE AND HOLD HARMLESS DOUBLE RAINBOW FARM LLC, PREMIER HUNTERS AND JUMPERS LLC, SYMMETRY LLC SARAH R. “SIG” NORTH,
DAVID NORTH, RAEGAN AND T.J. ST. JOHN, JON-BAYAN AND ALLISON NORTH, MARGARET AND E.B. ROBINSON, JR. THEIR EMPLOYEES AND INDEPENDENT
CONTRACTORS ACTING AS TRAINERS AT THEIR FACILITY, AND/OR OTHER FARMS OR ACTIVITIES VISITED FOR THE PURPOSE OF HORSEBACK RIDING
OR HANDLING, AS WELL AS OWNERS AND LESSORS OF HORSES BORROWED OR UTILIZED AT THIS STABLE, FROM ANY AND ALL EXPENSES(INCLUDING
LEGAL FEES) BY REASON OF THE LIABILITY IMPOSED BY LAW UPON ANY OF THE AFOREMENTIONED PARTIES FOR DAMAGE BECAUSE OF BODILY
INJURIES INCLUDING DEATH, HOWEVER SUCH INJURIES, DEATH OR DAMAGE OF PROPERTY MAY HAVE BEEN CAUSED, WHETHER OR NOT THE SAME
MAY HAVE BEEN CAUSED BY NEGLIGENCE OF THE AFOREMENTIONED PARTIES OR THEIR EMPLOYEES OR AGENTS OR ANY OTHER PERSON.
DOUBLE RAINBOW FARM REQUIRES THAT ALL RIDERS UNDER THE AGE OF 18 WEAR A PROPERLY FITTING SAFETY HELMET
WITH HARNESS ATTACHED AND FASTENED PROPERLY. THIS IS NOT OPEN TO NEGOTIATION. WE STRONGLY
RECOMMEND THAT ALL ADULTS COMPLY WITH THIS IMPORTANT SAFETY GUIDELINE. IF AN ADULT CHOOSES TO RIDE WITHOUT
A HELMET AGAINST THE RECOMMENDATION OF THE MANAGEMENT, HE MUST SIGN THIS SAVE HARMLESS AGREEMENT PRIOR TO RIDING.
SUPERVISION OF CHILDREN ON THE PREMISES IS THE RESPONSIBILITY OF THE PARENT, LEGAL GUARDIAN OR SUPERVISOR
APPOINTED BY THE PARENT. FARM MANAGEMENT CANNOT ASSUME THIS RISK. PLEASE REFRAIN FROM DROPPING YOUR CHILD
OFF WITH A FRIEND-WE CAN ONLY WATCH 1 CHILD AT A TIME AND THAT IS YOUR CHILD DURING HIS OR HER LESSON. THE
FARM IS A WONDERFUL PLACE BUT HAS MANY EXCITING AND POTENTIALLY HAZARDOUS THINGS FOR CHILDREN TO GET INTO WITHOUT PROPER SUPERVISION,
INCLUDING BUT NOT LIMITED TO EQUIPMENT, PONDS, PASTURES, CREEKS, BAYOUS, WOODS, RAILWAYS AND TRAFFIC.
DOUBLE
RAINBOW FARM IS NOT RESPONSIBLE FOR LOSS OR DAMAGE TO HORSE, TACK, EQUIPMENT, VEHICLES, TRAILERS, ETC.
__________________________________________
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STUDENT(RIDER,HANDLER)
DATE(MUST INCLUDE)
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PARENT OR AGENT APPOINTED BY PARENT
ADULT CHOOSING TO WAIVE
HELMET REQUIREMENT AGAINST
RECOMMENDATION
OF MANAGEMENT