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, RAINBOW THERAPEUTIC RIDING CENTER ASSOCIATION,
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.
__________________________________________
__________________________________
STUDENT(RIDER,HANDLER)
DATE(MUST INCLUDE)
__________________________________________
__________________________________
PARENT OR AGENT APPOINTED BY PARENT
ADULT CHOOSING TO WAIVE
HELMET REQUIREMENT AGAINST
RECOMMENDATION
OF MANAGEMENT
