Release Form | J&S Riding Lesson Center

Due to the inherent risk of equine activities and the unpredictable nature of horses a Participant a participant's representative or any family member or guardian or friend of family may not make a claim against, maintain an action against, or recover from an equine activity or professional or Jerry, Sue and Ryan Strunk doing business as J&S Riding Center ,J&S Lesson Center, J&S Riding Lesson Center, J&S Pleasure Horses or J&S Paint and Quarter Horses or any of the employees for injury, loss, damage, or death of a participant or spectator resulting from inherent risk of equine activities. "Inherent risk of equine activities" means the danger or conditions that are an integral part of equine activities including the following:

1. The propensity of an equine to behave in ways that may result in the injury, harm, or death to a person on or around the equine.

2. The unpredictability of an equine's reaction to such things as sound, sudden

movement, unfamiliar objects, people, or other animals.

3. Hazards such as surface and subsurface conditions.

4. Collisions with other equines or objects.

5. The potential for 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 the participant's ability.

"A participant means a person, whether an amateur, a professional, or an employee who engages in an equine activity, whether or not a fee is paid by a participant or to a participant in the equine activity."

Jerry, Ryan, and Sue Strunk or any ofthe employees doing business at this riding center is not liable for:

1. An injury to a participant or spectator: or

2. The death of a participant or spectator: resulting from an inherent risk of equine activities.

DATE _______________

RIDERS NAME (PLEASE PRINT) _______________________

WRITTEN SIGNATURE OF RIDER OR PARENTS

{must have signature or see Sue or Jerry)

MOTHERS SIGNATURE ________________________

Please print name also _____________________

FATHERS SIGNATURE ______________________

Please print name also _______________________

Or Guardian ____________________________

COMPLETE ADDRESS:

Street ___________________

City______________STATE_______ZIP__________

HOME PHONE_______________BUSINESS PHONE_________________

MOBILE PHONE________________

(E-MAIL ADDRESS please)_________________________

DOCTORS NAME AND PHONE NUMBER______________________________