* It is recommended that anyone participating in equestrian activities be current on their tetanus inoculations.
Emergency Contact
Release Agreement
Release Agreement
The Undersigned hereby acknowledges and signifies understanding of the inherent risks which are involved in riding and working around horses. These risks may include, but are not limited to, damage to personal property, illness, bodily injury, trauma, or death resulting from a fall or while riding or being in close proximity to horses. The Undersigned further understands that both horse and rider can be injured in the normal course of events while hacking, schooling, or competing, and therefore assumes all responsibilities and risks to horse, rider, and spectator/guest from the use and riding of horses at Revery Equine, LLC, and property, buildings, equipment, and vehicles used by it ("the Premises") and further agrees to indemnify, hold harmless, and defend Revery Equine, LLC, its trainers, employees, agents, officers, lessors, and members of boards of governance ("Indemnitees") from all damages or liability for any injury to the person or property of the Undersigned, third parties (Including, but not limited to, family members, friends, or spectators), or said Indemnitees caused by or in any way relating to the use, handling, or riding of horses at the Premises or at a horse show, fox hunt, or any other event involving Revery Equine, LLC, and its employees, and or Indemnitees and the Undersigned off of the Premises, by the Undersigned, regardless of whether such injury or damages are caused in whole or in part by the negligence of such Indemnitees, or any of them. I, the Undersigned, have read and fully understand the ramifications of both the above and foregoing written release agreement and the Barn Rules of Revery Equine, LLC and understand that such rules may change from time to time. I agree to comply with such rules as they may be amended. I understand that there are risks involved in the use of the facilities and I assume this risk and waive any and all notice of existence of such conditions.
Medical Treatment Authorization
The undersigned (and parent or guardian of rider or handler if a minor) consents to any x-ray examinations, anesthetic, medial or surgical diagnosis or treatment, and hospital service that may be rendered to the rider or handler under the instructions of any physician or hospital. It is understood that this consent is given to enable Revery Equine, LLC, its employees, agents, and independent contractors, and hospital staff and physicians, to exercise their best judgment as to the necessity for and requirements of diagnosis and treatment. The undersigned (and parent or guardian of the rider or handler, if a minor) shall pay all fees for doctors, hospitals, ambulances, and other medical charges incurred.
Signature
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If Participant is a Minor — Parent / Guardian
Minor Release
On behalf of the above named minor, I hereby state that I am a legal Parent or Guardian of said minor, and hereby waive and release all claims for damage or loss to person or property which may be caused by an unreasonable act or failure to act of the Indemnitees named above. I understand there are risks involved in the use of the premises and I assume that risk of all conditions in and about said facility for myself and the above named minor and waive any and all notice of existence of any conditions. I agree to indemnify, hold harmless, and defend the Indemnitees of any illness, trauma, death, or harm to personal property of above named minor caused by the use, handling, or riding of horses whether on or off the premises by the above named minor, regardless of whether such injury or damages are caused in whole or in part by the negligence of such Indemnitees, or any of them.
Signature of Parent / Guardian
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