Tri S Ranch Release Form- 970 Savannah Street Ext. - Calhoun Falls, S.C.

Name:________________________________________Age: (if under 21):__________Date:_________________

Address:____________________________________________________________Phone:____________________

City:____________________________________________State:______________________ Zip:_______________

Warning:

UNDER SOUTH CAROLINA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN AN EQUINE ACTIVITY RESULTING FROM AN INHERENT RISK OF EQUINE ACTIVITY, PURSUANT TO ARTICLE 7, CHAPTER 9 OF TITLE 47, CODE OF LAWS OF SOUTH CAROLINA, 1976.

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Tri S Ranch                                              

Assumption of Risk

I also acknowledge that the enjoyment and excitement of Horseback riding is derived in part from the inherent risk incurred by this activity. These inherent risks contribute to such enjoyment and excitement and are a reason for my participation. I am solely responsible for my decision to participate in this activity. I understand and accept that Horseback riding involves dangers and risks which may include, but are not limited to the following:

·          Horse behavior or temperament which includes, biting, kicking or stepping on a person;

·          Falling off or being thrown from a horse, such risk increases at higher speeds;

·          Unforeseen maladjustment or malfunction of saddles and tack;

·          Horseback riding on rugged terrain, including slippery trails;

·          Injuries inflicted by animals, insects, plants or other participants;

·          Accidents or illness in remote places without medical facilities;

·          The forces of nature including lighting, unsuspected changes in terrain, weather changes, and others not named;

·          The physical exertion associated with Horseback riding.

Release Agreement

In consideration of Tri S Ranch furnishing horses to enable me to participate in this activity in which I may not be skilled, I hereby assume all risk of injury or loss of life to myself, and loss of or damage to property arising out of my participation in such an activity, including hazards associated with any defect in a manufacturer’s product. I specifically release and hold Tri S Ranch, its owners, operators, agents, volunteers, guides, employees, participants and Tri S Ranch harmless from any and all liability, including negligence (active or passive), as to any right of action or claim to relief that may accrue either to me or to my heirs or personal representatives for any such injury, loss of life, medical costs, attorney’s fees, court costs, or loss of or damage to property which I may suffer while participating in equine activities, including activities preliminary and subsequent thereto. I declare that I carry medical insurance fully covering any and all injuries incurred. I further understand Tri S Ranch carries no medical insurance for the protection of participants in Horseback riding, and any insurance coverage existing with respect to Tri S Ranch, shall not alter the terms of this waiver nor impose any liability on Tri S Ranch. I have carefully read this release and fully understand its contents, I am aware that this is a complete release of liability and I sign it of my own free will.  This release will remain in full force and effect for all visits by me to Tri S Ranch unless I explicitly revoke it in writing and deliver such revocation in person to Tri S Ranch.

I also agree to obey all Stable Rules and all other posted signs or directions while participating in the equine activities.

Signature:__________________________________________Date___/___/___Confirmation Number _________ 

If under 18 years of age:

SIGNATURE OF PARENT OR GUARDIAN:  ________________________________________________________________________

PRINT NAME OF PARENT OR GUARDIAN: ________________________________________________________________________

 I understand and acknowledge that wearing a protective helmet may reduce the risk of head and spinal cord injuries to me while participating in equine activities; nevertheless, I hereby voluntarily choose not to wear a protective helmet.