SARI THERAPEUTIC RIDING - INFORMED WAIVER AND CONSENT
THIS FORM MUST BE READ AND SIGNED BY EVERY PARTICIPANT,
VOLUNTEER AND/OR PARENT/ GUARDIAN WHO WISHES TO PARTICIPATE (OR HAVE
THEIR DEPENDENT PARTICIPATE) IN A PROGRAM OR EQUESTRIAN EVENT OF
SARI THERAPEUTIC RIDING.
PROGRAM PARTICIPANT VOLUNTEER EVENT
PARTICIPANT OTHER
ELEMENTS OF RISK
Horseback riding and other activities involving being in close
proximity to horses or horse facilities involve an element of risk.
Injuries may occur while participating in activities while riding,
handling or being in close proximity to a horse. The following list
includes, but is not intended to be exhaustive, examples of the types
of injury which may result from participating at SARI Therapeutic
Riding:
Fall from horse Bite from horse Kick
from horse Stepped on by horse
The risk of sustaining these or other types of injuries result
from the nature of the activity and can occur without any fault of the
participant, volunteer, fee paying participant, SARI Therapeutic
Riding, its employees/agents, or the facility where the activity is
taking place. By choosing to take part in this activity, you are
accepting the risk that you or your dependent may be injured.
The risk of an injury occurring can be reduced, but not
eliminated, by carefully following instructions at all times while
engaged in the activity or while in proximity to horses or horse
facilities.
If you choose to participate or choose to have your dependent
participate, you acknowledge and agree that you bear the
responsibility for any injury that may occur. SARI Therapeutic Riding
does not provide accidental death, disability, dismemberment or
medical expense insurance on behalf of the participants or volunteers
participating in their programs.
In addition, you acknowledge and accept that there are risks to
your horse (or your dependent’s horse) and of liability to third
parties or property resulting from the conduct and behaviour of that
horse. You acknowledge and agree that you shall be solely responsible
for all damage or injury to third parties or property that may result
from the actions of you, your dependent and such horse.
In addition to the foregoing, you acknowledge and accept that
there may be risks to you and your dependent, and even your horse, of
contracting an infectious disease, including but not limited to
COVID-19, while being in proximity to other people, horses or horse
facilities, even where reasonable care is used.
In exchange for myself, my dependent, or my (or my
dependant’s) horse being permitted to participate in these SARI
activities, I hereby agree:
(i) that I acknowledge, accept and assume all risks and
responsibilities as set out above for myself, my dependent, and such
horse;
(ii) that I release, discharge and agree not to make any
claims of any kind against SARI Therapeutic Riding, its officers,
directors, members, employees, volunteers, guests and any land
owners, land holders or other persons making property available to
SARI Therapeutic Riding, their respective successors and assigns
(collectively, the “Released Parties”) for any injury, including
death, to myself or to my dependent or such horse arising out of or
in relation to my or my dependent’s or horse’s participation in SARI
horseback riding or related activities, and any illness or
infectious disease, including COVID-19, contracted by myself or my
dependent or horse, and any injury or damage to my or my dependent’s
horse or property, and for any liability arising as a result of
claims for injuries or damages or illness sustained by third
parties, and injury or damage to the property of third parties, as a
result of the actions of myself, my dependent or my or my
dependent’s horse, (collectively, the “Released Claims”), whether or
not such Released Claims arose as a result of the negligence of any
of the Released Parties; and
(iii) that I shall indemnify and save harmless the Released
Parties, and each of them, from and against any and all claims,
demands and/or liabilities arising out of or in relation to my
participation or the participation of my dependent or horse in these
activities, including without limitation all of the Released Claims,
and including without limitation all legal costs incurred by any of
them in connection with such claims.
ACKNOWLEDGEMENT
BY SIGNING BELOW, I HEREBY DECLARE THAT I AM OF LEGAL AGE AND I
HAVE READ AND FULLY UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS
STATED HEREIN AND THAT IT IS BINDING ON ME, MY EXECUTORS, HEIRS AND
ASSIGNS. IF I AM SIGNING AS PARENT/GUARDIAN, I HEREBY DECLARE THAT I
HAVE THE LEGAL AUTHORITY TO DO SO. I UNDERSTAND THAT IN PARTICIPATING
(OR PERMITTING MY DEDPENDANT TO PARTICIPATE) IN A SARI EQUESTRIAN
PROGRAM OR EVENT, I AM ASSUMING ALL RISKS AND RESPONSIBILITIES AS SET
OUT ABOVE ASSOCIATED WITH DOING SO.
Print Name of Volunteer/Participant:
______________________________________ Date:_________________ Age (if
under 18): ___
Print Name of Parent/Guardian:
_________________________________________ Date:__________________
Signature of Volunteer/Participant:
______________________________________ Date:___________________
Signature of Parent/Guardian:
__________________________________________ Date:___________________
PERMISSION
I give (name of participant or volunteer)
___________________________________ permission to participate in the
SARI Therapeutic Riding Program or equestrian event.
Signature of Parent/Guardian:
__________________________________________ Date:___________________
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