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Release of Liability and Consent Form for Instructional Riding

Participant Information

Name: 
Date of Birth:
Address:
Phone Number:
Email Address:
Parent or Guardian Name (if under 18):

Emergency Contact Information

Name:
Phone Number:
Relationship to Participant:

Medical Insurance Information

My medical insurance company is:
Policy Number:
I do not carry medical insurance.

REGISTRATION OF PARTICIPANT AND AGREEMENT PURPOSE

I, the above-listed individual, hereinafter referred to as the “PARTICIPANT”, and the parents or legal guardians
thereof (if a minor), do hereby voluntarily agree to participate in all Hope Reins activities, including horseback
riding and equine handling, as a student of this stable. If I ride a horse provided by Hope Reins, I do so for
instructional purposes.

AGREEMENT SCOPE, TERRITORY, AND DEFINITIONS

This agreement shall be legally binding upon the PARTICIPANT, and the parents or legal guardians thereof if a
minor, as well as the PARTICIPANT’s heirs, estate, assigns, and personal representatives. This agreement shall
be interpreted in accordance with the laws of the state and county in which Hope Reins operates. It applies at
all times when PARTICIPANT is on the property, working with horses, receiving instruction, or engaging in any
activity associated with Hope Reins.
The terms “HORSE” and “EQUINE” refer to all equine species including but not limited to horses, ponies, and
donkeys. The terms “I,” “WE,” “ME,” and “MY” refer to the PARTICIPANT and the legal guardian, if applicable.

INHERENT RISKS / ASSUMPTION OF RISK

I/We understand and accept that risks, conditions, and dangers are inherent in horse-related activities,
regardless of all feasible safety precautions. These include, but are not limited to:

  •  The unpredictable nature of horses
  • Sudden sounds, movements, or objects that may startle horses
  • Hazards of natural terrain
  • The actions of other participants or horses
  • Falling from a horse, which may be from a height of 3.5 to 6 feet
  • The possibility of collisions, bites, kicks, or falls

I/We acknowledge these are not all possible risks and agree to assume others not listed.

CONDITIONS OF NATURE AND PREMISES INSPECTION

Hope Reins is not responsible for acts of nature or sudden sights/sounds that could startle horses, including
lightning, weather, wildlife, or changing terrain. I/We accept these risks and affirm that I/We have inspected
the premises and deem them reasonably safe for the intended use.

INCLEMENT WEATHER NOTICE

The safety and well-being of our riders and horses is our top priority at Hope Reins. In the event of inclement
weather (such as rain, storms, or extreme temperatures), lessons may be cancelled or ended early at the
discretion of Hope Reins administration.

We will make every effort to provide advance notice of any weather-related cancellations. No late cancellation
fees will apply in these cases. If a lesson has already begun and must end early due to weather, a rain check
may be offered to reschedule the remainder of the session. Thank you for your understanding and flexibility!

SADDLE GIRTH / NATURAL LOOSENING WARNING

Saddle girths may loosen during riding. I/We agree to notify an instructor immediately if girth looseness is
suspected.

HELMET POLICY AND WARNING

I/We have been advised that wearing a properly fitted, SEI CERTIFIED ASTM STANDARD F 1163 equestrian
helmet while riding or working near horses may reduce the risk of serious head injury or death.

Helmets are required for all participants and will be provided if the rider does not have their own. Neither Hope Reins nor it’s employees are responsible for the fit, condition, or safety of any personally owned helmets.

EQUINE ACTIVITY LIABILITY ACT (EALA) NOTICE

I/We acknowledge the Equine Activity Liability Act Warning of this state and confirm that a copy is attached or
available upon request.

PHOTO POLICY

Individuals aged 18 and older, as well as parents or legal guardians, are permitted to take photos or videos only
of themselves or their own child during riding lessons. Capturing images or videos of other clients, participants, or staff without explicit permission is strictly prohibited, in order to protect everyone’s privacy and maintain a safe, respectful environment.
I/We acknowledge, understand, and agree to adhere to the details of this photo policy at all times.

SAFETY RULES AND GENERAL POLICIES
  • Helmets and close-toed shoes are required at all times around horses.
  • Boots with a heel are highly recommended.
  • Riders arriving without proper footwear will not be allowed to participate, and a $20 late cancellation
    fee will apply.
  • Riders ages 4 and up are welcome.
  • All participants must have this signed waiver on file before their first lesson.
PAYMENT, CANCELLATIONS AND BILLING
  • A valid credit card must be kept on file for all riding students. By signing this form and the Credit Card
    Authorization Form attached, I/we consent to the saving of my credit card information for future charges applied to this card by Hope Reins for any cancellation or no-show fees accrued according to
    the late cancellation policy clearly stated in this form.
  • Payment is due upon arrival, via cash, credit card, or Venmo.
  • Cancellations made more than 24 hours in advance of the scheduled riding lesson start time will not be
    charged a late cancellation fee.
  • Cancellations made within 24 hours or no-shows will incur a non-refundable $20 cancellation fee.
LESSON OPTIONS AND PRICING

Individual Lesson (1 Hour): $60
One-on-one instruction tailored to your skill level and goals.

Group Lesson (1 Hour, 2–4 Riders): $50 per rider
A fun and interactive setting for shared learning.

Lesson Packages (must be purchased in advance):
Half-Pint Package: 5 Individual Lessons for $250
Full Speed Ahead: 10 Individual Lessons for $500

LIABILITY RELEASE

In consideration of being allowed to participate in activities with Hope Reins, I/We hereby agree to release, hold harmless, and waive any and all claims against Hope Reins, its owners, instructors, agents, volunteers, and property owners, and all other affiliates.
I/We agree that this release applies even in cases of ordinary negligence, and that no legal claim will be made
except in cases of gross negligence or willful misconduct.

SIGNER STATEMENT OF AWARENESS

I/We, the undersigned, affirm that I/We have read and understand this entire document, agree to all terms, and voluntarily sign this agreement while of sound mind, not under the influence of alcohol, drugs, or duress.
I/We acknowledge that by signing this document, I/We am giving up the right to sue today and in the future.

Signature of Participant (Required for ages 13 and older)

Signature:
Date:

Signature of Legal Guardian (Required for all participants under 18)

Signature:
Date:
Note: Babysitters, friends, or relatives are not legal guardians unless appointed by court order.

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