Academy Stables, Inc. Parent/Guardian/Individual Grant of Permission Assumptions of Risk and Liability Release Form

Inherent Risks/ Assumption of Risk: I/we acknowledge the inherent risk involved in participating in equine activities and I/we agree to assume them. The inherent risks include, but are not limited to any to the following: The propensity of an animal to behave in ways that may result in injury, harm, death, or loss to persons on or around the animals; The unpredictability of an equine’s reaction to sounds, sudden movement, unfamiliar objects, persons, or other animals; Hazards including, but not limited to, surface or subsurface conditions; A collision, encounter and/or confrontation with another equine, another animal, a person,or an object; The potential of an equine activity participant to act in a negligent manner that may contribute to injury, harm, death or loss to the participant or to other persons, including but not limited to , failing to maintain control over an equine and/or failing to act within the ability of the participant. Horses are 5 to 15 times larger, 20 to 40 times more powerful, and 3 to 4 times faster than a human. If a rider falls from a horse to the ground it will be at a distance of 3 1⁄2 to 5 1⁄2 feet, and the impact may result in harm to the rider. I/we acknowledge that these are just some of the risks and I/we agree to assume others not mentioned
above. I am not relying on Academy Stables agents to list all possible risks for me.

Protective Headgear/Helmet Policy: Riding helmets are available for riders, regardless of age. Helmets are required for all riders under 18 and recommended for all riders.

Saddle Girth Loosening Warning: I/we acknowledge that: Saddle girths (fastener straps around the horse’s belly) may loosen during riding. Riders must alert the nearest attendant of any girth looseness so actions can be taken to avoid saddle slippage and the potential for the rider to fall from the horse.

Medical Attention Grant of Permission: I, the undersigned, state that I/we are the parent(s) or guardian(s) of the student/rider or the individual named below, and do hereby grant permission and authority to Don Dimig, Shelli Dimig, authorized employees, contractors and associates to act for us in verbal telephone instructions, or, if unable to contact me, to act in my absence, when dealing with physicians, ambulances, and hospitals to obtain prompt medical attention for the student named below in the event of an emergency requiring a physician or confinement in a hospital. I further, hereby, covenant and agree to completely release Don Dimig, Shelli Dimig, employees, contractors, and authorized associates and hold them harmless for any liability connected with obtaining prompt medical attention for the student named below.

Liability Release: I/we agree that: In consideration or Academy Stables, Inc. allowing my participation in any activity, under the terms set forth herein, I for myself and on behalf of my child and/ or legal ward, heirs, administrators, personal representatives or assigns do agree to release, hold harmless, and discharge Academy Stables, Inc, Don Dimig, Shelli Dimig, agents, employees, contractors, officers, directors, representatives or assigns, members, owners of premises and trails, affiliated organizations, and insurers, and any others acting on the stable’s behalf (hereinafter, collectively referred to as “Associates”), of and from all claims, demands, causes of action and legal liability, whether the same be known or unknown, anticipated or unanticipated, due to ACADEMY STABLES and/or ITS ASSOCIATE’S ordinary negligence or legal liability; and do further agree that except in the event or this stable’s gross negligence and/or willful and/or wanton misconduct, I shall not bring any claims, demands, legal actions and causes or action, against Academy Stables, Inc and its Associates as stated above in this clause for any economic and non-economic losses due to bodily injury and/or death and/or property damage, sustained by me and/or my minor child or legal ward in relation to the premises and operations of Academy Stables, Inc. and its Associates, whether on or off the premises of Academy Stables, Inc. and its Associates, but not being limited to Academy Stables, Inc. premises.

I/we acknowledge the existence of Colorado laws, as posted on the property and identified below that prohibits suits against horse professionals up to and including death, and hereby covenant and agree to completely release Academy Stables, Inc., and other authorized persons and hold them harmless for any injury or damage the student may sustain or cause while riding, attending horses, or participating in any lesson.

WARNING: Under Colorado law, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to Section 13-21-119, Colorado Revised Statutes.

I/we, the undersigned, represent that I/we have read and do understand the foregoing agreement, liability release and assumptions of risk agreement. I/we understand that by signing this document I/we am giving up rights to sue today and in the future. I/we attest that all facts are true and accurate. I am signing this while of sound mind.

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