Rider Liability PDF .pdf

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Original filename: Rider Liability PDF.pdf
Author: Kaitlin Maheu

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Saddle Up for Smiles
Liability Waiver
Rider Name (Please Print): _______________________________________________________
DOB (MM/DD/YYYY): ______ /_______ /_______
Street Address: _________________________________________________________________
City: ____________________________________ State: ______________ Zip: ______________
Phone (Home): ____________________________ (Mobile):_____________________________
Parent/Guardian Name: _________________________________________________________
E-Mail: _______________________________________________________________________
Name: ________________________________Phone: __________________________________
Under Louisiana Law, an Equine Activity Sponsor or Equine Professional is not liable for injury
to or the death of a participant in Equine Activities due to the inherent risks of Equine
Activities, pursuant to R.S. 9:2795.3
Waiver of Liability
I recognize the risk of injury inherent in or incidental to the handling and riding of horses due to
their size and unpredictability, and I voluntarily assume the risk and release the managers of
Saddle Up for Smiles and all involved with the Smiles Foundation from all liability for injuries,
including serious injury or death, to any person or property, or my minor children, caused by
any horse, tack or equipment at BREC’s Farr Park Equestrian Center. I further release the Smiles
Foundation, the Maheu and Holton Families, BREC, and all involved in the production of the
show from all liability for damages, injury, illness, death or loss of any livestock owned by me
and boarded at the Horse Activity Center or brought there for practice sessions or other
activities. I further agree to indemnify BREC and all involved parties for any amount for which I
may be held liable for such damages to livestock owned by another person which I have
brought to the Horse Activity Center for my use. I am aware that unforeseeable events may
occur that may cause my injury, and I waive all aforementioned parties of liability.
Signature of Rider: _____________________________________________ Date: ___________
Signature of Parent/Guardian: ___________________________________ Date: ____________

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