HORSEBACK ADVENTURES

CONESTOGO RIVER Acceptance of Risk Form

HORSEBACK ADVENTURES

This document will affect your legal rights and liabilities.

Please read carefully.

I, (please PRINT full name) ________________________________________ request permission to participate

in horseback riding and any other activities organized by or on behalf of Conestogo River Horseback Adventures

Inc., including but not exclusive to:

Horseback riding tours and events Water sports

Horseback riding lessons Volunteer activities

Day camps Pony rides

Overnight camps Any other activities

I acknowledge that the sport of horses is a high-risk sport and that I am participating at my own risk and

in full knowledge that there are significant risks involved. I further acknowledge that there is some element of

risk and that an accident could occur and result in injury or death.

In consideration of being allowed to participate, I hereby assume all risk for heirs, my guardians, legal

representatives, and myself. I release and agree not to make or bring my claim of any kind against Conestogo

River Horseback Adventures Inc., its officers, directors, members, employees, volunteers, guests, and any land

owners, land holders or other persons making property available to Conestogo River Horseback Adventures Inc.,

their successors and assigns, for any injury, including death, to me or any damage to my property or the property

of others while in my care/custody/control, whether from anyone’s negligence or not, or any other cause arising

out of my participation in these dangerous horseback riding or other activities scheduled now or in the future.

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 upon my heirs, executors and assigns.

I acknowledge any horse that I bring with me; I am responsible for and assume full liability.



Any photos and video taken by the business may and can be used by the business for promotion.



THIS FORM MUST BE FILLED OUT COMPLETELY – THANK YOU



Street Address ______________________________________________________ Apt # ___________



City ______________________________ Province _________________ Postal Code



Phone # ___________________________ Emergency Phone #



Would you like more information about camps/special events/activities/lessons?  Yes  No

Email Address:



A helmet is required for riders under 18 years of age.

Helmet given (Staff initial):

Please initial here if you are 18 or older and you decline to wear a helmet:

Proper footwear is required by all riders.

Riding Level:

(eg: Beginner, Intermediate, Experienced, Lessons, etc.)



Parent/Guardian Signature: ____________________________ Age (only if under 18):

If a participant is under the age of 18, a parent or guardian must sign.



Participant's Signature: ________________________________ Date:

Smoking is not permitted on trail or near horses



OFFICE USE ONLY

Ride Time_____ Entered YesNo Amount: $_________ CashCheque#_____ Guide: ______Sign In_____ Tip:  Yes