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Liability Form Horse Riding

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Liability Form Horse Riding Powered By Docstoc
					                           LIABILITY RELEASE FORM HORSE RIDING TOURS
                                       Please read carefully before signing
ACTIVITY RISK CLASSIFICATION
I understand that horseback riding is a rugged recreational activity and that risks are always present in such
activities despite all safety precautions. These risks are not totally mitigated by either the presence of a guide or
by the use of a horse that is considered usable for beginners.
I understand that Jezra Travel chooses its horses for their calm dispositions and sound basic training as is
required for use as riding horses, even for beginner riders. Yet, no horse is completely safe.
If a horse is frightened or provoked it may act according to its natural survival instincts which may include:
stopping short, changing directions or speed, bucking, rearing, kicking, or running from danger.
With this document Jezra Travel wants to warn you about possible risks.
RIDER RESPONSIBILITY
1. I understand that the rider is in primary control of the horse and his/her safety largely depends upon his/her
ability to carry out simple instructions, and his/her ability to remain balanced on the moving animal.
2. I understand that Jezra Travel selects horses for each trekking based upon the information the riders provide to
them beforehand so it is very important to be honest about your riding abilities.
3. I understand that in case a rider feels unsafe or uncomfortable on the horse given to him/her, he/she must
notify the guide as quickly as possible so action can be taken.
4. I understand that saddle girths may loosen during a ride. If a rider notices this he/she must alert the guide as
quickly as possible so action can be taken to avoid slippage of saddle and a potential fall from horse or rider.
5. I understand that riders must not carry loose items which may fall, blow away, flap in the wind, bounce, or make
sharp noises, possibly scaring a horse.
6. I understand that the wearing of protective headgear during the ride may reduce the severity of some of the
wearer's head injuries and possibly prevent the wearer's death from happening as the result of a fall.
7. I agree that I shall be responsible for my own safety.
CONDITIONS OF NATURE
I understand that Jezra Travel is not responsible for occurrences or elements of nature that can scare a horse.
Some examples are: thunder, lightning, rain, wind, water, wild and domestic animals, insects, reptiles, which may
walk, run, or fly near, or bite or sting a horse or person; and irregular footing on land which is subject to constant
change in condition according to the weather, temperature, and natural and man-made changes in the landscape.
ACCIDENTAL AND PERSONAL LIABILITY INSURANCE
I agree that if medical treatment should be required, I and/or my own accidental/medical insurance company shall
pay for all such incurred expenses and deductibles.
My accidental (medical) insurance company is…………………………………………………………
And my policy number is ……………………………………………….
The company’s phone (alarm) number is ………………………………………………………………
Should my actions cause injury or damage of any kind, I and/or my own personal liability insurance carrier shall
pay for such damages.
My personal liability insurance company is …………………………………………………………….
And my policy number is ……………………………………………….
LIABILITY RELEASE
I agree that in consideration of Jezra Travel allowing my participation in this activity, under the terms set forth
herein, I, agree to hold harmless, release, and discharge Jezra Travel, its owners, employees, representatives,
insurers, and others acting on its behalf of and from all claims, demands, causes of action, and legal liability.
I do further agree that except in the event of Jezra Travel’s gross and wilful negligence, I shall bring no claims,
demands, actions and causes of action, and or litigation, against Jezra Travel and its associates as stated above
in this clause, for any economic and non-economic losses due to bodily injury , death, property damage, in
relation to the premises and operations of Jezra Travel, to include while riding, handling, or otherwise being near
horses owned by or in the care, custody and control of Jezra Travel, whether on or off the premises of Jezra
Travel.
Rider, or in case of a minor, parent/legal guardian must sign below after reading this entire document
SIGNER STATEMENT OF AWARENESS
I, the undersigned, have read and do understand the foregoing agreement, warnings, release, and assumption of
risk. I further attest that all facts relating to the applicant's physical condition, experience, and age are true and
accurate.
Name Rider …………………………………... Signature Rider ………………………………… Date …………………

				
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posted:3/17/2011
language:English
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