Countyline Equestrian Center's Liability Release, Hold Harmless Agreement, and Express Assumption of Risk

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This is a release of your rights to sue.

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WARNING UNDER NORTH CAROLINA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING EXCLUSIVELY FROM THE INHERENT RISKS OF EQUINE ACTIVITIES. CHAPTER 99E OF THE NORTH CAROLINA GENERAL STATUTES.

This release may be used against you in a court of law if you sue any released party or person. Please read carefully, fill in all blanks, and initial each paragraph before signing.

I, (Enter Full Name Below), hereby affirm that I am informed of the inherent hazards of horseback riding, driving, and other horse-related activities. I understand and agree that neither The Countyline Equestrian Center, Rebecca Rainey, Robert Rainey, Deborah Rainey, Owners, Land Owners, nor any of their respective Employees, Officers, Agents, or Assigns (hereinafter referred to as “Released Parties”) may be held liable or responsible in any way for any injury, death , or other damages, to me, my family, or my property, heirs, or assigns that may occur as a result of my participation in this horse-related activity or as a result of the negligence of any party, including the Released Parties, whether active or passive. *

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In consideration of being allowed to participate in this activity, I hereby personally assume all risks in connection with said activity, for any harm, injury, or damage that may befall me or my property while so engaged, including all risks connected therewith, whether foreseen or unforeseen. I further save and hold harmless said activity and Released Parties from any claim or lawsuit by me, my family, estate, heirs, or assigns, arising during the activity and/or afterwards. *

I have read and agree to the above Terms and Statements

Required

I also understand that horse-related activities may be physically strenuous and that I may be exerting myself during this activity. I further understand that horses may behave in unpredictable and potentially dangerous ways. I expressly assume the risk of injuries resulting from my participation in these activities and I will not hold the above listed individuals or companies responsible for the same. *

I have read and agree to the above Terms and Statements

Required

I understand that in the unexpected event of a medical emergency, the employees or agents of The Countyline Equestrian Center have permission to seek and authorize medical attention and services for the Undersigned or any horse owned by the Undersigned. *

I have read and agree to the above Terms and Statements

Required

It is my intention by this instrument to exempt and release the Countyline Equestrian Center and all Released Parties as defined above, from all liability or responsibility whatsoever for personal injury, property damage, or wrongful death, however caused, including but not limited to the negligence of the released parties, whether passive or active. I have fully informed myself of the contents of this liability release and express assumption of risk by reading it before I signed it on behalf of myself and my heirs. *

I have read and agree to the above Terms and Statements

Required

Print Students Name(s): *

Parents Name(s)(If Minor)

Complete Address: *

Email *

Phone Number *

Parent or Guardian's Signature: *

Date *

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