EQUINE COACHING & THERAPY RELEASE OF LIABILITY

Equine Coaching & Therapy participation release form. 

Equine Coaching Therapy activities are all 'ground based' and involve NO riding. No previous horse experience is necessary for these activities. 

Working with and/or around horses is a dangerous activity. The client assumes all risk, loss or damage and injury, direct or indirect from participation in these activities, whether occurring prior to, during or subsequent to the activity.

The client agrees that Jackie Archer, Jackie Archer Therapy and any service provider or facility associated with the service provided are not responsible for any injury to the client and the client assumes all liability for understanding and agreeing to the health and safety information they have been provided with, wearing PPE and their participation in activities and understands the unpredictability of horses. 

The client agrees to defend and indemnify Jackie Archer, Jackie Archer Therapy, and any service provider or facility associated with the services. The client will hold Jackie Archer, Jackie Archer Therapy and any service provider or facility associated with the services, harmless and not hold them responsible for any claims, damages, and expenses (including reasonable attorney's fees and litigation costs) resulting from - 

1. any error, act, omission or fault of the client or client's representative
2. any misrepresentation by client or client representatives relating to Jackie Archer, Jackie Archer Therapy and any service provider or facility associated with the services, and any third party owner from the products from, any claims, warranties, or representations made by the client and client's representative with differ in any manner from the warranty and insurance provided by Jackie Archer Therapy and the Facility. 

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Client Name
(first/last)
*
I agree with the release of liability statement *
I give my permission for my photograph to be taken during activities (note, these photo's may be used for marketing purposes by Jackie Archer Therapy or the Facility with your permission). *
Date *
MM
/
DD
/
YYYY
Client Signature *
Age of Client *
Parent / Guardian Name (if required)
Signature of Parent / Guardian (if required)
Jackie Archer Therapy

Jackie Archer
Psychotherapist & Coach 

info@jackiearchertherapy.com                                     www.jackiearchertherapy.com
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