PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR UNDERSTANDING AND ASSENT TO THESE STATEMENTS BY PRINTING THIS FORM OFF AND SIGNING WHERE INDICATED BELOW

WARNING

Under Texas Law (Chapter 87, Civil Practice and Remedies Code), an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities.

I, the undersigned, understand and believe that the use, handling, and riding of a horse involves a risk of physical injury to any individual undertaking such activities. I further know that any horse, irrespective of its training, usual past behaviour and characteristics, may act or react unpredictably at any time. With full awareness of the foregoing, I am knowingly and voluntarily engaging in horseback riding activities. The possibility of injury to myself or my horse as a result of this activity is accepted as a risk inherent in work on and around horses.

I, the undersigned, understand that horseback riding is a rigorous activity, physically and mentally demanding. I hereby represent that I have the requisite level of physical fitness and mental alterness to enable us to participate in riding activities for which this waiver is being obtained. Both my horse and I are in good health and free from injury, illness, or other defects which may impair our ability to engage in this activity.

I, the undersigned, recognizing the threat of exposure to tetanus that exists in the presence of livestock, acknowledge my responsibility to obtain innoculation and maintain protection against tetanus, a disease endemic to horses.

I, the undersigned, acknowledge that I sought the sevices of an independent contractor, Instructor Ashley Hammill, Lindy Taylor or Cheryl Morency after considering her qualifications and reputation. I also requested and accepted the use of a horse (if other than owned by the undersigned) for instruction as well as any on or off-premises shows or clinics for which I obtained permission.

Furthermore, I understand that riding instruction by its nature, requires that the instructor issue direction in the form of "commands", and I understand that, while due deference must be given to such commands, I must and will use my own jdudgement where the situation demands it, including the direction by the instructor regarding which horse to ride. I understand that none of the horses should be assumed to be "school horses". I understand and accept that the instructor will attempt to match the horse for my use with my abilitities and I may decline at any time to ride the horse selected. I understand that all activitieis engaged in as part of the instruction are entirely voluntary and that I may elect not to comply with any suggested activity or instructor "command".

I, the undersigned, expressly and voluntarily assume all risks attendant to horseback riding and related activities, including by not limited to those discussed in the foregoing paragraphs, and I do hereby fully and forever release, discharge, and hold harmless, Ashley Hammill, Lindy Taylor and/or Cheryl Morency or any of her assistants, assisting instrucors and/or co-workers, as well as any other participants in the activitity, and the assigns of same, for any and all claims which I, the undersinged or my assigns, may assert as a result of physical injury to myself (the undersigned), a horse rider, helper or bystander. My signature on this form constitutes expression of my understanding and agreement to all that is stated above and my total and unconditional release even from claims resulting from the negligence of Ashley Hammill, Lindy Taylor and/or Cheryl Morency.

PARENT OR GUARDIAN FOR MINOR AGE PARTICIPANTS

I, the undersigned, am one of the parents of the above-named minor participant/student (and/or the duly appointed legal guardian of such minor), and I have full authority to sign this waiver for and on behalf of the minor. My signature on this form constitutes expression of my understanding and consent to the total and unconditional waiver set out above.

PLEASE PRINT INFORMATION BELOW

Name of Participant / Student  _______________________________________________

Address                                        _______________________________________________
                                                                                                                   City                   State         Zip

Phone                                           ________________             Cell ______________________


Emergency Contacts                 __________________   Phone ______________________


                                                       __________________   Phone ______________________