Iron Horse Performance Waiver

Acknowledgement of Risk & Release of Liability

18 years of age+

Participant's Name *

Date of Birth *

Address *

Phone Number *

Email Address *

Every person must read and understand this form before participating in equine activities.

To: Iron Horse Performance and to all Property Owners (private, federal, provincial or municipal), their Owners, Employees, and Volunteers (all of them collectively referred to as ‘Host’).

Check the box of each item below after reading and understanding the item.

1. I understand there are inherent dangers, hazards and risks (collectively called risks) associated with equine activities and injuries resulting from these risks are a common occurrence. *

Yes

2. I acknowledge that the inherent risks of equine activities mean those dangerous conditions are an integral part of equine activities, including but not limited to: · The propensity of any equine to behave in ways that might results in injury, harm or death to persons on or around them and to potential collide with, bite or kick other animals, people or objects. · The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects. · The potential for other participant(s) to act in a negligent manner that might contribute to injury to themselves or others, such as failing to act within their ability or to maintain control over an equine. *

Yes

3. I freely accept and fully assume all responsibility for the inherent risks and the possibility of personal injury, death, property damage or loss resulting from my participation in equine activities. *

Yes

4. I acknowledge that it remains my sole responsibility to act in such a manner as to be responsible for my own safety and to participate within my own limits. *

Yes

5. I further acknowledge that in addition to the risks associated with equine activities, that there are risks associated to the equipment and vehicles located on the property. *

Yes

6. In addition to consideration given for my participation in equine activities and presence at the property, I and my heirs, executors, administrators and assigns (collectively called my ‘Legal Representatives) agree: · To waive all claims that I might have against the ‘Host’; and · To release the ‘Host’ from any and all liability for any loss, damages, injury or expense that I or my ‘Legal Representatives’; might suffer as a result of my participation due to any cause whatsoever including any negligence on the part of the ‘Host’; and · To hold harmless and indemnify the ‘Host’ from any and all liability for property damage or personal injury to any third party which might result from my participation in equine activities. *

Yes

Protective Head Gear & Boots

1. Proper riding footwear is required by all participants, regardless of age when involved in horse related activities. *

Yes

2. All riders are required to wear approved protective head gear while riding at all times. *

Yes

Insurance

We strongly encourage all participants in equine related activities to secure their own personal liability insurance. This can be done through an annual membership with Ontario Equestrian.

Marketing Release

Do you give permission to Iron Horse Performance to use any photos of you for marketing purposes? Please check the box of your response. *

Yes

Before signing this form, I read it (as indicated by my initials above) and I stated that I understand it. I know that signing this form, waives certain legal rights I or my ‘Legal Representatives’ might have against the ‘Host’.

Signed on: * +

Print Name of Witness *

Signature of Witness *

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Print Name of Participant *

Signature of Participant *

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