RELEASE OF LIABILITY FOR PONY RIDES

The undersigned acknowledges that the handling and riding of horses is hazardous to both rider and horse and therefore willingly and knowingly accepts whatever risks are involved while riding.  The understanding hereby releases instructors/handlers from William R. Heberle Stables, Inc. and/or William R. Heberle and/or William R. Heberle Stables, Inc. from all liabilities arising out of any occurrence which result in injury, loss and/or damage to the rider(s), horse and/or equipment.  Additionally, the undersigned prohibits any relative, representative and/or agent from seeking relief for damages from instructors at William R. Heberle Stables, Inc. and/or other instructors/handlers and/or William R. Heberle and/or William R. Heberle Stables, Inc. on behalf of the undersigned.

Participant and/or Participant’s agent understands that they shall be responsible for any legal fees Handler/instructor will incur in the defense of any litigation with regard to the injury and/or death to said Participant.

You are riding and working entirely at your own risk, and by signing this form you understand and agree to this. Should you be injured, by signing you understand and agree that all medical bills are entirely your responsibility.

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Print  Person responsible for party                        Sign, Person responsible for party                            Date

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Signed, parent of child                                     Child                   Phone Number Today                 Date

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Signed, parent of child                                     Child                   Phone Number Today                 Date

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Signed, parent of child                                     Child                   Phone Number Today                 Date

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Signed, parent of child                                     Child                   Phone Number Today                 Date

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Signed, parent of child                                     Child                   Phone Number Today                 Date

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Signed, parent of child                                     Child                   Phone Number Today                 Date