Rider Release

  • Name of Rider:
  • Address:
  • City: , State: , Zip:
  • Date of birth: , Gender:  M F
  • Height: , Weight:
  • Home telephone: , Cell phone:
  • Email:


I, the undersigned have read and understand, and freely and voluntarily enter into this release and hold harmless agreement with Alum Rock Riding Academy (ARRA) Deanna Marie Scanlan, understanding that this release and hold harmless agreement is a waiver of any and all liability(ies).

I understand the potential dangers that I could incur in mounting, riding, walking, boarding, feeding said horse; including, but not limited to, any interactions with other horses. Understanding those risks I hereby release that company, its officers, directors, hareholders, employees, and anyone else directly or indirectly connected with that company from any liability whatsoever in the event of injury or damage of any nature(or perhaps even death) to me or anyone else caused by of incidental to my electing to mount and ride a horse owned or operated by ARRA or Deanna Marie Scanlan.

I understand and recognize and warrant that this release and hold harmless agreement, is being voluntarily and intentionally signed and agreed to, and that in signing this release and hold harmless agreement I know and understand that this release and hold harmless agreement may further limit the liability of equine professionals to include any activity, whatsoever, involving an equine, including death, personal injury and or damage to property.

I recognize and agree that I know which equine professional(s) I will be working with, and acknowledge that I agree said equine professional(s) has/have made responsible and prudent efforts to determine my ability to engage in the equine activity, and has/have sufficient knowledge of my equine and horseback riding skills as to relieve, release and hold harmless said equine professional(s) from any continuing duty to monitor my equine activities.

I further voluntarily agree and warrant to release and hold harmless this(these) equine professional(s) from any liability whatsoever, including, but not limited to, any incident caused or related to said equine professional’s(s’) Negligence, relating to injuries known, unknown, or otherwise not herein disclosed; including, but no limited to, injury, death, or property damage from: mounting, riding, dismounting, walking, grooming, feeding; use of horse barn, paddock, trails, or horse ring, in any capacity; falling off horse whether horse is bucking, flipping, spooked; or my failure to understand any equine professional’s directions relating to my riding or otherwise use and control, or lack thereof, of my horse or the horse I have been assigned to.

Participants in the Alum Rock Riding Academy activities may be photographed and the images then used in Alum Rock Riding Academy promotional and educational materials. I allow Alum Rock riding academy to photograph my child for use in educational and promotional materials. I understand that these images can be used in Alum Rock Riding Academy’s materials without any payment of fees, in perpetuity.

Person voluntarily entering into this release and hold harmless agreement:

Date: ,
Printed name (Parent or Guardian if under 18):

I accept the terms of the release:  Accept

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