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Beulah Land Farm Release Form

Beulah Land Farms Release Form- Beulah Land Farm Drive (3065 Highway 81 North) Calhoun Falls, SC 29628. Phone: 864-348-3232

 

Name:________________________________________Age: (if under 21):__________Date:_________________

 

Address:____________________________________________________________Phone:____________________

 

City:____________________________________________State:______________________ Zip:_______________

 

Warning:

UNDER SOUTH CAROLINA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN AN EQUINE ACTIVITY RESULTING FROM AN INHERENT RISK OF EQUINE ACTIVITY, PURSUANT TO ARTICLE 7, CHAPTER 9 OF TITLE 47, CODE OF LAWS OF SOUTH CAROLINA, 1976.                                              

Assumption of Risk

I acknowledge that the enjoyment and excitement of Horseback riding is derived in part from the inherent risk incurred by this activity. These inherent risks contribute to such enjoyment and excitement and are a reason for my participation. I am solely responsible for my decision to participate in this activity. I understand and accept that Horseback riding involves dangers and risks which may include, but are not limited to the following:

          Horse behavior or temperament which includes, biting, kicking or stepping on a person;

          Falling off or being thrown from a horse, such risk increases at higher speeds;

          Unforeseen maladjustment or malfunction of saddles and tack;

          Horseback riding on rugged terrain, including slippery trails;

          Injuries inflicted by animals, insects, plants or other participants;

          Accidents or illness in remote places without medical facilities;

          The forces of nature including lighting, unsuspected changes in terrain, weather changes, and others not named;

          The physical exertion associated with Horseback riding.

 

Release Agreement

In consideration of Beulah Land Farm furnishing horses to enable me to participate in this activity in which I may not be skilled, I hereby assume all risk of injury or loss of life to myself, and loss of or damage to property arising out of my participation in such an activity, including hazards associated with any defect in a manufacturer’s product. I specifically release and hold Beulah Land Farm, its owners, operators, agents, volunteers, guides, employees, participants and Beulah Land Farm harmless from any and all liability, including negligence (active or passive), as to any right of action or claim to relief that may accrue either to me or to my heirs or personal representatives for any such injury, loss of life, medical costs, attorney’s fees, court costs, or loss of or damage to property which I may suffer while participating in equine activities, including activities preliminary and subsequent thereto. I declare that I carry medical insurance fully covering any and all injuries incurred. I further understand Beulah Land Farm carries no medical insurance for the protection of participants in Horseback riding, and any insurance coverage existing with respect to Beulah Land Farm, shall not alter the terms of this waiver nor impose any liability on Beulah Land Farm. I have carefully read this release and fully understand its contents, I am aware that this is a complete release of liability and I sign it of my own free will.  This release will remain in full force and effect for all visits by me to Beulah Land Farm unless I explicitly revoke it in writing and deliver such revocation in person to Beulah Land Farm.

I also agree to obey all Stable Rules and all other posted signs or directions while participating in the equine activities.

 

Signature:__________________________________________Date___/___/___Confirmation Number _________ 

If under 18 years of age:

SIGNATURE OF PARENT OR GUARDIAN:  ________________________________________________________________________

 

PRINT NAME OF PARENT OR GUARDIAN: ________________________________________________________________________

 I understand and acknowledge that wearing a protective helmet may reduce the risk of head and spinal cord injuries to me while participating in equine activities; nevertheless, I hereby voluntarily choose not to wear a protective helmet.  

 
Signature: ____________________________________
 
Parent/Guardian Signature:______________________
 
 ______________________________________________________________________________