| Agreement for Equine Boarding
Your Stable Name This agreement is made and entered into by and between ______________________________, (Boarder/Owner of Horse), hereinafter designated "Horse Owner", and Your Stable Name, hereinafter designated as the "Farm". This agreement covers the horse(s) described as follows:
The Horse Owner agrees that
Horse Owner and Your Stable Name mutually agree that
Emergency Care
First Choice
___________________________________________________________________ If none of the above listed veterinarians is available, Your Stable, acting as an agent of the Horse Owner, is authorized to contact an alternate veterinarian.
Limitations to Emergency Care (1) Do everything possible to save the life of the horse, no matter what the cost or time involved. Yes No
(2) Do everything possible to administer aid to the horse, e.g., broken leg, but immediate loss of life not eminent. Yes No
(3) Leave the choice to the attending vet as to whether it is feasible to use drastic care measures or euthanize the horse. Please indicate if you wish a second opinion . Yes No
(4) Is there a dollar ($) limit that you do not wish to exceed in emergency care? e.g., the vet states that leg is broken and may be saved, or that the horse has colic and may be saved by surgery at Your Stable or hospital, but the initial cost will be $XXXX and continued care cost is unknown. Remember that even if there are complications during emergency care and costs exceed this amount, you are responsible as the Horse Owner. Amount $_____________
(5) If the horse needs to be transported to a veterinary hospital, who do we contact to move the horse?
(6) Is the horse covered by insurance? If so, what is the name of the company and the telephone contact number for the company?
(7) Additional Guidelines and Comments:
Signatures & Contact Information
____________________________________________ _______________________
Address__________________________________________________________________
Telephones ___________________________(home)
_____________________________(work)
_____________________________________________ _______________________
Your Stable Name, Your Address 1, Your City, State, Zip I, the undersigned, wish to ride and handle horses. I understand that riding and handling horses involves accepting certain risks. Those risks include, but are not limited to, the risk of injury resulting from falling from a horse, being stepped on or kicked by a horse, from a horse running into fences, trees, or buildings, and injuries resulting from tripping or falling over obstacles in the riding areas. In addition, I understand that the injuries sustained from riding and handling horses could be serious or could even result in death. Despite this and other risks, and fully understanding such risks, I wish to ride and handle horses. I hereby assume all the risks of riding and handling horses. I also hereby hold harmless the horse owner, if not my own horse, and the owners of Your Stable Name, and agree to defend them against any claims or actions resulting from my riding and handling horses, including all expenses and attorney fees. I hereby release Your Stable Name, owners Pamela Hunter and Everette Hunter, and other horse owners with animals stabled there from any and all liability, and I understand that this release shall be binding upon my estate and all my representatives. I further acknowledge and understand that any horse activity, including, but not limited to, feeding, grooming, handling, even being in close proximity to horses, carries a certain amount of risk. I fully accept this risk for myself and any guests with me. I release Your Stable Name, its owners, and/or other horse owners with animals stabled there from any and all liability for any injury or death that may occur from such horse activities while on the premises and indemnify and hold Your Stable Name, its owners, and/or other horse owners with animals stabled there harmless against any such liabilities, such indemnification to include attorney fees. I hereby certify to Your Stable Name, its owners, and other horse owners with animals stabled there that I am in good health and do not suffer from any physical limitation that could be aggravated by riding or handling horses. This release applies to the owners of horses on the premises of Your Stable Name, to the owners of Your Stable Name, to owners of any equipment on the premises of Your Stable Name, and to any of their heirs, successors, and assignees. I agree to ask the owners of Your Stable Name for clarification of any rule or safety procedures, for further instruction as regards anything that I do not understand about the equipment and the animals, or as regards anything else that may affect the safety of, or riding of, or handling of, horses on the premises. I also acknowledge that the owners of Your Stable Name strongly recommend the use of relevant equine safety gear, such as helmets, but do not specifically require its use. As such, I accept full responsibility for any and all injuries whether or not I choose to accept this recommendation. I have fully read this Waiver of Liability and Assumption of Risk carefully and understand that by signing below I am agreeing, on behalf of myself, my estate, my heirs, representatives and assigns not to sue Your Stable Name, its owners Pamela M. Hunter and Everette C. Hunter, and/or horse owners with animals stabled there, or to hold him/her/them liable for any injury, including death, from riding horses. I understand the terms of this waiver of liability and assumption of risk, and I intend to be fully bound by this agreement. Under Washington law, an equine professional is not liable for any injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities. By virtue of my signature, I acknowledge and agree to all terms and conditions set forth on this form and further acknowledge that I have carefully read this agreement and understand what I am signing. Signature __________________________________________________________ Date ________________________ Date of birth (if < 18 years of age) ________________________________________
Parent(s) or Guardian of Minor Applicant
Signature(s)
_______________________________________________________ (Please print) Name(s) ________________________________________________________________________________
Street Address __________________________________________________
Telephones ___________________________(home)
______________________________ (work) |