PONYLAND PONY PARTIES
Pony Rides for all occasions
Brian & Beth West, Owners
6392 Ledge Road
Thompson, Ohio 44086
440-429-5650
www.ponylandponyparties.com
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EQUINE LIABILITY RELEASE FORM
This form must be completed for each participant.
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| The following waiver is required according to Ohio Revised Code section 2305.321 and must be completed every participant or by the parent or guardian of any child under the age of 18 in order to participate in an equine related activity. According to Ohio law, no one will be able to participate in any activity involving BRIAN WEST ENTERPRISES, INC. and PONYLAND PONY PARTIES without providing a completed release form.
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I am aware that the propensity of a horse to behave in ways that may result in injury, death, or loss to persons on or around the equine;
I am aware of the unpredictability of a horses reaction to sounds, sudden movement, unfamiliar objects, persons, or other animals;
I am aware that there may be hazards, including, but not limited to, surface or subsurface conditions;
I am aware that there is a risk of collision with another horse, a person, or an object;
I am aware of the risk of the potential of an equine activity participant to act in a negligent manner that may contribute to injury, death, or loss to the person of the participant or to other persons, including, but not limited to, failing to maintain control over a horse or failing to act within the ability of the participant.
I understand the dangerous nature of a horse outlined above and have been advised that I should wear a helmet for my safety.
I have been provided a helmet, if I choose not to wear it I assume all liability and responsibility for any injuries that occur as result and agree to hold BRIAN WEST ENTERPRISES INC, PONYLAND PONY PARTIES, BRIAN & BETH WEST, THEIR EMPLOYEES OR AGENTS HARMLESS.
I assume all responsibility for any injuries I suffer as a result of any accident occurring with any animal owned or operated by BRIAN WEST ENTERPRISES, INC, PONYLAND PONY PARTIES, BRIAN AND BETH WEST OR THEIR EMPLOYEES OR AGENTS.
I UNDERSTAND BRIAN WEST ENTERPRISES, INC and PONYLAND PONY PARTIES RESERVES THE RIGHT TO REFUSE SERVICE TO ANY PATRON FOR SAFETY REASONS.
I understand that my child may be weighed on a scale if there is a dispute in the weight limit.
I have read and understand this release before signing it.
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| This release covers all children from same immediate family. |
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| Print Child(rens) names if from same immediate family only: |
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Signature of Guardian, Relationship
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| Date:_______________________
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| Street Address:___________________________
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| City ________________ State_______ Zip Code _________ |
| Checked by: _____________________ |
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