Aries Farm, LLC

Equine Activity Release and Authorization

 

This form must be completed by and for each participant.

PREMISES OWNERS ARE Brianne and Randy Olson, hereinafter known as Aries Farm, LLC.

 

PLEASE READ CAREFULLY BEFORE SIGNING

 

SERIOUS INJURY MAY RESULT FROM YOUR PARTICIPATION IN THIS ACTIVITY.  ARIES FARM, LLC DOES NOT GUARANTEE YOUR SAFETY OR THAT OF YOUR HORSE. IT IS HEREBY AGREED TO AS FOLLOWS THAT:

 

1. REGISTRATION OF RIDERS AND AGREEMENT PURPOSE

I, the following individual hereinafter known as the “RIDER”, and the parents or legal guardians thereof if a minor, do hereby voluntarily request and agree to participate in horse riding on the premises of Aries Farm, LLC, and that this RIDER will ride his/her own horse or one borrowed or leased by RIDER’S own arrangement today and on all future dates:

 

RIDER NAME: ____________________________________________________

RIDER AGE (if 17 and under):________________________________________

 

2. AGREEMENT SCOPE AND TERRITORY AND DEFINITIONS 

This agreement shall be legally binding upon me the registered RIDER, and the parents or legal guardians thereof if a minor, my heirs, estate, assigns, including all minor children, and personal representatives; and it shall be interpreted according to Minnesota state laws. Any disputes by the RIDER shall be litigated in and venue shall be Hennepin County, Minnesota. 

 

The term “HORSE” herein shall refer to all equine species. The term “HORSEBACK RIDING” or “RIDING” herein shall refer to riding or otherwise handling of horses, ponies, mules, or donkeys, whether from the ground or mounted. The term “RIDER” shall herein refer to a person who rides a horse mounted or otherwise handles or comes near a horse from the ground. The terms “I”, “me”, “my” shall herein refer to the above registered rider and the parents or legal guardians thereof if a minor.

 

3. ACTIVITY RISK CLASSIFICATION

Horseback riding is classified as RUGGED ADVENTURE RECREATIONAL SPORT ACTIVITY, and that there are numerous obvious and non-obvious inherent risks always present in such activity despite all safety precautions. Related injuries can be severe, requiring more hospital days and resulting in more lasting residual effects than injuries in other activities.

 

4. NATURE OF RIDING HORSES

No horse is a completely safe horse. If a horse is frightened or provoked it may divert from its training and act according to its natural survival instincts which may include, but are not limited to: stopping short, changing directions or speed at will; shifting its weight; bucking; rearing; kicking; biting; or running from danger.

 

5. RIDER RESPONSIBILITY

Upon mounting a horse and taking up the reins, the RIDER is in primary control of the horse. The RIDER’S safety largely depends upon his/her ability to carry out simple instructions, and his/her ability to remain balanced aboard the moving animal. The RIDER shall be responsible for his/her own safety.

 

6. CONDITIONS OF NATURE

Aries Farm, LLC is NOT responsible for total or partial acts, occurrences, or elements of nature that can scare a horse, cause it to fall, or react in some other unsafe way. SOME EXAMPLES ARE: thunder, lightning, rain, wind, wild and domestic animals, insects, reptiles, which may walk, run, fly near, bite and/or sting a horse or person; and irregular footing on out-of-door groomed or wild land which is subject to constant change in condition according to weather, temperature, and natural and man-made changes in landscape.

 

7. INSPECTION OF PREMISES 

RIDER has inspected Aries Farm, LLC facilities and trails and is satisfied that all premises’ conditions are reasonably safe for RIDER’S intended purpose, usage and presence upon the Aries Farm, LLC premises.

 

8. ACCIDENT/MEDICAL AND PERSONAL LIABILITY INSURANCE

Should medical treatment be required, I and/or my own accident/medical insurance company shall pay for all such incurred expenses. Should my actions or that of my horse cause injury or damage of any kind, I and/or my own personal liability shall pay for such damages. 

 

9. PROTECTIVE HEADGEAR WARNING

I have been fully warned and advised by Aries Farm, LLC that the RIDER should purchase and wear protective headgear (riding helmet), and that the wearing of such headgear while mounting, riding, dismounting, and otherwise being around horses, may prevent or reduce severity of some head injuries and even prevent death from happening as the result of a fall or other occurrence. Minors 16 and under are required to wear protective headgear.

 

10. LIABILITY RELEASE

In consideration of Aries Farm, LLC allowing my participation in this activity, under the terms set forth herein, I, the RIDER, and the parent or guardian thereof if a minor, do agree to hold harmless and release Aries Farm, LLC, its owners, agents, employees, officers, members, premises owners, insurers, and affiliated organizations from legal liability due to Aries Farm, LLC ordinary negligence; and I do further agree that except in the event of Aries Farm, LLC gross negligence and willful and wanton misconduct, I shall not bring any claims, demand, legal actions and causes of action, against Aries Farm, LLC and/or its associates, for any economic and non-economic losses due to bodily injury, death, property damage, sustained by me and/or my minor child or legal ward in relation to the premises and operations of Aries Farm, LLC, to include while riding, handling, or otherwise being near horses owned by or in the care, custody and control of Aries Farm, LLC.

 

All RIDERS and Parents or Legal Guardians must sign below after reading this entire document:

 

SIGNER STATEMENT OF AWARENESS

 

I/WE, THE UNDERSIGNED, HAVE READ AND DO UNDERSTAND THE FOREGOING AGREEMENT, WARNINGS, RELEASE AND ASSUMPTION OF RISK. I/WE FURTHER ATTEST THAT ALL FACTS RELATING TO THE APPLICANT ARE TRUE AND ACCURATE.

 

 

_________________________­­­_______________________________ DATE __________

SIGNATURE OF RIDER 

(Parent/guardian must sign for RIDER 17 and under.)

 

 

________________________________________________________ DATE __________

PRINTED NAME of RIDER or parent/guardian             

 

 

________________________________________________________________________

ADDRESS                                                                      CITY                 STATE              ZIP

 

(______)_________________________

PHONE NUMBER of RIDER or parent/guardian 

 

 

________________________________________________________________________

EMERGENCY CONTACT            RELATIONSHIP                         PHONE NUMBER

 

 

Does the RIDER have any medical concerns we should be aware of in the event of an emergency?

 

 

 

 

 

 

 

Please email completed form to AriesFarmEst2016@gmail.com, or mail to:

 

Brianne and Randy Olson

4550 Pioneer Trail, Medina, MN 55340