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HORSE RIDING CONSENT FORM
MOWBRAY PARK PTY LTD ATF Mowbray Park Farm Holidays Unit Trust.abn
67 003 015 615
Release and Waiver of Liability
HORSE RIDING IS A DANGEROUS ACTIVITY
I understand and acknowledge that horse riding is a dangerous activity and that horses can act in a sudden and unpredictable (changeable) way, especially if frightened or hurt.
I understand and acknowledge that serious INJURY or DEATH may result from horse riding activities and in particular this ride/lesson. I agree that I RIDE at my OWN RISK.
I agree not to drink alcohol or take drugs prohibited by law before or during this ride.
Conduct
I agree to follow the directions of the ride leader/instructor and that any misconduct or refusal by me to follow any direction of the ride leader/instructor will result in the CANCELLATION of my riding fee and my immediate removal from my horse NO MATTER where that may occur.
I agree to wear a helmet during the lesson/ride.
Health
I am in good health and I have no physical disabilities
OR
I have the following physical disabilities
(Strike out whichever one is inappropriate)
Name of rider and guardian (if under 18 years):
________________________________________________
Address: _______________________________________________________
________________________________________________
Phone: ______________ Date of Birth: _____________
Occupation:______________ _
Riding experience (tick where appropriate)
Very experienced...... Less than 50 hours riding experience......
Never ridden...... Less than 20 hours riding experience ......
Details of riding experience:
Effect of this Document
I understand that my signature to this document constitutes a complete and unconditional release of all liability of the proprietors of Mowbray Park Pty Ltd Atf Mowbray Park farm Holidays Unit Trust.To the greatest extent allowed by law in the event of me and/or my children under my care, suffering injury or death.
Dated___/____/____
Signature of rider/guardian_______________________________
Duty of Proprietors of Mowbray Park Farm Holidays Pty Ltd.
The proprietors will exercise due care and skill in providing each rider with a suitable horse and will conduct the ride keeping in mind the welfare and safety of the rider (Section 74 Trade Practices Act).
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