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HORSE RIDING CONSENT FORM
RELEASE AND WAIVER OF LIABILITY
MOWBRAY PARK FARM HOLIDAYS PTY LTD ATF Mowbray Park Farm Holidays Unit Trust
ABN: 67 003 015 615
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: ___/___/________
Details of riding experience:
Riding experience (tick where appropriate)
Never ridden
Occasional rides
Frequent rider
Very experienced
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 Farm Holidays Pty Ltd. to the greatest extent allowed by law in the event of me and/or children under my care, suffering injury or death.
Dated___/____/____
Signature of rider/guardian_______________________________
The duty of care by the proprietors of Mowbray Park Pty Ltd. ATF Mowbray Park Farm Holidays Unit Trust is to conduct the ride keeping in mind the welfare and safety of the rider (Section 74 Trade Practices Act).
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