Contract to Assume Risk and Waive Liability

The Elegant Rider

Simone D Windeler (719) 287-2040 (cellular)

CONTRACT TO ASSUME RISK AND WAIVE LIABILITY

I represent that I am an adult signing on my own behalf or on the behalf of my minor child named ______, and that I wish to take riding and horsemanship instruction from Simone Windeler.

I understand that riding horses and working in the stable area has inherent dangers, and that I may be seriously injured, or even killed in a horse related accident. By way of illustration, horse related accident includes being stepped on, kicked or otherwise struck by a hoof, bitten, or fall from a horse.

Simone Windeler has represented to me that she will use reasonable care in the selection of horses she allows me to ride, and in supervising my riding lesson. I understand that Simone Windeler cannot prevent accidents, and I do not expect her to do so. I have been specifically advised that I can expect to fall from a horse in the natural course of learning to ride. If at any time during a lesson I become fearful to the point I wish to dismount, I will so advise Simone Windeler, my instructor.

I hereby specifically release, indemnify and hold Simone Windeler harmless from liability for any claims, which may arise out of my activities on the premises. In signing this contract, I am binding myself, my survivors, or any other person or entity seeking to assert a claim on my behalf or which arises from an accident occurring while riding under Simone Windeler, even if such accident results in permanently disabling injury or death.

I have read this contract, understand it completely, and execute it voluntarily and with full knowledge of its consequences.

Date Print name Signature Phone # E-mail

WARNING: KNOW WHAT YOU ARE SIGNING

This form will be used to prove that you understand fully the risks of horseback riding, and that you have made a free choice to ride under Simone Windeler. This form also restricts or eliminates your ability to file lawsuit against Simone Windeler for injuries you may sustain while on the premises.

UNDER COLORADO LAW, AN EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES; PURSUANT TO SECTION 13-21-119 COLORADO REVISED STATUTES.

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Emergency Contact:

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