As further consideration for you providing me or my child with riding facilities and/or
instruction, I am delivering to you (you meaning Lake Lindsey Equestrian Center, Inc. and
its owners, directors, officers, employees, trainers, contractors, volunteers and agents) this
release of liability concerning my and my child’s equestrian activities. I understand and
acknowledge that there are dangers inherent with the activity of horseback riding and
other equestrian activities, and that it is not possible to foresee or to prevent all such
possible dangers. I am fully aware that the serious risk associated with these activities
cannot be eliminated. I am also aware that accidents during equestrian activities can be
precipitated by a sudden or unforeseen occurrence and that resulting injuries can be
crippling or even fatal to the rider. I am familiar with the basic rules of safety applicable to
this sport, including the importance of wearing the appropriate helmet and other safety
gear at all times, and I understand that it is not your responsibility to remind me of these
safety measures. I am solely responsible for the safety and good condition of riding
equipment I or my child uses. I agree to personally assume each and every risk associated
with this equestrian activity, regardless of whether I am riding my own horse or a horse
owned by you or another person. Therefore, I hereby release, waive and forever discharge
Lake Lindsey Equestrian Center, Inc. and its owners, directors, officers, employees, trainers,
contractors, volunteers and agents, and the owner of any animal which I or my child may
ride and the owner of any property upon which I or my child may ride, from any claim,
demand, action or right of action, of whatever kind or nature, either in law or in equity
arising from or by reason of personal injuries known or unknown, death or property
damage resulting from any accident which may occur as a result of my or my child’s
participation in equestrian activities, whether or not such injury, property damage or
death shall occur to myself, my child or my horse. I assume full responsibility for the
aforementioned risks, while engaged in equestrian activities sponsored by you, regardless
of the premises upon which said activities may be conducted. I further agree that this
release and waiver is intended to be as broad and inclusive as permitted by the laws of the
State of Florida. The provisions of this release and waiver shall apply to me, my spouse and
to each of my minor children. I certify that I am the legal guardian of the child listed next
to my signature, and that I have full authority to sign this Release on my child’s behalf.

WARNING: UNDER FLORIDA LAW, AN EQUINE ACTIVITY SPONSOR OR
EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO, OR THE
DEATH OF, A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE
INHERENT RISKS OF EQUINE ACTIVITIES.

I acknowledge and affirm that I have carefully read the contents of this Release, fully
understand it s meaning and sign this waiver and release voluntarily.

Rider's Name: _________________________ Age: _______ Signature: ____________________________

Phone #: ____________________________________ E-mail Address: _____________________________

Emergency Contact: ______________________________ Phone #: _______________________________
Please attach copy of your medical insurance card.

If Rider is a minor, please also complete the following:

Mother's Name: ______________________ Phone: _____________ Signature: _____________________

Father's Name: ______________________ Phone: _____________ Signature: _____________________

Liability Release