Participant Form Participant Application PLEASE FILL OUT ONE PER INDIVIDUAL VISITING THE RANCH Step 1 of 3 33% Equine Riding Instruction and/or Training Instruction in Other Stable Activities Agreement, Liability Release and Assumption of Risk Agreement READ CAREFULLY AND COMPLETE ALL SECTIONS BEFORE SUBMITTING Name* First Last Email* Participant Date of Birth*Program you are inquiring about*Emergency Contact InformationEmergency Contact* First Last Phone*Relationship to Participant*Medical Insurance InformationCheck one I do carry medical insurance I do not carry medical insurance My medical insurance company isMy policy number isSafety InformationDoes the participant have any physical or mental condition(s), which may affect his/her safety and ability to ride, drive and/or train a horse?* Yes No If checked "yes" how can we help them with their special needs?Please check all that apply to this participant Age 18 or older Under age 18 Over 240 lbs Under 10 hours of horse experience Over 10 hours of horse experience Name of Others who are Visiting or Observing Ranch Activities / Photography ReleaseAnyone on the premise of the ranch needs to be named and accounted for in this section.Name First Last Date of Birth Name First Last Date of Birth Name First Last Date of Birth Name First Last Date of Birth Name First Last Date of Birth Photography ReleaseI authorize photos of my child/children to be used for marketing on publications unless I elect not to which is represented by checking the box below. Please do not use photos of my child in marketing publications *Anyone (adults or minors) who visits the ranch regardless of the nature of their participation while at the ranch must be named in this section. The ranch is a busy place and we expect that guardians take full responsibility for The management of themselves and minors while at the ranch. By signing this for you are acknowledging & agreeing To full responsibility of yourself and minors in your care while at the ranch. ---WARNING--- BY SIGNING THIS DOCUMENT, I ACKNOWLEDGE THAT THERE ARE INHERENT RISKS IN USING AND BEING AROUND CLOSE PROXIMITY TO HORSES. THOSE RISKS INCLUDE BODILY INJURY AND DEATH. I UNDERSTAND THAT HORSES ARE UNPREDICTABLE AND CAPABLE OF SUDDEN, UNEXPECTED, AND POTENTIALLY DANGEROUS MOVEMENTS DESPITE THEIR PRIOR HISTORY. I FURTHER UNDERSTAND THAT HORSES ARE EASILY FRIGHTENED BY SOUND, SUDDEN MOVEMENT, UNFAMILIAR OBJECTS, SMELLS, PERSONS, OR OTHER ANIMALS AND THAT THEY MAY RUN, BITE, BUCK, OR KICK. I UNDERSTAND THAT HORSES MAY ALSO ENCOUNTER NATURAL HAZARDS, SUCH AS SURFACE OR SUBSURFACE CONDITIONS AND MAY REACT UNPREDICTABLY AND THAT THEY MAY EVEN COLLIDE WITH OTHER OBJECTS, PERSONS, OR ANIMALS. I UNDERSTAND THAT RIDERS CAN ALSO FALL OFF OF HORSES AND INJURE THEMSELVESAll parts of this agreement shall apply to me and the minors listed below and shall be valid and binding at all times, now and in the future, when I am on the premises of Hope Rides (8180 Hwy 25 Mayer MN) and 14925 58th Street Mayer MN or any other location associated to Hope Rides for any purpose related to or in conjunction with Hope Rides events, activities, field trips, or programming related items. IT IS HEREBY AGREED TO AS FOLLOWS: That I, the undersigned, do for myself or on behalf of my child or legal ward, hereby voluntarily request to participate in gardening, husbandry, horse, goat, chicken, ducks, dogs, cats and other farm related livestock and activities that are connected to participation with Hope Rides and ranch life related activities and instruction as a visitor, participant, student or volunteer with Hope Rides at any and all site locations associated to Hope Rides or connected to Hope Rides related activities, programs or events.ASSUMPTION OF RISK AND WAIVER AND RELEASE: That I, the parent or legal guardian or adult volunteer, understand that horses are unpredictable by nature; that when frightened, angry or under stress, a horse’s natural instinct is to jump forward or sideways, to run away from danger at a trot or gallop, to kick, to buck, to rear up in front or to bite; that horses are extremely powerful ; and that if a student or volunteer falls to the ground or gets in the way of a frightened horse, that damaging injury can result. Additionally I understand that outside of horses there are other livestock/animals and activities that are connected to the ranch and are part of the ranches mentorship programs and interaction within any of these scopes has inherent risks that I acknowledge and understand these risks and I voluntarily assume these risks and dangers. I hereby represent that I am capable of using and being in close proximity to horse and their environment. I further represent that I am competent and capable to participate in the activities that I will be participating in. I agree to personally and fully assume the risks associated with my presence and participation at Hope Rides and any establishments associated to Hope Rides programs, events and activities. Therefore, I here release, waive, and forever discharge Hope Rides and any site locations associated with Hope Rides programs, its owners, share holders, employees, agents, officers, and directors from any and every claim, demand, action or right of action, of whatever kind of nature, either in law or in equity, arising from or by reason of any bodily injury or personal injuries known or unknown, death, or property damage resulting during my presences or involvement with Hope Rides while at any site locations associated to Hope Rides programs, events or activities, whether or not such injury, property damage or death is caused by negligence. I assume full responsibility for the risk of bodily injury, death or property damage, during my presence or involvement of any kind with Hope Rides. I hold Hope Rides and all locations associated to Hope Rides programs, events and activities and its owners, shareholders, employees, agents, officers, and directors harmless for any liability therefore. Hope Rides conducts regular scheduled programming at events at three site locations. They include Hope Rides 8180 Hwy 25 Mayer MN, 14925 58th Street Mayer MN, 8190 Hwy 25 Mayer MN, as well as a host of other locations that we visit during programming for education and learning purposes. In signing this you are acknowledging that while associated to programming, any event, activity or premise that Hope Rides may visit for the purpose of programming that you release any and all of these locations, owners, shareholders, employees, agents and officers and directors harmless for any liability thereafter and forever. Communicable Disease The nature of programming activities at Hope Rides carries an inherent risk of exposure to communicable disease (e.g. COVID-19, influenza, etc). While Hope Rides has implemented preventative measures to limit the risk of infection from communicable disease, there is no guarantee that participants will not become infected with a communicable disease. By signing this waiver, I acknowledge the contagious nature of communicable disease and voluntarily assume all risk of exposure or infection to myself or child(ren) in connection with presence on premises or participation in programming. I hereby release Hope Rides from any and all liability of exposure to or illness from communicable disease in association with presence on premises or participation in programming. Helmet use: That I have been advised that participant(s) are to wear an equestrian ASTM/SEI certified helmet (provided) when around and working with the horses or in barn and that neither Hope Rides, Shadow Creek Stable, Hollywood Stables or Equine Haven or any of its assistants or agents can guarantee the suitability of any helmet provided. Attire: That I have been advised that participant(s) are to wear protective clothing such as long pants and closed toed shoes that cover and protect the entire foot. Insurance: That the participant(s) is currently covered by accident-medical insurance and will remain insured for the duration of all instruction while participating with Hope Rides. Insurance: That I further understand that should any medical treatment be required, the current insurance number entered above will be provided to the attending clinic or hospital to cover future payment of incurred bills. That this agreement is entered into in the state of Minnesota and will be interpreted and enforced under the laws of that state. Knowing and Voluntary Execution: Upon the signing of this agreement, the student (if 18) and parent/legal guardian acknowledges that he/she has read or has had their legal guardian explain the content provided here and agrees to be bound to the contents of this agreement. Photography, Film and testimonials: I as legal guardian of named participants or myself, give permission to Hope Rides to use any pictures, film footage, or testimonials acquired during Hope Rides events for Hope Rides public relations & marketing usage. Transportation: I ,as legal guardian of named participants or myself, understand that as part of programming at Hope Rides participants will have the opportunity to go one field trips & I give permission to Hope Rides to transport me or my child to & from field trips, programming or Hope Rides events. I understand the risks of allowing my child to ride in a motorized vehicle & assume full responsibility for any & all bodily injury, losses, or damages that may occur to the above named participant(s). In doing so I release all & any Hope Rides related program locations, owners, shareholders, employees, agents & officers and directors harmless for any liability thereafter & forever. Voluntary Driving: I, as legal guardian of named participant or myself, understand that if I willingly volunteer to transport Hope Rides participants for any reason, that I will maintain a current drivers license, not be under the influence of any alcohol, drugs, or intoxicants that could be potentially dangerous or impair driving or judgement in any way. I recognize the responsibility of safe driving and will take every necessary precaution to ensure that those participants under my driving care are kept safe. In the event that participants under my driving care are injured in anyway, I understand the risks of operating a motorized vehicle and assume full responsibility for any and all bodily injury, losses, or damages that may occur. I understand that I am assuming 100% of the risk of injury or death directly or indirectly arising as a result of my participation and presence at or with Hope Rides. This release shall be governed by the laws of the State of Minnesota. If any portion of this release is held invalid by a court, it is agreed that the remainder of this release shall continue in full legal force and effect notwithstanding the invalidity of any portion of it. If I have requested, allowed and given permission allowing a minor child or children of mine to be present at Hope Rides, then the provisions of this release and hold harmless shall apply to such child or children. I represent that I have the legal authority to enter into this release on behalf of the minor child or children. This release is given on behalf of myself, spouse, legal representatives, administrators, executors, heirs, and assigns and in the case of any child or children of mine, on behalf of them, their legal representatives, administrators, executors, heirs, and assigns. This release is an ongoing release and remains in effect until I have revoked it in writing. I understand that this document is a contract and agree that if a lawsuit is filed against Hope Rides and any site locations associated to Hope Rides, its owners, shareholders, agents, and/or employees for any injury or damages in breach of this release, I will pay all attorneys’ fees and cost incurred to defend that lawsuit. I HAVE READ THIS DOCUMENT. I UNDERSTAND IT IS AN AGREEMENT AND PROMISE NOT TO SUE AND A RELEASE AND INDEMNITY FOR ALL CLAIMS. I ACKNOWLEDGE AND AFFIRM THAT I HAVE CAREFULLY READ THE CONTENTS OF THIS RELEASE, FULLY UNDERSTAND ITS MEANING, AND SIGN THIS RELEASE VOLUNTARILY.Date* Signature of Rider or if minor, Parent /Guardian* First Last Signature of Adult Responsible additional minors on grounds* First Last Signature of Adults on premises First Last BY CLICKING ON THE “SUBMIT” BUTTON, YOU ARE CONSENTING TO BE BOUND BY AND ARE A PARTY TO THIS AGREEMENT.