Child Indemnity Form


Indemnity Form (Adult applicants – please complete but omit details for child*)

I, the undersigned_____________________________________________________ (Full Name)

I.D. No:_________________________ __ *in my capacity as Parent or Legal Guardian of the minor

*child:_____________________________________ (Full Name)* I.D. No:__________________

*child:_____________________________________ (Full Name)* I.D. No:__________________

Do hereby consent to my/him/her being permitted to ride the ponies/horses as supplied by the Riding Instructor and to participate in all other events. If emergency medical/dental or veterinary treatment is required in my absence, I authorise the appointed riding instructors to obtain such treatment as they reasonably consider necessary

Liability waiver form – exclusion of certain rights to sue

The purpose of this agreement is to limit the liability of the Provider to exclude liability for any

personal injury or death to the Participant and other people in the care and control of the Participant

howsoever caused who signed this form as acknowledgment of the terms and conditions of this

agreement. By signing this form you are waiving your rights to sue the Provider for losses relating to

personal injury or death. Under the provisions of the relevant laws conditions are implied into contracts

that mean that the Provider of Recreational Services, noted below, is required to ensure that the

Recreational Services it sells to you are: rendered with due care and skill, are fit for the purpose for

which they are commonly bought as it is reasonable to expect in the circumstances, or might

reasonably be expected to achieve the result you have made known to the seller

The Participant acknowledges that the activity being undertaken is an activity being undertaken for the

purposes of recreation, enjoyment or leisure which involves a significant degree of physical risk. The

Provider acknowledges that they are providing Recreational Services detailed below which means;

providing facilities for participation in a recreational activity, or training a person to participate in a

recreational   activity,   or   supervising,   adjudicating,   guiding   or   otherwise   assisting   a person’s

participation in a recreational activity.

The Participant hereby acknowledges that in attending the recreational activity that there are inherent

risks involved to him or her or other people in their care and control. This agreement is directed and

limited to inherent risks that are patent. The participants also acknowledges that the purpose of the

recreational activity is for the benefit of the Participant and for the benefit of those people attending

with the Participant and that at all times the Participant is responsible for his or her own actions and the

actions of those other people in his or her care and control.

Description of Recreational Services

All Horse related activities including but not limited to Horse riding lessons, (including but not limited

to Jumping, flatwork, groundwork, lunging etc) Competitions, leisure time spent on the property etc.

Steps taken by Provider to avoid the danger of personal injury or death.

Riding equipment for the riding school horses has regular inspections; the group ratio is limited in size,

amount fed to horses are monitored. A Risk Management procedure has been implemented.

The Participant acknowledges that during all times while he or she is attending the recreational activity

he or she does so at his or her own risk and that the Participant and other people in the care and control

of the Participant will not hold the Provider or any of its employees or agents or the property owners

liable for any personal injury or breach of contract whether caused by the negligence of the Provider its

employees or agents howsoever caused or otherwise. The Participant acknowledges that in the event

that he or she or any of the other people in their care and control find either or any of them is in

difficulty that they are to stop the activity or request that the activity be stopped if appropriate, and seek

help and/or assistance and advice.

Declaration and signature

By signing this agreement I understand that the Recreational Services about to be sold to me as set out in this form may cause my and or my dependants personal injury or death. By signing this agreement I understand that I and my dependants waive our rights to sue the Provider for losses relating to my and or my dependants personal injury or death that result from any negligence caused by the Provider.

Signature of Participant   : ……………………………………………………………………..    (OR Parent/Legal Guardian of minor child)

NAME: . ………………………………………………………… Date:…………………………..