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ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I PARENTAL CONSENT, RELEASE AND WAVIER OF LIABILITY, HEREBY consent for my child

, or any child in my care, control, custody or supervision, to participate in horseback riding, riding lessons and other activities at or conducted by Sandpiper Stock Farms td!, operating as "ineRidge E#uine "ark! I fully understand that the follo$ing activities, but not limited to, horseback riding, riding lessons, $arm%up riding, lunging, leading, handling and grooming of horses are very dangerous! I $ish to allo$ my child, or any child in my care, control, custody or supervision, to participate in these activities kno$ing that they are dangerous! I accept and assume all risks of in&ury, including death, to my child, or any child in my care, control, custody or supervision, or to my property or myself! I represent and $arrant that I have the authority to give this release! I HEREBY release, dis !ar"e a#d $%e#a#& #$& &$ s'e Sa#d(i(er S&$ ) Far*s L&d+, $(era&i#" as Pi#eRid"e E,'i#e Par), or any subsidiary corporation or related corporation of the premises, or the manager, officer, director, agent and employees of any of the above 'the (Releasees(), from all liability to me, or my child, or any child in my care, control, custody or supervision, their respective personal representatives, assigns, heirs and ne*t%of%kin from any and all claims, demands, losses or damages on account of any in&ury, including, but not limited to, death caused or alleged to be caused, in $hole or in part, by the Releasees! IF despite this Release and +aiver of iability, ,ssumption of Risk and Indemnity ,greement, I, my child, or any child in my care, control, custody or supervision, makes a claim against any of the Releasees named above, I a"ree &$ i#de*#i-. a#d sa%e a#d !$ld !ar*less &!e Releasees and each of them from any litigation, e*penses, attorney fees, loss, liability, damage or costs they may incur due to the claim made against any of the Releasees named above $hether the claim is based on the negligence of the Releasees or other$ise! I si"# &!is A"ree*e#& $# *. $/# 0e!al- a#d $# 0e!al- $- *. !ild, $r a#. !ild i# *. are, $#&r$l, 's&$d. $r s'(er%isi$#+ I !a%e read &!is Pare#&al C$#se#&, Release a#d Wai%er $- Lia0ili&., Ass'*(&i$# $- Ris) a#d I#de*#i&. A"ree*e#&, a#d '#ders&a#d &!a& 0. si"#i#" i& I "i%e '( s'0s&a#&ial ri"!&s &!a& I $r *. !ild, $r a#. !ild i# *. are, $#&r$l, 's&$d. $r s'(er%isi$#, /$'ld $&!er/ise !a%e &$ re $%er da*a"es -$r l$ss $ asi$#ed 0. &!e Releasees1 -a'l&, a#d si"# i& %$l'#&aril. a#d /i&!$'& i#d' e*e#&+ "rint names of children- ..................... Signature of "arent or /uardian............................. "rint 0ame of "arent or /uardian- ..........................

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