Adult Waiver

ACKNOWLEDGMENT of RISK and RELEASE of LIABILITY ADULTS

“FOR PARTICIPANTS 19 OR OLDER”

Participant First Name

Participant Last Name

Date of Birth

Year

Month

Day

Multi-line address

Country/Region

Address

City

Zip / Postal code

EVERY PERSON MUST READ/SIGN THIS FORM BEFORE PARTICIPATING IN EQUINE ACTIVITIES

To: SPIRIT REINS RANCH(HOST)

(Name of Organization or Company providing the Equine Activities) their directors, employees, officers, volunteers, business

operators, and site property owners. (collectively called the HOST)

INITIAL EACH ITEM BELOW AFTER READING AND UNDERSTANDING THE ITEM

I Understand there are Inherent DANGERS, HAZARDS and RISKS, (collectively called RISKS) associated with Equine Activities and
injuries resulting from these “RISKS” are a common occurrence.

I Acknowledge that the Inherent “RISKS” of Equine Activities mean those DANGEROUS conditions which are an integral part of Equine
Activities, including but not limited to:

The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or around them and to potentially
collide with, bite or kick other animals, people, or objects.

The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or
other animals and hazards such as subsurface objects.

The potential for other participant (s) to act in a negligent manner that might contribute to injury to themselves or others, such as failing
to act within their ability or to maintain control over an equine.

I Freely Accept and Fully Assume All Responsibility for the Inherent “RISKS” and the possibility of personal injury, death, property
damage or loss resulting from my Participation in Equine Activities.

I Acknowledge that it remains my Sole Responsibility to act in such a manner as to be responsible for my own safety and to Participate
Within My Own Limits.

In addition to consideration given for my Participate in Equine Activity, I and my heirs, executors, administrators and assigns
(collectively called my “Legal Representatives”) agree

To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I or my “Legal Representatives” might suffer
as a result of my Participation due to any cause whatsoever including any NEGLIGENCE ON THE PART OF THE “HOST”; and

To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or personal injury to any third party which
might result from my Participation in Equine Activities.

Before signing this form I read it (as indicated by my initials above) and I stated that I understand it. I know that signing this form,

waives certain legal rights I or my “Legal Representatives” might have against the “HOST”

Date Signed

Year

Month

Day

Participant/Guest Signature

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PRINT NAME OF HOST TO SIGNING & INITIALING SIGNATURE OF HOST/WITNESS

*DO NOT SIGN UNTIL YOU UNDERSTAND ALL ITEMS ABOVE