Citrus Oaks Farm LLC
12029 Hazen Avenue
Thonotosasa, FL 33592
Agreement for release and waiver of liability
I request permission to ride and participate in horse related activities at Citrus Oaks Farm.
I fully understand that horseback riding of any kind is dangerous, and that cross-country, open area horseback riding including riding over fences and other obstacles and dangerous rough terrain are very dangerous activities. I wish to participate or my child wishes to participate, with my full permission and understanding of the dangers therein in these activities. I accept and assume all the risks of injury (including death) to me or to my minor children and I have given this permission for them to participate.
In exchange for being permitted to participate in these activities for myself, my children, my heirs, guardians, animals, and legal representatives, I release and agree not to make or bring any claim of any kind against Citrus Oaks Farm, Leah Khorsandian, Sheriar or Jan Khorsandian, or other people making property available to ride upon and through, for injury (including death) to me, my minor children, or animals in these dangerous horseback riding, riding lessons, or related activities; and I also agree if anyone makes any claims because of injury to me or my children (including death), or for any damage to my property, I will keep all those released by this agreement free of any damages or costs because of those claims.
Warning: Under Florida law, an equine activity sponsor or equine professional is not liable for any injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities.
Date: ___________________________________________________________
Name of Participant or Minor Child (print): _______________________________
Printed Name of Parent or Guardian: ___________________________________
Signature of Participant, Parent or Guardian: _____________________________
Address of Participant, Parent or Guardian: _______________________________
Printed Name of Witness: ____________________________________________
Signature of Witness: ________________________________________________
Emergency Contact and Phone #________________________________________