Trail Ride Liability Form

Application for Trail Ride


Name: __________________________ Date: __________________________
Address: __________________________ Phone: __________________________
Address 2: __________________________       City, State, Zip: __________________________

HOLD HARMLESS AGREEMENT/PARTICIPANT RELEASE WAIVER
Kozy Korner Trail Rides
On Behalf of Keystone Classic Carriages
EVENT COORDINATORS DO NOT ASSURE YOUR SAFETY

I ACKNOWLEDGE THAT I, Participant, participate in this event totally at my own risk for injuries or property damage I may incur and I acknowledge that I, Participant, hereby release and hold harmless the coordinator, their owners, members, and others acting on its behalf, from any claim, legal liability, legal action, or right of damages, for any accident which may occur to me while participating in the trail ride on __________________________(date) at 13752 Shimpstown Rd., Mercersburg, PA 17236.

I further agree that if any damage is occasioned by, or injury or loss occur to myself that I will make no claims , either now or forever thereafter. I further agree to indemnify forever the ride, any property owners, public or private over whose land the ride may pass and any participants in the event against all claims, demands, suits, and or loss or damage to any property or person caused by myself. I understand that certain events can involve being in remote areas for extended periods of time, far from communication, transportation, and medical facilities; and that these areas may have natural hazards which management cannot anticipate, identify or modify, or eliminate; that horses can be excitable, difficult to control and unpredictable; and that accidents can happen to anyone at any time. By my endorsement on this release I take full responsibility for any and all occurrences while participating in this trail ride.

I, the undersigned, Participant, being of legal age, have read and understand the above agreement and release.


   __________________________    __________________________    __________________________
Name of Participant Signature of Participant
(Legal Guardian if under 18)
Date

PLEASE READ CAREFULLY BEFORE SIGNING!
Please be advised waiver must be signed by event participant. In case of injury, this authorizes event coordinator or its agents to secure medical treatment that is needed for any person entered in this event with no liability whatsoever to the event coordinator or property owners.