Waiver Please check one * Volunteer Therapy Client Riding Lesson Herd Meditation/Other Participant Name * First Name Last Name DOB * MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * Is this participant a minor? * Yes No Photo Release * The Barn for Equine Learning may take and use photographs, video, or other media of me/my child during activities. I understand these may be used for promotional purposes such as social media, marketing, or on the website, without compensation. I release The Barn from any claims or liability related to the use of these images. The Barn offers the option to be listed without compensation. I release The Barn from any claims or liability related to the use of these images. I give permission I DO NOT give permission Waiver Agreement * I, as the party(ies) listed above, wish to participate (or have my child/ward participate) in The Barn for Equine Learning’s programs. I acknowledge and understand that there are inherent risks and potential dangers associated with being in a barn setting, horseback riding, and handling or working with or near equines. These risks may include bodily injuries, other physical harm, or even death. However, I believe the potential benefits of participating outweigh these risks. I affirm that I, or my child/ward, am/is of sound body and mind and capable of handling the physical demands required for being around equines and horseback riding. In consideration of being permitted to participate in The Barn for Equine Learning’s programs, I hereby waive, release, and discharge The Barn for Equine Learning, its Board of Directors, Instructors, Therapists, Aides, Volunteers, and Employees from all claims for damages or injury that I, my child/ward, or our representatives may suffer as a result of participation. This release is intended to be legally binding upon me, my child/ward, and our heirs, executors, and assigns. I understand that, under the Michigan Equine Activity Liability Act (1994 P.A. 351), an equine professional is not liable for injury to or the death of a participant resulting from the inherent risks of equine activities. For my safety, I agree to wear properly fitted and secured ASTM-standard/SEI-certified protective equestrian headgear when riding, handling, or being near equines. I acknowledge that I am responsible for ensuring my helmet’s compliance and fit, and I do not rely on The Barn for providing, checking, or monitoring my helmet or helmet strap. I agree Thank you!
