Permission and Liability Waiver for Horseback Riding and Stable Activities


I hereby request permission for my child,

Child's Name

First Name
Middle Name
Last Name

to participate in horseback riding and other stable activities at [location].


I fully acknowledge that horseback riding, horse handling, grooming, and other stable-related activities carry significant risks. Despite knowing these dangers, I voluntarily allow my child to take part in these activities.


I accept full responsibility for any risks of injury (including death) to my child or any damage to my property. I confirm that I have the legal authority to sign this release.


In consideration of my child being allowed to participate in these activities, on behalf of my child, myself, my child’s heirs, guardians, and legal representatives, I hereby release and agree not to make or pursue any claims against Cindy Bolen (Gordon), James Bolen, Gordonhurst Equestrian Centre, or any of its officials, directors, employees, representatives, landowners, or any individuals who provide property to Cindy Bolen (Gordon) or Gordonhurst Equestrian Centre, for any injury (including death) to my child or damage to my property, whether arising from negligence or any other cause, related to my child’s participation in these hazardous horseback riding or related activities.


Furthermore, I agree to indemnify and hold harmless all parties released by this agreement from any claims, damages, or costs resulting from any injury to my child (including death) or damage to my property.

Name of Parent / Legal Guardian:

First Name
Middle Name
Last Name

Signature of Parent/ Legal Guardian:

Name of Child:

First Name
Middle Name
Last Name

Name of Witness:

First Name
Middle Name
Last Name

Witness Signature:

Dated:

Parent / Legal Guardian contact Information

Parent / Legal Guardian phone number:

Parent / Legal Guardian Address:
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