Important: The following are required for insurance purposes. Please print and bring a signed copy of this page to your lesson, or you will be issued a copy to sign upon your arrival.

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* |___| YES I will be wearing a hard hat at this clinic/lesson.

* |___| NO I will not be wearing a hard hat at this clinic/lesson and take full responsibility for my actions.

* You are required to be wearing a hard hat at this clinic/lesson.

* You will be given a paper copy of this waiver to sign before riding at the Pegasus Riding Academy.

* An Australian/New Zealand standard approved helmet to be worn whilst riding and recommended to be worn at any time you are with a horse.

* Appropriately heeled shoes or boots.

* Helmet must be less than five years old from the date of manufacture.FER

* If you are not wearing a hard hat at this clinic/lesson, you take full responsibility for your actions and outcomes.

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Rider Specifications for Participants of Minority Age (Under Age 18):

* Applicants under 18 require a Parent or Guardian to sign this form.

* Physically, riders must be able and reasonably fit, well balanced on a horse at all gaits.

* For riders bringing their own horses to a lesson, as a matter of safetyAL the instructor reserves the right to recommend that you do not ride.

* "Green riders on green horses" are not recommended.

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IT IS HEREBY AGREED TO THE FOLLOWING:

A. REGISTRATION OF RIDERS AND AGREEMENT PURPOSE: I, the following listed individual herinafter known as the "RIDER" and the parents or legal guardians there of if a minor, do hereby voluntarily request and agree to participate in horse riding at New Zealand Equestrian Association. 

B. AGREEMENT SCOPE, TERRITORY AND DEFINITIONS: This agreement shall be legally binding upon me the registered RIDER, and the parents or legal guardians there of if a minor, my heirs, estate, assigns, including all minor children, and personal representatives; and it shall be interpreted according to the laws of the Country of New Zealand Equestrian Association. Any disputes by the RIDER shall be litigated in and venue shall be the country in which New Zealand Equestrian Association is physically located. The term "HORSE" herein shall refer to all equine species. The term "RIDING" herein shall refer to riding or otherwise handling of horses or ponies, whether from ground or mounted. The term "RIDER" shall herein refer to a person who rides a horse mounted or otherwise handles or comes near a horse from the ground. The terms "I", "me", "my", shall herein refer to the below registered rider and the parents or legal guardians thereof if a minor.

C. ACTIVITY RISK CLASSIFICATION. Horse riding is classified as a RECREATIONAL SPORT ACTIVITY, and there are numerous obvious and non-obvious inherent risks al always present in such activity despite all safety precautions. Related injuries can be severe requiring more hospital days and resulting in more lasting residual effects than injuries from other activities. 

D. NATURE OF RIDING A HORSE. No horse is a completely safe horse. Horses are 5 to 15 times larger, 20 to 40 times more powerful, and 3 to 4 times faster than a human. If a rider falls from horse to ground, it will generally be at a distance from 3 to 5 feet, and the impact may result in injury to the rider. Horse riding is the only sport where one much smaller, weaker predator animal (human) tries to impose its will on, and become on unit of movement with, another much larger, stronger prey animal with a mind of its own (horse) and each has a limited understanding of the other. If a horse is frightened or provoked it may divert from its training and act according to its natural survival instincts which may include, but are not limited to: Stopping short; changing directions or speed at will; shifting its weight; bucking; rearing; kicking, biting, or running from danger.

E. RIDER RESPONSIBILITY: Upon mounting a horse and taking up the reins the RIDER is in primary control of the horse. The RIDER'S safety largely depends upon his/her ability to carry out simple instructions, and his/her ability to remain balanced aboard the moving animal. The RIDER shall be responsible for his/her own safety.

F. CONDITIONS OF NATURE. New Zealand Equestrian Association is NOT responsible for total or partial acts, occurrences, or elements or nature that can scare a horse, cause it to fall, or react in some other unsafe way. SOME EXAMPLES ARE: Thunder, lightening, rain, wind, wild and domestic animals, insects, reptiles, which may walk, run, fly near, bite and/or sting a horse or person; and irregular footing on out-of-door groomed or wild terrain (and which is subject to constant change in condition according to the weather, temperature, and natural and man-made changes in landscape).

G. INSPECTION OF PREMISES. RIDER has inspected New Zealand Equestrian Association facilities and is satisfied that all premises conditions are reasonable safe for RIDER'S intended purpose, usage and presence upon New Zealand Equestrian Association premises. 

H. PROTECTIVE HEADGEAR WARNING: I have been fully advised by NZ Equestrian Association that the RIDER must purchase and wear a properly fitted and kite marked riding hat, and that the wearing of such headgear while mounting, riding, dismounting, and otherwise being around horses, may prevent or reduce severity of those head injuries and even prevent death from happening as the result of a fall or other occurrences. Proper riding boots are required. 

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Liability Release

In consideration of New Zealand Equestrian Association allowing my participation in this activity, I the rider, for myself and on behalf of my child/and or legal ward, heirs, administrators, personal representatives or assigns, do agree to hold harmless, release and discharge New Zealand Equestrian Association and its owners, instructors, staff, insurers and others acting on its behalf (hereinafter, collectively referred to as "Associates") of and from all claims, demands, causes of action and legal liability, whether the same be known or unknown, anticipated or unanticipated, due to New Zealand Equestrian Association and/or its associates ordinary negligence; and I do further agree that, except in the event of New Zealand Equestrian Association and its associates gross negligence and wilful and wanton misconduct, I shall not bring any claims, demands, legal actions and causes of action, against New Zealand Equestrian Association and its associates as stated above in this clause, for any economic and uneconomic losses due to bodily injury, death, property damage, sustained by me and/or my minor child and or legal ward in relation to the premises and operations of New Zealand Equestrian Association, to include while riding, handling, or otherwise being near horses owned by or in the care custody and control of New Zealand Equestrian Association, whether on or off the premises of New Zealand Equestrian Association. We also hold no responsibility for any Riding Hats or equipment loaned or hired from the Stables and strongly advise you purchase your own to ensure correct fit and safety. 

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Declaration and Signed Statement Of Awareness

I consent to myself/my child receiving any medical treatment, which, in the opinion of a qualified medical practitioner may be necessary. 

Riders under 16 cars of age: I accept full responsibility for my child and confirm that the pre-assessed abilities on page one are correct. I accept my child rides at his/her own risk, and taking part in riding lessons at New Zealand Equestrian Association.

Riders aged 16 years and over: I confirm that the pre-assessed abilities on page one are correct and that I ride entirely at my own risk.

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I/We the undersigned have read and do fully understand the agreement, warnings, release, and assumption of risk. I'We further attest that all facts relating to the applicants physical condition, experience and age are true and accurate. I acknowledge THAT RIDING IS A RISK SPORT AND HOLDS A POTENTIAL DANGER, and that all horses may react unpredictably on occasions. 

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All Riders and Parents or Carers/Legal Guardians for riders under 16 years must sign below after reading this entire document.

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PRINT FULL NAME OF RIDER:_________________________________________________

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Signature of Rider (if over 16 years):_____________________________________________

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Signature of Parent/Carer/Guardian:____________________________________________

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If signing on behalf, state relationship to rider:___________________________________

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Date:__________________________________