HR-RANCH AT THE LAKE RANCH OWNERS’ ASSOCIATION STABLES “HOLD HARMLESS” AGREEMENT (ADULT)

I, the undersigned, hereby agree to assume all risk relative to the use of animals and/or tack furnished me by R-Ranch at the Lake stables and warrant that said use is by the undersigned and no other; further, I hereby RELEASE the above stable and R-Ranch at the Lake Ranch Owners’ Association, its owner, from all and every claim which may accrue to me at any time hereafter in favor of myself, my heirs, representatives or dependents, by reason of any injury, loss or damage which may be suffered by me because of any matter, thing or condition, negligence or default whatsoever, or which may occur through or by any act or service rendered on the part of R-Ranch at the Lake Stables, R-Ranch at the
Lake Ranch Owners’ Association, its members, agents, employees and representatives.

I have read the above and agree to abide therewith.


PLEASE PRINT:


Owner’s No.: ________________


Name of Rider: _________________________________________________________________


Address: ______________________________________________________________________


Home Ph. #: ____________________________Work Ph #: _____________________________


Guest of: _____________________________________________________________________


Effective Dates: From: _____________________To:_____________________


Signature of Rider: ______________________________________________________________


Date Signed:_________________________________