A Little Red Riding School LLC

At Fox Grove Farm

(908) 442 0432

[email protected]

Unconditional Liability Release Form

Please read carefully before signing

WARNING - under New Jersey Law, an equestrian area operator is not liable for an injury to or the death of a participant in equine animal activities resulting from the inherent risk of equine animal activities, pursuant to p.1 1997, (c.5:15-1 et seq.)

I (Adult participant or Parent/Guardian of minor) ______understand/agree that under the equine Activity Liability Act, each participant who engages in an euqine (horse) activity expressly assumes the risks of engaging in and legal responsibility for injury , loss, or damage to person or property resulting from the risk of equine activities.

This release shall give notice to the participant, parent or guardian the risk of engaging in equine activities, including (I) the propensity of equine to behave in dangerous ways that may result in injury to the participant, (II) the inability to predict an equine's reaction to sounds, movements, objects, persons, or animals, and (III) the hazards of surface or subsurface conditions. A release shall remain valid until expressly revoked in writing by a participant, or, if a minor, the parent or guardian.

I consider the risk to be offset by the benefits that may be received by visiting, working with the horses at A Little Red Riding School LLC with Ingrid Pierson-Massey. These benefits may include, but are not limited to higher self-esteem, confidence, personal awareness, character development, leadership skills, problem solving skills, social skills, and respect. Activities with horses can be highly therapeutic, educational and fun!

I understand /agree that the participant must consult with Ingrid Pierson-Massey about any prescription drugs being used or any health or physical condition(s) that may need to be considered at least 24 hours prior to sessions. For safety reasons, female volunteers may not actively participate in sessions if pregnant. Furthermore, any volunteer under the influence of illegal drugs and/or alcohol may not actively participate in sessions.

I understand/agree that participants must wear long pants, riding boots and ASTM/SEI approved helmet if she/he is going to ride; remove any dangling jewelry, or any other loose items that may put the other participants and themselves at risk. I understand/agree that participants should dress in layers for comfort, specifically: during winter: wear a coat, hat and gloves and during summer: wear sunscreen and insect repellent as need for outside activities and bring a bottle of water.

I understand/agree that any cancellation(s) is required at the first session of the month, when payment is due for the entire month or I will need to pay for my session in its entirety. I also understand that if I am late, the session must end as scheduled. I must contact my instructor Mrs. Ingrid Pierson-Massey directly by telephone to notify a cancellation, lateness or any changes of schedule at (908) 442 0432.