AMANDA DEMPSEY

AMANDA DEMP= SEY

Horse Train= ing and Certified Riding Instruction

Liability R= elease Form

In Accordance with the State of Ohio’s Equine Liability Act of 1= 997, Ohio Revised Code

2305.321, I = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp;

Do hereby agree to forever hold Amanda Dempsey and her= agents free from all liability while participating in any and all equine activities. This shall involv= e the following inherent risk of equine activity as described under section (A)(7= )(A) to (E) of the act which follows:

(A) The propensity of the equine to behave in ways that may result in injury, death, or loss to persons on or arou= nd the equine;

(B) The unpredictability of an equine’s reactions to sounds, sudden movement, unfamiliar objects, persons, or other animals;

(D) A collision with another equine, another animal, a person, or and object;

(E) The potential of an equine activity participant to act in a negligent manner th= at may contribute to injury, death, or loss to the person of the participant, = or to other persons, including but not limited to failing to maintain control = over the equine or failing to act within the liability of the participant.

I also agree that Amanda Dempsey or her agents may ter= minate and activity at their discretion in order to maintain a safe, professional, organized environment. I unde= rstand and have read this release/agreement and agree to its contents.

Signed = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp;

Address = = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp;

&nbs= p; = ; &n= bsp; = ; &n= bsp; = ; &n= bsp; = ; &n= bsp; = ; &n= bsp;

e-mail address = = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; = <= o:p>

Phone numbers: Home &= nbsp; &nbs= p; &= nbsp; &nbs= p;

&nbs= p; &= nbsp; Work = &nb= sp; =

&nbs= p; &= nbsp; Cell &= nbsp; &nbs= p; &= nbsp;