Independent Indoor Use Riding Release Independent Indoor Use Only Riding Release Independent Indoor Only Release Please sign our regular liability release for any use needing supervision or instruction. All persons using indoor under the age of 18 MUST have parent/guardian supervision at all times. Student/Participant Name * Student/Participant Name First First Last Last Parent/Guardian Name (or N/a if over 18) * Parent/Guardian Name (or N/a if over 18) First First Last Last Participants Address * Participants Address Participants Address Participants Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Best Phone Number * Secondary Phone Number Email * Confirm Email * Please enter the same email address to confirm. In case of an emergency, for participants under 18 parent/guardian will be called first: Contact Name * Emergency Phone 1 * Emergency Phone 2 (if necessary) LIABILITY RELEASE In consideration of accepting (participant’s name) in the riding/educational programs, or any other activities held at Line it Up Farm, Windy Hollow Farm, with Windy Hollow 4-H or Pony Partners, I understand that horses are unpredictable by nature and I voluntarily assume the risks and dangers involved. I hereby, intending to be legally bound, for myself or my minor child, my heirs, executors or administrators, waive and release all claims for damages I may have against Line it Up, LLC, Windy Hollow Farm, or Pony Partners, its Owners, Instructors, Volunteers, Aides and or Employees for any and all injuries and or loses. A non-employee is not covered by Line it Up’s, Windy Hollow Farm, or Pony Partners, insurance or worker’s compensation policy. Respecting the ability of the horses owned and used by Line it Up, Line it Up, LLC, Windy Hollow Farm, Windy Hollow 4-H, and Pony Partners, are not responsible for loss or damage of any personal items ie: helmets, cell phones, etc. ACCEPTANCE OF POLICIES I have read, understand and will respect Line it Up, LLC, Windy Hollow Farm, Windy Hollow 4-H, and Pony Partners, policies as they pertain to: The Release of Liability and by signing understand Line It Up, LLC and their owners, agents, and employees are released from all liabilities, including losses, injuries (including personal and death). This also applies to damages to property, any costs, demands, suits, judgements, claims or expenses including without limitations, attorney fees (collectively “liabilities”) that rider, parent, student or other family member or agent may incur as a result of an action or inaction, or negligence, by Line It Up, LLC, it’s owners, agents, and employees or as a result of the riders participation on premis of Line It Up, LLC. Signature * signature keyboard Clear Signature of student, parent, guardian or volunteer (must be 18 years of age to sign for yourself) Date of Release Captcha Submit Release