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NIRVANA EQUESTRIAN / KMK PARTNERS, LLC

4740 Goodrich Road, Clarence, NY 14031

Owner: Samantha Bonano

RELEASE OF LIABILITY AND WAIVER FORM

Horseback Riding Lessons & Related Activities

How old is the rider?
Adult (over the age of 18)
Child (under the age of 18)
Rider's Birthday
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Day
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Parent/Guardian Information

Adult

This Release of Liability and Waiver ("Agreement") is executed on the date below by the undersigned adult participant ("Participant") in favor of Nirvana Equestrian / KMK Partners, LLC, its owners, employees, volunteers, instructors, agents, representatives, and the property owners of 4740 Goodrich Road, Clarence, NY 14031 (collectively, "Released Parties").

Minor (Under Age 18)

─── PART 2: FOR MINOR PARTICIPANTS (Under Age 18) ───

To be completed by Parent or Legal Guardian

This Release of Liability and Waiver ("Agreement") is executed on the date below by the undersigned parent or legal guardian ("Guardian") on behalf of themselves and the minor named below ("Minor Participant") in favor of Nirvana Equestrian / KMK Partners, LLC, its owners, employees, volunteers, instructors, agents, representatives, and the property owners of 4740 Goodrich Road, Clarence, NY 14031 (collectively, "Released Parties").

1. Acknowledgment of Risks

Participant acknowledges and agrees that horseback riding, horse handling, and all related activities are inherently dangerous and involve risks including, but not limited to: falling from a horse, being bitten, kicked, stepped on, or thrown, collisions, slipping, equipment failure, weather-related hazards, uneven terrain, and unpredictable behavior of horses. These risks may result in serious injury, permanent disability, or death.

2. Assumption of Risks

Participant voluntarily assumes all risks associated with participation in horseback riding lessons or any equine-related activities conducted by or at Nirvana Equestrian / KMK Partners, LLC, whether on horseback or on the ground, including risks arising from the actions of the Participant, other participants, spectators, animals, or third parties.

3. Release and Waiver

Participant, on behalf of themselves, their heirs, assigns, executors, and personal representatives, waives and releases the Released Parties from all claims or liabilities arising from personal injury, property damage, negligence (except gross negligence), emotional distress, loss of income, or medical expenses that may occur as a result of participation.

4. Indemnification

Participant agrees to indemnify and hold harmless the Released Parties from any claim, lawsuit, demand, liability, costs, or expenses (including reasonable attorney's fees) arising out of or related to Participant's participation in any equine-related activities.

5. New York Equine Activity Warning

Under New York State Law (NY GOL §18-301), equine professionals are not liable for inherent risks of equine activities.

6. Medical Authorization

Participant authorizes Nirvana Equestrian / KMK Partners, LLC staff to obtain emergency medical care if needed. Participant agrees to be financially responsible for all costs associated with medical treatment, transportation, or related care.

7. Behavior & Barn Rules

Participant agrees to follow all safety rules and barn policies, including wearing appropriate footwear and helmets when required, using respectful conduct around horses and staff, and acknowledging that failure to follow safety rules may result in removal from the premises without refund.

8 Severability

If any portion of this Agreement is found unenforceable, the remaining provisions shall remain valid and enforceable.

9. Photography & Media Release

Participant grants permission for photos or videos taken during participation to be used for barn-related marketing, social media, promotional materials, and internal use.
Yes
No

10. Entire Agreement

Participant acknowledges that this Agreement constitutes the entire agreement between the parties and supersedes any prior oral or written agreements. Participant affirms that they have read this document, understand it, and sign it voluntarily.

Acknowledgement & Signature

By signing below, Guardian confirms they are the parent or legal guardian of the Minor Participant and have full authority to execute this Agreement.

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