BARNSTAPLE SOUTH, LLC
10210 NW 145TH AVENUE
MORRISTON, FL 32668

PARTICIPANT NAME:

SIGNED DATE:November 28, 2024

FULL ADDRESS:

PHONE NUMBER:

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EMERGENCY CONTACT NAME:

EMERGENCY CONTACT NUMBER:

RELEASE:

The undersigned acknowledges that in consideration of being permitted to participate in riding activities at BARNSTAPLE SOUTH, LLC., and aware of the risk of injury from horse related activities he or she assumes the risk of responsibility for injury and agrees that he or she will be responsible for and does hereby release BARNSTAPLE SOUTH, LLC., its owners, members, officers, agents, volunteers and employees from all liabilities including negligence, by reason of injury to themselves or their property during riding activities including but not limited to, riding lessons, schooling or exercising, caring for horses before and after riding, and observing or volunteering. Intellectual property rights are assigned to Barnstaple South for all activities taking place at Barnstaple South.

It is also agreed that the rider will wear safety equipment, i.e. approved protective helmet, and hard-soled boots or riding shoes when riding at all times, and approved protective vests when schooling over cross country obstacles.

WARNING – UNDER FLORIDA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR ANY INJURY TO OR DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES, PURSUANT TO CHAPTER 773 OF TITLE 04 OF THE OFFICIAL CODE OF FLORIDA ANNOTATED.


I have applied to participate in this USEA sponsored educational activity. I agree that my participation is subject to the Conditions in this release and to those set by the organizer of this activity, the regulations and requirements of the USEA, and, where applicable, the U.S. Equestrian Federation Rules for Eventing

I agree to wear protective headgear when riding. When jumping, I agree to wear protective headgear passing or Surpassing the ASTM/SEI standards with harness attached that meets standards currently imposed by the U.S. Equestrian Rules for Eventing. I understand that the USEA mandates that all riders participating in cross-country activity wear body-protecting vests that meet or exceed current USEF rules and the wearing of an approved medical armband.

I understand that the sport of eventing is a high risk sport, and that my participation in this educational activity may also involve participation in an "equine activity" as defined by applicable laws and is solely at my own risk. I understand that my participation involves all inherent risks associated with the dangers and conditions which are an integral part of equine activities, including, but not limited to, the propensity of equines to behave in ways which may result in injury, harm or even death to humans or other animals around or near them; the unpredictability of equine reaction to sounds, sudden movements, smells, and unfamiliar objects; persons or other animals; hazards related to surface and subsurface conditions; collisions with other equines or objects; and, the potential of a participant to act in a negligent or unskilled manner which may contribute to injury to the participant or others, including failing or inability to maintain control over the animal. By participating in this activity I agree to assume responsibility for those risks, and I release and agree to hold harmless the activity organizer, organizing committee, officials, the USEA, USEF, their officers, agents, employees and the volunteers assisting in the conduct of this USEA educational activity and the owners of any property on which it is to be held, from all liability for negligence resulting in accidents, damage, injury or illness to myself and to my property, including the horse(s) which I may ride.

I understand and agree that the organizer of this USEA educational activity has the right to cancel this activity; to refuse any entry or application; to require and enforce the wearing of safety or other attire and the conduct of riders, horses, and visitors; and to prohibit, stop or control any action during the activity deemed by the organizer to be improper or unsafe.

(If participant is under 18, USEA Educational Activities and Schoolings Shows Release Form must be signed by parent or legal guardian, NOT by trainer or instructor. This release form is valid only when signed personally by the participant. Signatures of all others, with the exception of a parent or legal guardian of a minor, will not be accepted in the event a claim is filed.)


The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.

Type Name & Email of Signer Below, Then Click to Sign
Signer Must be Participant or Parent/Guardian of Participant if Participant is under the age of 18

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Signature Certificate
Document name: Barnstaple Release
lock iconUnique Document ID: 328256963efb8a121a0f0a0444559312dfaaf62a
Timestamp Audit
January 10, 2022 8:48 AM ESTBarnstaple Release Uploaded by STRIDER Team - support@striderpro.com IP 74.96.154.70
January 10, 2022 8:58 AM ESTStrider Waivers - waivers@striderpro.com added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 108.56.194.101
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January 10, 2022 9:10 AM ESTStrider Waivers - waivers@striderpro.com added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 108.56.194.101
January 11, 2022 7:18 AM ESTStrider Waivers - waivers@striderpro.com added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 108.56.194.101
January 11, 2022 7:24 AM ESTStrider Waivers - waivers@striderpro.com added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 108.56.194.101
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March 3, 2023 6:42 PM ESTDerek Strine - minimade@att.net added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 72.66.19.182
November 18, 2024 2:22 PM ESTStrider Waivers - waivers@striderpro.com added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 74.96.154.70
November 18, 2024 2:22 PM ESTDerek Strine - minimade@att.net added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 74.96.154.70
November 18, 2024 2:27 PM ESTStrider Waivers - waivers@striderpro.com added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 74.96.154.70
November 18, 2024 2:27 PM ESTDerek Strine - minimade@att.net added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 74.96.154.70
November 18, 2024 2:28 PM ESTStrider Waivers - waivers@striderpro.com added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 74.96.154.70
November 18, 2024 2:28 PM ESTDerek Strine - minimade@att.net added by STRIDER Team - support@striderpro.com as a CC'd Recipient Ip: 74.96.154.70