HEALING HORSES THERAPEUTIC RIDING PROGRAM
LIABILITY RELEASE 

I (we), ________________, the undersigned, resident(s) of __________________ City, _____________ County, Missouri, in order to participate in the programs provided by Healing Horses Therapeutic Riding Program, hereby state and agree as follows:
1. 	In consideration of _______________'s participation in the Healing Horses Therapeutic Riding program, and for other valuable consideration, the receipt and sufficiency of which are acknowledged, I (we) am (are) entering into this release agreement which extends to Healing Horses, Therapeutic Riding its agents, property and facility owners, horse owners, employees, volunteers, representatives, successors or assigns, both individually and in any capacity, (hereinafter referred to as "Releasees"). 
2. 	I (we) have voluntarily agreed to permit my (our) child to participate in the Healing Horses Therapeutic Riding program and assume all dangers and risks associated with such activities. I (we) have been informed of the risk of accidents, serious injury, even death that could be associated with these activities including, but not limited to the following: (a) the propensity of any equine to behave in ways that may result in injury, harm or death to persons on or around it; (b) the unpredictability of any equine's reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals; (c) certain hazards such as surface and subsurface conditions; (d) collisions with other equines or objects; and (e) the potential of a participant to act in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the animal or not acting within his or her ability. I (we) agree to accept the risks of my (our) child's participation including all risk of personal injury and death. 
3. 	I (we) knowingly, voluntarily and for adequate consideration release and waive, and further agree to indemnify, hold harmless and reimburse Releasees, from and against any claim which I (we) and my (our) child, any relative or next of kin of child or any other person, firm or corporation may now hereafter have or claim to have (known or unknown, seen or unseen, directly or indirectly, or within or without the control of those released), for or on account of any losses, damages, personal injuries, pain and suffering, death, property damage, or contract claims resulting from, or arising out of, during, or in connection with my (our) child's enrollment or participation in the Healing Horses Therapeutic Riding program, or in any way connected with or arising out of instruction, training, emergency care, or operations incidental to such program whether caused by the negligence of Releasees or otherwise.

4. 	This release agreement shall be construed to be as comprehensive as is allowed by law; as severable, the invalidity of any portion of which shall not affect any other portion; and shall not establish a legal or other relationship between Releasees and me(us), which does not in fact exist.

HEALING HORSES THERAPEUTIC RIDING PROGRAM
LIABILITY RELEASE
PAGE 2

WARNING
UNDER MISSOURI LAW, AN EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES PURSUANT TO THE REVISED STATUTES OF MISSOURI
STATE OF MISSOURI	)
)SS. COUNTY OF _____________	)
On this ___ day of ________, 20__, the said
____________________ [parent(s)/guardian], known to me to be the person(s) named in the foregoing instrument, personally appeared before me, a Notary Public, within and for the State and County aforesaid, and acknowledged that he/she/they freely and voluntarily executed the same for the purposes stated therein as his/her/their free act and deed.
Notary Public My Commission Expires:
Publicity/photo release
I __ DO __ DO NOT consent to and authorize the use and reproduction by Healing Horses Therapeutic Riding Program of any and all photographs of my (our) child, and any other audio/visual materials taken of my (our) child for promotional material, educational activities, exhibitions or for any other use for the benefit of the program. No personal or medical history will be released without my (our) specific consent.
Signature:_________________________ Date:_____________