The Undersigned assumes the unavoidable risks inherent in all horse-related activities, including but not limited to bodily injury and physical harm to horse, rider and spectator.

In consideration for the privilege of riding and/or working around horses at Ellington Stables, located at 680 West That Road, Bloomington IN 47403, the Undersigned hereby agrees to hold harmless and indemnify Jeff and Hope Ellington and heirs or any other persons or corporations associated with Jeff Ellington, Kathy Ellington Swango and Mary Ann Hope and further release them from any liability or responsibility for accident, damage, injury or illness to the undersigned, your minor children, your property, any horse owned by the Undersigned or to any family member or spectator accompanying the Undersigned on the premises.

Notice:  Under Indiana 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.

Name:  _________________________________

Name of Minor Child:  _____________________

Signature:  ______________________________

Date:  __________________________________

Telephone #:  ____________________________

Email address:  ___________________________

Address:  ________________________________






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