PO Box 1334, 4337 Route 44, Millbrook, NY 12545
Phone 845 677 9320
Indemnity Agreement – Thomas and Madeleine Duggan, Kildare Stables and Training Inc.
I, the undersigned, being of lawful age/ or the legal guardian of a minor, on entering the premises of Kildare Stables Inc. to ride my own/school horse(s) acknowledge the following:
I hereby acknowledge and state that I know and am aware that horses used for riding my vary in spirit and are subject to being startled, frightened and that loss of control may result in a horse throwing it’s rider, falling, slipping or other such conduct causing injury to myself or other riders and horses. I am aware that a horse may create such conditions in and around the stable/barn and riding areas or the property used by Thomas and Madeleine Duggan, Kildare Stables Inc. for riding instruction. I hereby voluntarily assume the risk of injury and damage there from as well as from all other conditions attendant thereupon as a condition to admission to the said stables and premises, and the use of horses in connection there width or apart there from.
In consideration of my being admitted to Kildare Stables Inc. to ride my horse(s) or school horse(s) used for instruction at the said premises or elsewhere, I, on behalf of myself or the minor of whom I am the legal guardian do hereby agree to fully and forever release, discharge, indemnify and hold Thomas and Madeleine Duggan, Kildare Stables Inc., his/hers instructors, agents, employees harmless from any and all claims, and/or damage, damages, actions, or causes for actions present on account of personal injuries, loss, and/or damage of property stored on or at the premises whether by reason of fire, sickness, injury or other causes resulting from or arising out of or incident to my admission into the riding stable, riding areas and from riding my horse(s) or any horse furnished to me or used on said premises and horse(s) used apart from the said property.
I further agree that, in the case I am signing this release on behalf of a minor of whom I am a legal guarding, I shall indemnify and hold harmless from any and all claims, demands, damages, actions or causes of action, cost, expenses and other payments on account of our growing out of injuries or loss claimed to have been sustained by such minor by reason of his/her use of any horse or horses on the said premises and areas used for riding or riding instruction.
I further understand that by signing this document I am releasing any right to recovery from Thomas and Madeleine Duggan, Kildare Stables Inc. his/her instructors, agents, and employees. I also acknowledge that from pursuing any action arising out of this activity. This release may not be changed and modified orally.
Accepted By:_________________________________________
Name:___________________________
(Signature) (Print)
Address:_____________________________________________________________________________
Telephone:___________________________________________
Date:___________________________
Fall 2017 Millbrook School Riding Program
at
Kildare Stables, 4337 Route 44, Millbrook, NY 12545, 845 677 9320
Please complete and return:
Student name:________________________________________________________________________________
Parent name:_______________________________________________________________________________
Billing address:_________________________________________________________________________________
Email:_____________________________
The riding program will be billede directly to the billing adress indicated above, the fee is $2,500.00 per term, payable beginning of the riding term.
It is understood that the undersigned, to the fullest extent permitted by law, shall indemnify and hold harmless Kildare Stables and Training INC, and its agents and employees from and against all claims, damages, losses and expenses, including but not limited to attorney’s fees arising out of or resulting from participating in the Millbrook School Riding program at Kildare Stanles and Training INC. The student and the student’s parents understand all risks associated with participating in an equestrian program require the caring for, riding and jumping of horses.
Signed:_____________________________________________
Date:________________
Printed name:__________________________________________________________________________
Daytime Phone:_______________________