Dian Betsy Lundell/ Sarabande Academy/ River Bend Ranch

3250 E Allen Street, Tucson, AZ (520) 907-3965

Release/Hold Harmless Agreement and Covenant Not to Sue

NOTICE: THIS IS A LEGALLY BINDING AGREEMENT

By signing this agreement, you waive your right to bring court action to recover compensation or obtain remedy for any injury to yourself or
for your death however cause arising out of your use of the facilities known as Sarabande Academy of Riding or River Bend Ranch, now or any
time in the future caused by the negligence, whether or not contemplated by A.R.S. 12-****, of the owners, officers, agents, or employees of
Sarabande Academy or River Bend Ranch.

I hereby acknowledge and agree that activities involving horses have inherent risks and can result in permanent injury or death. I have full
knowledge of the nature and extent of all risks associated with activities involving horses and use of the facilities at Sarabande Academy and/or
River Bend Ranch and have had any questions about the same explained to me including, but not limited to: 1) all manner of injury or death
resulting from the care, handling, and riding of horse, and 2) all manner of injury or death resulting from faulty equipment or defects to the
property, whether obvious or hidden, such as holes, slippery surfaces, protruding or sharp objects, machinery, and the like. I further
acknowledge that the aforementioned list of risks does not include all possible risks associated with horse activities and the listed risks in no
way limit the extent or reach of this waiver and covenant not to sue.

I herby acknowledge that I accept complete responsibility during all riding lessons with Dian Betsy Lundell and/or employees or agents of
Sarabande Academy of Riding on or off of River Bend Ranch property and also while riding on my own at or through Sarabande Academy of
Riding on or off River Bend Ranch property. I will assume all risk of accident and injury to arising from approaching, handling, riding, or
maintaining a horse upon the premises of Sarabande Academy of Riding and River Bend ranch arising from participation in any riding activity,
horse show, rodeo event, trail ride, racing, hay-ride, or any other activities or events.

I further acknowledge that I will not hold Sarabande Academy of Riding, River Bend Ranch, Dian Betsy Lundell, Bill Shelby, Deb Ward staff,
members, servants, agents, or horse owners liable or responsible for any injury incurred while participating in any activities at Sarabande
Academy of Riding at the property of River Bend Ranch.

I, the undersigned, on behalf of myself, my heirs, representatives, executors, administrators and assigns, herby release Sarabande Academy of
Riding, Dian Betsy Lundell, Deb Ward, Bill Shelby, staff members, servants, agents, and/or horse owners from all liability for personal injury
or property damage, or injury to my own horse or the horse that I have been assigned to for lessons AND WAIVE MY SUBSTANTIAL
RIGHTS TO ASSERT any causes of action, claims or demands of any nature whatsoever, including, but not limited to a claim of
NEGLIGENCE that I, my heirs, representatives, executors, administrators and assigns may now or in the future have against Sarabande
Academy of Riding, Dian Betsy Lundell, Deb Ward, Bill Shelby, staff, members, servants, agents, or horse owners on account of personal
injury, death, or property damage, arising out of or in any way relating to my performance of activities through/at Sarabande Academy of
Riding, whether said activities are supervised or unsupervised, however damage is caused.

This hold harmless/waiver shall apply in regard to any horse or horses being used or in the care and use of Dian Betsy Lundell, staff members,
servants, agents, horse owners, and shall apply to any equipment affiliated with Dian Betsy Lundell/ Sarabande Academy of Riding.

The undersigned further assumes full responsibility and liability for the conduct and safety of any and all minors brought by them to the
premises. Furthermore, proper care and conduct while on or using any horses for lessons will be exercised at all times and no horse will be
mishandled.

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Parent or Guardian (please print) Signature of Parent or Guardian (or Student)

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Student Name (please print) Date
 INFORMATION

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Address

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Zip Code

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Home Phone # Cell Phone #

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E mail

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Student name (please print) Date of Birth

In case of Emergency: __________________________ Phone # ___________________________

Cell Phone # ___________________________

Allergies: