HORSE GLOW RIDE PAYMENT

ALBANY BIBLE INSTITUTE DBA CAMP PINNACLE
Equine Activity Waiver & Horse Rental Agreement

Please carefully read the following liability waiver and the rental agreement for horseback riding and/or horse related activity at Camp Pinnacle before signing. At Camp Pinnacle we consider safety to be top priority so that your riding experience will be a pleasant one. Thank you for your patronage. We hope you have a safe and enjoyable ride.

I am over 18 years of age. I acknowledge that Camp Pinnacle is providing instruction and/or trail riding which I and/or my minor children as listed under “registration of riders” wish to participate. I recognize and acknowledge that my/their participation in such activities and any other activities which may include equine activities, involves the possibility of inherent risks including by not limited to the following: The propensity of an equine to behave in ways that may result in injury, death, or loss to persons on or around the equine; the unpredictability of an equines reaction to sounds, sudden movement unfamiliar objects, persons, or other animals, hazards, including but not limited to surface or subsurface conditions; a collision with anther equine, another animal, a person or an object; the potential of an equine activity participant to act in a negligent manner that my contribute to injury, death, or loss to the persons of the participant or to other persons, including but not limited to, failing to maintain control over an equine or failing to act within the ability of the participant.

Saddle Girth Natural Loosening
I understand that saddle firth may loosen during a ride. If a rider notices this, he/she must alert the nearest guide or wrangler as quickly as possible so action can be taken to avoid slippage or saddle and potential fall from the animal.
Risks to Unborn Children
Because of the inherent risks of riding horses to the safety of unborn children, Camp Pinnacle advises pregnant women not to ride the horses.
Protective Head Gear
I have been fully informed by Camp Pinnacle that I can better protect myself against head injuries by wearing ASTM approved equestrian head gear while mounting, riding, dismounting and being around horses. Mark an X below in the “Rider Registration” table for each rider indication the appropriate decision regarding the wearing of such equipment on the ride(s) in which you are contracting herein to participate.

Camp Pinnacle Helmet: Requests to wear a Camp Pinnacle approved ASTM Helmet	I request to wear ASTM approved equestrian head gear which Camp Pinnacle will provide, understanding that these may not be a perfect fit for my head, and once provided, I will be responsible for securing the protective head gear on my head at all times.
My Helmet: Wear your own helmet	I will wear protective head gear which I, the undersigned, am providing and I will accept full responsibility for the decision. I am not relying on Camp Pinnacle to determine my head gear’s quality or suitability.

With full knowledge of the above and any other inherent risks which may be associate with equine activities, I hereby consent to our participation in the above described activities, and I (on behalf of myself and/or my children/legal ward(s) agree to waive any and all claims for personal injury or property damage of any kind which my children, I or my heirs, personal representatives and next of kin may have or which may arise against Camp Pinnacle as a result of my/their participation in such equine activities, whether or not such injuries of damages result from negligence or legal liability. On behalf of my children listed, myself, my heirs, personal directors, officers, employees and agents from any and all liabilities, claims, lawsuits, losses, costs, cause of action and damages of any kind originating or in any way arising from my/their participation in such equine activities.

REGISTRATION OF RIDERS
One Waiver may be used for members of the same household (including parents or guardians and children under 18 years of age). Adult riders registered on this form =must sign below indicating they have read and agree to the conditions of this activity waiver and rental agreement.

In consideration of the payment of a fee and the signing of this agreement, I the following listed individual and /or the parent or legal guardians thereof of a minor, do hereby agree to hire from Camp Pinnacle a horse, tack and equipment, personnel and trail for the purpose of trail/instructional riding on horseback, I hereby declare that the terms of this waiver and release have been completely read the understood and are voluntarily accepted for the purpose of my/my children’s participation in the activities described herein.

Print Adult/Guardian Name:__________________________________________________________________________

Street Address:________________________________________________________________________________________

City, State, Zip_____________________________________________________________Date of Ride______________

Email:___________________________________________________________________Phone: _________________________

RIDER REGISTRATION AND AGREEMENT

EVERY MINOR CHILD NEEDS A PARENT’S SIGNATURE
ADULTS should sign for themselves, not their spouses
Camp Pinnacle, 621 Pinnacle Road, Voorheesville, NY 12186 www.camppinnacle.org

Print Rider Name Below

Age if under 18

X if over 240 lbs

Skill
X if ridden more than 10 hours

Camp Pinnacle Helmet #

Adult Signature Required