06/13/2026
Horseback riding waiver
Participant Name: ________________________________________
Date of Birth:
____________________
Parent/Guardian (if under 18): ________________________________________
Phone Number:
________________________________________
Email Address:
________________________________________
Address:
THE HINES HOBBY FARM
Horseback Riding Lesson Liability Waiver & Release
________________________________________
ACKNOWLEDGMENT OF RISK
I understand that horseback riding is inherently dangerous and involves risks including falling, being
kicked, bitten, stepped on, equipment failure, and outdoor hazards. Horses are unpredictable animals.
RELEASE OF LIABILITY
I release The Hines Hobby Farm, its owners, instructors, employees, and volunteers from all liability for
injuries or damages resulting from participation.
MEDICAL CONSENT
In case of emergency, I authorize medical treatment if I cannot be reached.
Emergency Contact Name: Emergency Contact Phone: Allergies/Medical Conditions: ________________________________________
________________________________________
________________________________________
RULES & REQUIREMENTS
- Closed-toe shoes required
- Follow instructor directions
- No unsafe behavior around horses
- No unsafe behavior around horses
PHOTO RELEASE
___ I give permission ___ I do NOT give permission
________
Participant Signature: __________________________
Date:
________
Parent/Guardian Signature: __________________________
Date:
The Hines Hobby Farm
222 Lominack Rd, Prosperity, SC
803-537-7379
