RIDER:
High Finance Farm
1648 RFD, Long Grove, IL 60047
High Finance Farm at Fields and Fences
36550 N Hunt Club Rd, Gurnee, IL
LIABILITY RELEASE
I, the undersigned, for and in consideration of my (my childs) continued participation in the activities of High
Finance Farm (HFF), including but not limited to clinics, riding lessons, horseshows, training sessions, trail rides
and any other activity sponsored or supervised by HFF, do hereby forever release HFF and their assistants from
any and all claims, demands suits or liabilities which might otherwise arise by virtue of any injury which may
occur to me (my child) and/or my horse(s) and do further agree to indemnify and hold harmless each an everyone
of them from any and all claims, demands, suits, or liabilities which might otherwise arise by virtue of injury to or
occasioned by me (my child) or any horse under my (my childs) direction or control.
This release and indemnification shall be continual and shall remain in full force and effect until revoked by me by
a document in writing, delivered to an owner of HFF.
We do further authorize HFF to consent on our behalf to any emergency medical treatment which may be
required by me (my child), or my horse, and do agree to indemnify and hold harmless any one giving such
consent. Signing this release indicates that the rider carries adequate medical insurance as HFF will assume no
responsibility or liability.
I, as a rider (parent/guardian of a rider), am aware of the inherent risk involved in the sport of horseback riding
and agree to accept any and all consequences resulting from my (my childs) participation in the sport. (Senate Bill
240-IL) I am also aware that the wearing of a properly fitting ASTM/SEI approved headgear while I am (my child
is ) riding and jumping is my responsibility and a requirement of HFF.
I declare under penalty of perjury that the foregoing is true and correct. I understand that this is a release and I
have reviewed it prior to signing.
Date: ______________________________
Signature of rider/parent/guardian:_______________________________
Age of minor: ___________Birthdate___________
Printed name of above:_______________________________________________
Address: (street/city/zip) _______________________________________________________________________________________________
Best contact phone: ____________________________ Email address:__________________________________________________
Signature of rider/parent/guardian: ________________________________________________
Signature of HFF representative: __________________________________________
Note: I also grant permission for photos of my child, taken while engaged in HFF activities, to be used in
promotions, website, Facebook and other public forums.
_________________ parent initals