Triple H Ranch
&
Therapeutic Horsemanship

Triple H Ranch & Therapeutic Horsemanship

Event Registration Form

Photo/Video Release

During horse camps and therapeutic lessons, we have some great photo/video opportunities. Triple H Ranch & Therapeutic Horsemanship would like your permission to use these photos/videos in print, social media, and online to promote our programs. 

I understand and consent to photos/videos taken during horse camps, lessons, or other programming of the person listed on this application may be used and reproduced for promotional materials, educational activities, exhibitions, or for any other use for the benefit of the program, including printed, electronic, social, and news media.

I understand that it is my responsibility to update this form if I no longer wish to authorize the above uses. I understand that there will be no payment to participate in this release. 

Please check one below.

Safety Policies and Rules

Triple H Ranch & Therapeutic Horsemanship strives to provide a safe riding experience for all of our clients/participants and requires that all clients/participants, families, guests, and volunteers abide by our safety regulations.

1. Safety first. The barn is a place of peace. We will not run, shout, or otherwise engage in “horseplay.” We will have plenty of games & fun outside or in the arena.

2. When working with horses, always have closed-toed boots and a helmet.

3. Follow directions and listen. When the camp director is talking, or if someone is addressing the group, participants must listen and follow all directions. It is as much for safety as it is for respect. Please ask your horse leader questions - he or she will likely have the answer.

4. Participants and staff will respect each other in every way. There will be only kind words and actions; bullying and unkindness will never be tolerated. This is a place of inclusion and fun!

5. Horses and other animals at the ranch will be treated with respect and care. NO FEEDING horses without permission. Horses can accidentally think that fingers are treats, and we want to keep everyone safe! We will make sure horses have water and hay as needed in their stalls during breaks.

6. Throw garbage in the trash can & recycling in the recycling can, pick up after yourself, and leave the ranch better than when you arrived. Not your trash? Pick it up anyway! Garbage is NOT to be left in the hay or on the ground. Horses can accidentally eat things they shouldn’t and get very sick. Let’s protect the horses!

7. All participants will take care of themselves. Drink. Apply sunscreen. Take breaks. If you have a problem or hurt yourself, please tell someone. If your boots or helmet are rubbing, please tell your horse leader- we don’t know if you don’t say anything.

8. Participants will always be with their group. If a camper needs to go to the bathroom, they need to let a horse leader know, and they will go with you.

9. Treat the barn, equipment, and premises with care and respect. Stall doors and pasture gates are opened all the way and closed all the way for the safety of horses and people. NO jumping on gates or fences. The outdoor white wire fence is ELECTRIC, so no touching! The outdoor wood fence is not electric.

10. Greet and pet your horse from the side where they can see you best, petting on the neck and shoulder. Keep your hands out of the horse's nose, mouth, and eye area - this is their sensory center. Respect their faces and personal space.

*** These rules are very important and will help participants have fun and stay safe! If the rules are broken, I will help them get back on track. If that does not work and they have more than 3 time-outs and are disruptive to the group, they will not be allowed to participate for the rest of the week. This is at the camp director’s discretion. There are no refunds for missing camp due to behavior challenges.

I have read and understand the Triple H Ranch & Therapeutic Horsemanship Safety Policy and Rules. 

Release and Waiver of Liability

ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT 

I hereby enter into this agreement in consideration of my / my child’s ability and permission to ride OR use any Horse owned by Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., whose address is 5405 N. Kennedy Rd. Milton, WI 53563 

IMPORTANT NOTICE 

BY SIGNING THIS AGREEMENT YOU ARE GIVING UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES IN CASE OF INJURY, DEATH, OR PROPERTY DAMAGE, ARISING OUT OF YOUR RIDING OR USE OF THE OWNER’S HORSE AND/OR PARTICIPATION IN EQUINE ACTIVITIES AT Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., INCLUDING INJURY, DEATH, OR PROPERTY DAMAGE ARISING OUT OF THE NEGLIGENCE OF YOU OR Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc.

READ THIS AGREEMENT CAREFULLY BEFORE SIGNING IT. YOUR SIGNATURE INDICATES YOUR UNDERSTANDING OF AND AGREEMENT TO ITS TERMS. 

By signing this form, I hereby acknowledge on behalf of myself that I have familiarized myself with the activities that I will be allowed to participate in, and that I do hereby acknowledge and agree that I will participate in these activities without restriction or limitation. I recognize the inherent risks involved in riding and working with horses, being around goats and any other animals on premises, including but not limited to: 

• Bites, kicks, abrasions, or contusions from horses or other animals.

• Being thrown, falling off, or bucked off by horses. 

• Scratches, cuts, bruises, or other injuries from stalls or enclosures, fencing, or gates. 

• Scratches or other injuries from grooming tools, barn cleaning tools, equine equipment, tack, helmets, or boots, or any other equipment inside & outside of the barn. 

• Allergic reactions to animals, hay, or other allergens. 

• Tripping in holes or on materials or being injured by, on, or around equipment, machinery, fencing, or gates.

• Slipping, falling, or otherwise being injured in the barn, in stalls, in the arenas, or on the grounds, which can be slippery, muddy, wet, icy, snowy, or contain or present other hazards.

I hereby specifically forever waive and release Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., and its principals and agents, and family from any liability for injury arising out of the inherent risks from riding, working, or participating in a stable environment and/or with horses, as well as from the active negligence of Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., its principals, and agents.

By signing this agreement, I hereby acknowledge that although there may be supervision during my time spent at Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., there will not be a nurse or medical attention on the premises, and Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., and its principals and agents, and family bear no responsibility for my health or medical care. 

I agree to indemnify, save and hold harmless Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., and its principals and agents and family from and against any loss, liability, damage, attorneys’ fees, or costs that they may incur arising out of or in any way connected with either my presence or participation at Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., or any acts or omissions of Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., principals or agents or family. 

By signing this Agreement, and by initialing the paragraph below, I hereby acknowledge my complete understanding, agreement, and consent to my presence and/or participation in the activities at Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., without restriction, without liability to Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., its principals or agents or family, and with full knowledge and understanding of the disclosures, waivers, and releases herein.

If I am present at and participate in the activities of Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., I do so at my own risk, and I hereby acknowledge and agree that Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., and/or any of its principals and agents or family or minor children shall bear no responsibility or risk associated with injuries that could arise from my presence or participation at Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., Use of your own riding helmet is the helmet owners responsibility as to the condition, age & suitability of the helmet and not that of  Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., volunteers, staff, employees, principals, agents or family.

As a volunteer/participant at Triple H Ranch, I acknowledge the risks and potential risks of a horseback-riding program and related equine activities. However, the potential benefits to me and the clients/other participants I work with outweigh the risks I assume. I hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators, waive and release forever all claims for damage against Triple H Ranch & Therapeutic Horsemanship, Foundation, Inc., instructors, therapists, volunteers, officers, directors, and/or employees for any injuries and/or losses I may sustain while participating in the Triple H Ranch programs.

Per Wisconsin Law relating to the limitation of civil liability regarding equine activities:

NOTICE A PERSON WHO IS ENGAGED FOR COMPENSATION IN THE RENTAL OF EQUINES OR EQUINE EQUIPMENT OR TACK OR IN THE INSTRUCTION OF A PERSON IN THE RIDING OR DRIVING OF AN EQUINE OR IN BEING A PASSENGER UPON AN EQUINE IS NOT LIABLE FOR THE INJURY OR DEATH OF A PERSON INVOLVED IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES, AS DEFINED IN SECTION 895.481(1)(E) OF THE WISCONSIN STATUTES.