Circle B Stables
                                                        Release and Waiver
For consideration in the form of participation in horse back riding, horse boarding, riding instruction, the Handicap
Assisted Riding Program, the daily care of horses, and/or incidental activities related to horses, and including but
not limited to any other activities which I might engage in, including the
Horse Camp program, either before, during
or after engaging in said activities (the “Activities”) and other valuable consideration, I the undersigned, by my
signature below, do hereby
voluntarily release, waive, hold harmless and/or discharge  Circle B Stables, it’s
owners, manager, employees, agents, servants and successors, the owners of the real property and all persons
directly, or in any way relating to:
•        My
voluntary participation in the “Activities” including but not limited to all  Horse Camp activities,swimming
fishing, crafting, hiking, horseback riding lessons and instruction, and all that follows in this form.
•        My
presence at the farm
•        Any and all risks to my personal health and well-being which I will be subjected to by virtue of my or my child's
participation in the “Activities”  Any other activities of any
conceivable kind related directly or indirectly to the
This Release and Waiver is meant and intended to include all such personal injuries, conscious suffering,
emotional distress, property damage and/or personal claims.
I understand that there is an
inherent risk involved in any equine activity.  I have read and thoroughly
Ohio’s Equine Liability Act, (2305.321) and that it specifically defines the term “inherent risk of an
equine activity” to mean a “danger or condition that is an integral part of an equine activity, including, but not
limited to, any of 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 equine’s reaction to sounds, sudden movements, unfamiliar objects, persons, or
other animals
•        Hazards, including, but not limited to, surface or subsurface conditions
•        A collision with another equine, another animal, a person, or an object
•        The potential of an equine activity participant to act in a negligent manner that may contribute to injury,
death or loss to the person 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”
I understand that before I sign this document,
I have reviewed this Release and Waiver with  legal counsel,
and my insurance/health care provider
. I have full health care insurance that I maintain current and active. My
health care  provider is agreeable to covering my medical expenses in the event an injury occurs during equine
related activities, and, any and all Horse Camp activities with Circle-B-Stables, at the stables or elsewhere, be it a
horse show or other related activity off the premises. In the event that my provider refuses coverage, for any
reason, I will assume sole responsibility for any and all medical bills incurred. I was advised and encouraged to
consult my health care provider, attorney, and doctor, regarding participating in all activities at Circle B Stables,
due to the extreme nature revolving around a rural farm environment. I was advised,
strongly, "horses are
. My signature below, indicates that I have full knowledge of the consequences of my executing this
document.  Moreover, by my signature below, I expressly acknowledge that I have not been pressured, coerced, or
otherwise pressured by Circle B Stables, Tom or  Mindy Baker  to execute this full Release and Waiver, and have
the full mental capacity to understand the consequences of my release of Circle B Stables, Tom or Mindy Baker
any and all claims that conceivably would relate to my participation in any activities at the farm. In the event  I
breach this contract, I agree to pay all legal fees for both parties involved.  I have read and understand this

Release and Waiver of my rights to  any and all legal action
 against Circle B Stables, and the Baker's. I
understand the risks involved in an equine activity, Ohio Statute 2305.321, and that this is part of a
legal and
binding contract
to provide a service for recreational activity which leaves me no legal recourse.  I fully agree
not to involve in any way, shape or form, Circle B Stables, Tom or Mindy Baker,  
their insurance carrier, mortgage
or other, in any action, be it civil, criminal, verbal, written or otherwise, brought on by my attorney,
insurance provider or other.    
Dated this _________ day of  ______________, __________.
____________________________ In the event that the undersigned is under the age of  
Signature of Participant                   eighteen (18), the signature of a parent or guardian is required.
____________________________         _________________________    ___________________________
Printed Name of Participant                        Parent/Guardian signature                  Address
____________________________         _________________________    ___________________________
Participant’s Date of Birth                       Printed Name                           Phone

Additional children and/or participants_(1)________________________,(2)_______________________