Rose and Grace Mini Farm
Waiver and Liability Release

PLEASE READ CAREFULLY AND THOROUGHLY BEFORE SIGNING
This is a waiver of your legal rights and an agreement to hold harmless Rose and Grace Mini Farm Owners and Operators.
In consideration of Rose and Grace, Rebecca Santiago hereinafter ‘Owner’ allowing me,
Print Legal Guardian Name:__________________________________________________
For Minor(s):______________________________________________________________
_________________________________________________________________________
hereinafter ‘Event Attendee’
to voluntarily participate in horse related and farm animal related activities. Including but not limited to
horseback riding, as well as any and all interaction and handling of the various farm animals provided in the
petting zoo, including but not limited to pigs, goats, sheep, chickens, ducks, turkeys, etc. It is agreed on behalf
of the event attendee and for his/her heirs, assigns and representatives, (hereinafter collectively ‘event
attendee’) that:


1. ASSUMPTION OF RISK
Event Attendee is aware that riding, handling or working with a pony is very dangerous, with a high
risk of serious injury or death, to both the Event Attendee and the pony(s). THERE ARE INHERENT
RISK OF PROPERTY DAMAGE, INJURY OR DEATH in this activity that no amount of care, caution,
instruction, or experience can eliminate. Such dangers include but are not limited to, being thrown
from or falling off the pony, being kicked, bitten, stomped on, run into, run over, attacked,
equipment failure, etc. Event Attendee is also aware that any interaction or handling of farm
animals is an unpredictable activity. Such dangers can include but are not limited to being stepped
on, bitten, kicked, dragged, run into, head butted, jumped on, etc.
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INITIALS


2. ASSUMPTION OF RISK – Event Location and Nature Conditions
In addition to the above risks, Event Attendee understands and accepts that event locations are out
of the Owners control and are subject to the Event Host’s provisions. Such risks include but are not
limited to loose dogs, horses and other animals, unpredictable event activities that may cause
unpredictable behavior from ponies and animals, etc. NATURES CONDITIONS include but are not
limited to, earthquakes, fire, lightning, thunder, extremely heavy winds, rain, snow, sleet, hail,
mud, etc. Event Attendee FREELY ASSUMES ANY ALL SUCH RISKS, INCLUDING THE RISK OF ANY
NEGLIGENCE OF OWNERS.
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13625 & 13627 FM 2769
Austin, TX 78726
(512) 788-1842


3. RELEASE FROM LIABILITY AND COVENANT NOT TO SUE
In consideration for being permitted to participate in horse related and animal related activities by
Owner, EVENT ATTENDEE TO FOREVER DISCHARGE AND RELEASE FROM ANY LEGAL LIABILITY AND
NOT TO SUE OWNERS for any injuries or property damage caused by or resulting from any access
to Owners ponies or farm animals, INCLUDING BUT NOT LIMITED TO INCIDENTS ARISING OUT OF
OWNERS NEGLIGENCE.
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INITIALS


4. INDEMINITY AGREEMENT
Event Attendee agrees for himself/herself and his/her heirs, assigns and representatives to
INDEMNIFY AND HOLD HARMLESS OWNERS from any and all losses, claims, actions, causes of
actions or proceedings of any kind which may be initiated by Event Attendee or by any other
person or organization on Event Attendee’s behalf, including demands for damages, judgments,
costs, loss of services, or expenses arising from activities contemplated by this agreement,
including but not limited to reasonable attorney fees incurred by Owner.
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INITIALS


EVENT ATTENDEE IS AWARE THAT THIS CONTRACT IS LEGALLY BINDING AND THAT HE/SHE IS
RELEASING LEGAL RIGHTS FOR HIMSELF/HERSELF AND HIS/HER HEIRS BY SIGNING IT. EVENT
ATTENDEE FURTHER EXPRESSLY AGREES THAT THE FORGOING AGREEMENT IS INTENDED TO BE AS
BROAD AND INCLUSIVE AS PERMITTED BY LAW AND THAT IF ANY PORTION OR PARAGRAPH IS
HELD INVALID, THE BALANCE SHALL CONTINUE IN FULL LEGAL FORCE AND EFFECT.


_________________________/__________________________________ ____/____/________
NAME/SIGNATURE OF EVENT ATTENDEE DATE


​LIST PARTICIPATING MINOR(S) AND AGES
__________________________________ (________)________________________(_______)

____________________________(_______)_______________________(________)​


PHYSICAL ADDRESS _______________________________________CITY__________________________STATE_____________ZIP CODE__________