Galesburg Boots and Saddle Club



Horse Shows and Events For 2014


May 18th, June 8th& 15th, July 20th, Aug 17th, Sept. 14th& 21st

Permission to Participate:  The Illinois Equine Act requires sponsors to provide the following warning to participants….WARNING:

Under the Equine Activity Liability Act, each participant who engages in an equine activity expressly assumes the risk of engaging in and legal responsibility for injury, loss or damage to person or property resulting in the risk of equine activity.


As adult participant, or parent or guardian, of________________________________ I am aware that activities involving horses, ponies or any other equine are associated with the following risks including but not limited to:

  1. The propensity of equine to behave in ways that may result in injury, harm or death to persons on or around them.
  2. The un- predictability of an equines reaction to sounds, sudden movement, and unfamiliar objects, persons, other animals or things.
  3. Certain hazards of surface or subsurface conditions.
  4. Collisions with other equines or objects.
  5. The potential of participants to act in a negligent manner that may contribute to injury of

self or others.


I understand that by signing this agreement that the Galesburg Boots and Saddle Club, members and volunteers will not be held liable for voluntarily participating in the 2014 Horse shows at Bursie Williams Park in Galesburg, Il.


I have carefully read this agreement and fully understand it’s contents.

Participant/ Releasers Name:______________________________________________________

Parent/ Guardian Signature________________________________________________________


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