In Consideration of my participation in Ride-On Ranch sponsored events and activities, I
agree to the following:

1. Waiver and Release: I am fully aware of and appreciate the risks, including the risk of
catastrophic injury, paralysis, and even death, as well as other damages and losses, associated
with participation in a horse-related event and related activities. I further agree
on behalf of myself, my heirs and personal representatives, that Autumn O'Hara along with Ride-On Ranch or Belisle Corp. volunteers, employees, agents, sponsors, officers,and directors of these organizations, shall not be liable for any injury, loss of life or other loss or damage occurring as a result of my participation in the event.

2. Medical Attention: I hereby give my consent to Ride-On Ranch to provide,through a medical staff of its choice, customary medical attention,
transportation and emergency medical services as warranted in the course of my participation
in Ride-On Ranch sponsored or sanctioned events.

3. Readiness to Participate: I will only participate in those activities in which I
believe I am physically and psychologically prepared to participate.

As legal guardian of this participant, I hereby verify by my signature below that I have read and
fully understand each of the conditions under Participant Waiver and Release section for permitting my
child to participate in any Ride-On Ranch sponsored events and activities and I accept each
of the conditions, especially the waiver and release set forth in paragraph one.



Medical Treatment Authorization
I/We being the legal guardians of the applicant authorize Ride-On Ranch and its agent’s
permission to request medical treatment as necessary to insure the well being of our dependent.