Lazy C Ranch

1603 Hwy 388 E, Southport, Florida 32409

Gene Cornelius; 850-628-3135

Broncoman@LazyCRanch.us – www.LazyCRanch.us


I, the undersigned for and exchange for participation in Equine Activities, including the permission to participate in any and all equestrian related activities and/or use of the property, facilities and services with Lazy C Ranch and all individual owners, landlord and agents of it, being permitted to be a lessee, spectator, rider, trainer, owner, groom, attendant, judge, minor chaperone, guest of a border/lessee, or any other equestrian or equestrian related activities including showing horses, taking lessons, jumping, walking or riding(all of the foregoing by way of example and not by way of limitation), the receipt and sufficiency whereof is all hereby acknowledged, do hereby agree and consent to the following:


In consideration of being permitted to participate in any capacity in activities within Lazy C Ranch, located at 1603 Hwy 388 E, Southport, Florida 32409 and as set forth above, I, by execution of this General Release and Waiver of Liability, do hereby release Lazy C Ranch and all related affiliated corporations and individual property owners thereof, hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Lazy C Ranch for any and all damage, and any claims, including any claim of personal injury, death, or injury to or loss of personal property, whether arising from control or supervision of spectators, providing or failing to provide ambulance service, medical care, nursing care, paramedic care, basic life support care, emergency trauma care, advanced support care, first aid, emergency communication, emergency transportation, or design, maintenance or repair of any facility or anything or any other act caused by Owners of Lazy C Ranch or otherwise while I am in or upon premises of Lazy C Ranch. All personal property kept, placed or left on or about the premises of Lazy C Ranch shall be at my sole risk as to los, theft, injury or damage and Lazy C Ranch shall have no responsibility for such loss, theft, or damage, to any such personal property.


 I hereby agree to INDEMNIFY AND SAVE AND HOLD HARMLESS Lazy C Ranch, any Owners thereof, any sponsor, agent, landlord, their owners, their officers, their directors, members, affiliated organizations and any others acting on their behalf from any loss, liability, claims, rights for damages, costs or other expenses for any accident or injury’s which may occur to me, my animals or my adult guests including their minor children or legal wards at this activity and or event and location.


I hereby acknowledge and agree that horses, equine riding, hacking, cantering, galloping, polo, jumping, obstacle courses, and/or all other equestrian activities are dangerous and involve risk of serious injury and/or death and/or property damage and that the horses, equine, riding, hacking, cantering, galloping, polo, jumping and/or all other equestrian activities are extremely dangerous and ultra hazardous.  I consciously and voluntarily assume all such risks, dangers and hazards inherent in thee activities and assume the same risks for any invitees including, minor children or legal wards, I bring onto Lazy C Ranch.


I agree to observe and obey all posted, written and oral rules and warnings and I further agree to follow any oral instructions or directions given by Lazy C Ranch, its employees, representatives or agents of Lazy C Ranch. I have received a copy of Lazy C Ranch rules. _________________(initial)


I agree to be responsible for all damage caused by me, my animals, invited minor children, or anyone utilizing the premises, property or grounds of Lazy C Ranch with the consent of or at my request.


I agree to be liable for all of Lazy C Ranch and all individual owners, landlord and agents of it, reasonable attorney’s fees and other costs resulting from my breach of any provision of the Release and Waiver. I further expressly agree that the foregoing release, waiver and indemnity provisions are intended to be as broad and inclusive as is permitted by law.


I agree that this Release and Waiver shall be governed by and construed in accordance with the laws of the State of Florida. In the event any action, suit or proceeding is instituted as a result of any matter or thing affecting this Release and Waiver, the parties hereto hereby designate Bay County, Florida, as the proper jurisdiction and the venue in which same is to be instituted.



 Under Florida Law, an equine activity sponsor or equine professional is not liable for any injury or the death of, a participant in equine activities resulting from the inherent risks of equine activities. FLORIDA STATE STATUTE 773.04

 If the below Participant/Guest is a minor, said minor must be accompanied by the parent or Legal guardian whose signature is on file for this Waiver/Release.

NOTE: This Waiver/Release form shall be valid for 1 (One) year from the date of signature and shall cover any and all events within that year.

 Having read the preceding, I acknowledge my understanding of those risks set forth herein and knowingly agree to accept full responsibility for my exposure to such risks. I acknowledge a full and complete understanding of the limitations of liabilities and waiver of certain rights that I may have and granting of releases contained herein and knowingly consent thereto.

DATE:________________________20____.: Email Address:___________________________________

Print Participant Name_______________________________________

Participant Signature________________________________________

If Participant is a minor (please check):_______ and sign below

Parent/Legal Guardian:_______________________________________

Date of Birth of Participant:____________________________________




Emergency Contact:__________________________________Phone:____________________________

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