I, the under signed, (parent/guardian) (hereinafter referred to as “Guardian”) hereby consent to and authorize the use and reproduction by GaitWay of any and all photographs and any other audiovisual materials taken of me or my child for promotional printed material, educational activities, exhibitions, or for any other use for the benefit of the program.
LIABILITY RELEASE FOR GAITWAY THERAPEUTIC HORSEMANSHIP, INC. (dba GAITWAY):
Louisiana law recognizes the inherent risks involved when an individual participates in equine activities. By signing this document, I, the under signed, (participant OR parent/guardian) expressly give my permission for myself OR my child, to participate in all farm related or equine activities located either onsite at the GaitWay facility or at any GaitWay sponsored activity off site. Further, I hereby expressly acknowledge that I have read the following language of Louisiana Revised Statute 9:2795.1 and understand that neither GaitWay nor any GaitWay agent, volunteer, board member, or employee is liable for any personal injuries whatsoever that any participants may incur during any GaitWay sponsored event:
WARNING: UNDER LOUISIANA LAW, A FARM ANIMAL ACTIVITY SPONSOR [INCLUDING GAITWAY] OR FARM ANIMAL PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN A FARM ANIMAL ACTIVITY RESULTING FROM THE INHERENT RISKS OF THE FARM ANIMAL ACTIVITY, PURSUANT TO R.S. 9:2795.1."
Typed name in the box below counts as valid signature and that you DO consent to the above.
If you do NOT consent, please DO NOT SIGN BELOW.