Sign Up!

Online Waiver Form/Payment - Rider Assessment

Thank you for your honesty and we are so happy to have you as a part of our stables. Please fill out form before you schedule your appointment.   I consent to having La Fleur Stables / Madison Riding Academy collect my email and address.

Instructions
Step #1:Submit this Online Rider Assessment/Waiver Form.  Please make sure it is filled out completely.

Note: Items marked with an asterisk (*) are required.
Step #2: After submitting the application then PAYMENT can be done through....

Pay Pal, OR stables takes major credit card, checks and cash the day of the Horse Adventure.
Looking forward to seeing you all soon. Thank you for your business.

I wish to participate in horse, lessons, camps, parties and/or horse back riding (“the Activities”) provided by La Fleur Stables LLC, Madison Riding Academy, Neva La Fleur, Marlene & Dan La Fleur and instructors.  
I understand and agree that the use, boarding, handling, training and riding of horse involves risk on injury and damage to the horse, and property and equipment involved, and to the individuals undertaking such activity. I further understand and agree that any horse, irrespective of its training, its usual past behavior and its characteristics, may act or react unpredictable at any time.
With full awareness of the foregoing, I am knowingly and voluntarily participating in the Activities and accept the possibility of injury to myself and my horse and other property as a risk inherent in the Activities.
In Consideration of my being permitted to participate in the Activities and for other good and valuable consideration, the receipt and sufficiency of which I hereby acknowledge, I promise and agree as follows.
Warranties and Representations
    1.1 I understand that horseback riding and training is rigorous activity and is physically and mentally demanding. I hereby warrant and represent that I have the requisite level of physical fitness and mental alertness to enable me to participate in the Activities. I further warrant and represent that I am in good health and free from injury, illness, disease or other defects which may impair my ability to engage in the Activities.
    1.2 I recognize the treat of exposure to tetanus that exists in the presence of livestock and acknowledge my responsibility to obtain inoculation and maintain protection against tetanus, a disease endemic to horses.
    1.3 If I am boarding or using a horse owned by me or any acquaintance of mine (and not by La Fleur Stables, LLC-Dan & Marlene La Fleur /Madison Riding Academy LLC-Neva La Fleur) in connection with Activities. I warrant and represent that such horse has the proper temperament and health for the Activities.
2. Release I hereby release and forever discharge La Fleur Stables LLC, LLC/Madison Riding Academy, LLC and their landlord for the horse barn, riding building and pastures and all of their, successors and assigns of the foregoing parties (collectively, the “Release”) from any and all liability for any and all losses, claims the demands, actions, causes of action, damages, cost and expenses which I may herein after incur on account of any loss, damage or injury (including death) to my person, horse or my other property, or the consequences thereof , which result from any accident, transaction, event, circumstance, occurrence, act or omission connected with or arising from the Activities, whether caused by the negligence of Release or otherwise.
3. Intent the release contained in paragraph 2 above is intended to be broadly consumed so as to release releasee’s from all claims whatsoever arising out of any accidents, transaction, event, circumstance, occurrence, act or omission, including without limiting the generality of the language in paragraph 2 above any loss, damage or injury (including death) incurred while I or my horse; other property engaged in the Activities, whether such loss, damage or injury arises as a result of the actions or omissions of Releases, a third party, a horse or other animal, an act of God or a combination thereof.
4. Indemnity I hereby agree to indemnity, defend and hold harmless Releasee's, and each of them, from and against any and all claims, damages, cost, expenses or liabilities which they may occur as a result of any accident or injury caused by me, my horse of my other property while engaged in the activities.
5. Miscellaneous
    5.1 This agreement shall be binding upon and insure to the benefit of my heirs, successors, assigns and they're legal representatives.
    5.2 This release shall be governed by and construed in accordance with the law of the state of Wisconsin. 
6. Notice—A person who is engaged for compensation in the rental of Equine or Equine Equipment or tack or  in the instruction of a person in the riding or driving oven equine or being a passenger upon and equine is not liable for the injury or death of the person involved in the equine activity resulting from the inherent risk of equine activities, as defined in section 895.81(1)(e) of the Wisconsin Statues.
I HAVE READ THE RELEASE AND FULLY UNDERSTAND ALL OF ITS TERMS.  I HAVE EXECUTED THIS RELEASE VOLUNTARILY AND WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.
If the above signature is a minor, I have knowledge that I am the parents of the above-name minor applicant/participant (and/or the duly appointed legal guardian of such minor). And I have full authority to sign this release for and on behalf of the minor and on behalf of myself.  My signature on this form constitutes my understanding and consent to the waiver and release set out about on behalf of myself and the minor.  I acknowledge that I am bound myself to the same extent as the minor and shall also be considered a principal signatory on behalf of myself, my horse and my other property, if any, involved in the Activities.
I HAVE READ THE RELEASE AND FULLY UNDERSTAND ALL OF ITS TERMS.  I HAVE EXECUTED THIS RELEASE VOLUNTARILY AND WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.

Horse Programs "Active"
Riding Lessons

Rider Assessment 

​Questions...