Home
Forms
Auto Pay Form
Other Forms
Working Student Program
New Rider's Program
Services
Camps
Lessons
Birthday Parties
Boarding
Store
Contact
Success Stories
Shows
Press
Home
Forms
Auto Pay Form
Other Forms
Working Student Program
New Rider's Program
Services
Camps
Lessons
Birthday Parties
Boarding
Store
Contact
Success Stories
Shows
Press
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization
. COVID-19 is extremely contagious
and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
Boulder Pointe Equestrian & Event Center, LLC (“Company” or “Boulder Pointe”)
has put in place preventative measures to reduce the spread of COVID-19 at its locations and facilities, including employee and client policies requiring social distancing and more frequent cleanings of high touch surfaces. However, Company
cannot guarantee
that an employee or customer/client will not become infected with COVID-19.
By signing this agreement, I, [Enter Name Below] (the “Rider”), acknowledge the following. If I am signing on behalf of a minor child as indicated in the signature block, representations apply to the minor child I am signing on behalf of. If both I and my child will be present at Company’s facility, a separate release must be completed for each of us.
*
Indicates required field
Name
*
First
Last
Email
*
1. I certify that I am at the barn for recreation, lessons and/or to care for my horse.
*
Yes
2. I do not currently have symptoms associate with COVID-19 (e.g. cough, fever, shortness of breath, loss of taste and smell, etc…, CDC guidance is available from management should I have questions about possible symptoms), and I have not had such symptoms within the last fourteen (14) days.
*
Yes
3. To my knowledge, I have not been exposed to an individual with COVID-19 symptoms in the last fourteen (14) days, including any family, friends, etc… If I develop COVID-19 symptoms, I must follow all CDC guidance and any requirements requested by my doctor or other medical professional.
*
Yes
4. If I am notified that I have been exposed to an individual with COVID-19 symptoms or that has developed COVID-19, I must follow all CDC guidance and any requirements requested by my doctor or other medical professional.
*
Yes
5. By coming to Company’s location for services or to participate in Company events, I will be deemed to have recertified that #1 and #2 above are true with respect to that day. I acknowledge that Company may require an onsite verbal or written questionnaire concerning COVID-19 prior to entry into the facility.
*
Yes
6. I acknowledge the contagious nature of COVID-19 and understand the risk that I may be exposed to or infected by COVID-19 by virtue of my presence at Company’s facility, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. By signing this waiver, I hereby waive any COVID-19 injury, illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my presence at Company’s facility (“Claims”). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless the Company, its employees (including Andrea Keacher/Andrea Gustafson), agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the negligence of the Company, its employees, agents, and representatives in relation to COVID-19. This waiver specifically excludes any claims that cannot be waived by law.
*
Yes
7. I will follow all Company policies concerning COVID-19 to the best of my ability, including any restrictions mandated by local, state, and federal law, if applicable.
*
Yes
7a. Policies while you are at the barn:
*
1. Tacking up/Riding MUST occur in the outdoor arena only. If your horse is in the back paddocks you must use the outdoor walkway to bring the horse to the outdoor cross-ties. You must NOT use the indoor barn to get to outdoor areas.
2. Indoor tacking up and indoor riding will be permissible with front and back garage doors open when actively raining only.
3. You MUST adhere to the 2 hour time limit.
4. You MUST maintain the appropriate distance between you and other people (6 feet).
5. You MUST wear a mask (homemade or store bought) at all times while on Boulder Pointe property. You are allowed to remove mask when actively riding only. Instructors are able to remove masks when actively teaching as well. In all circumstances, individuals and Boulder Pointe staff must wear masks in situations where social distancing cannot be maintained.
6. A parent MUST chaperone a children under 16 (no one can be dropped off /left under any circumstance). Chaperoning applies to anyone under 16 that is leasing, boarding, or attending lessons. No children, other than children engaging in lessons, riding, or caring for a horse are allowed on the Boulder Point property at this time. Each parent must be in full control and take responsibility for the minor child at all times while on site. Trainers, chore people, and other parents will not fulfill these responsibilities.
7. You MUST use the provided bleach spray on any door knobs or surfaces that you touch before and after you leave.
8. You MUST not come to the barn at any time if you are exhibiting any signs or symptoms of COVID-19, or have been exposed or potentially exposed to anyone who may have COVID-19.
9. Timeslots will be strictly adhered to. I agree that I will not come earlier nor stay later than my scheduled time slot.
10. All individuals on the Company property MUST sign up on the barn sign up sheet (boarders/leasers only)
11. You must continue to clean up after yourself in outdoor areas and the outdoor arena
12. You must leave all items (other than those items you are currently using) in your car when possible (all riding gear, grooming supplies, boots, and tack when applicable)
13. You must not go through the barn to get your horse
7b. Policies for Lessons
*
1. I understand that online lessons will be available if I am exhibiting symptoms of COVID-19
2. Upon verifying a child is with his/her instructor, the parent or guardian may go back to his/her car during a lesson. At this time parents/guardians will be allowed to watch lessons for the car only.
3. You are permitted to come 30 MINUTES before and stay up to 30 minutes after a lesson. This time is to be spent caring for the horse and cleaning/sweeping the area before and after the lesson ride.
4. These policies may be subject to change in the discretion of Company. Please see Andrea Keacher/Andrea Gustafson for the most recent set of Company facility policies.
8. I hereby give permission to the Company staff to secure emergency medical and/or surgical treatment for my child or myself while I am on the property or my child is in their care. All expenses of such care will be accepted by myself or the parent(s)/legal guardian, including fees for an ambulance, if deemed reasonably necessary by staff. Company will make attempts, when possible, to reach my emergency contact person or the parent/guardian prior to medical treatment; but this may not be possible in all situations.
*
Yes
The Rider must sign this Release if the Rider is 18 years of age or older. A parent/guardian must sign this Release on behalf of a minor child (17 years of age or younger).
Signature of Rider (Parent/Guardian if Rider is a minor)
*
First
Last
Date (mm/dd/yy)
*
Submit
