COVID

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

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

Release & Acknowledgement of COVID-19 Policies