Please read over this Risk Warning and Waiver of Liability form, you will need to sign a printed copie on the morning of your ride.
You will need a witness to sign for you.
under 18 will need a gardian to sign for you.
If you have any questions about form please contct us.

McCormacks Mountain Vlley Trail rides
Risk Warning and Waiver of Liability
State: Vic
Postcode: 3722
McCormacks Mountain Valley Trail Rides
118 McCormacks Road Merrijig
Name of Participant ________________________________
Address of Participant _______________________________
State: ___________
Postcode: ____________
Mobile: _______________________
The following pages affect your legal rights and obligations. Please read these carefully and only sign
if you fully understand their contents. For Participants under 18 years of age, these documents must
be completed by a parent or legal guardian.
Description of Activities2: HORSE RIDING

Risk Warning
I am aware that by my participation in any activities arranged by the Provider, certain risks or dangers may occur which could
include:
• Physical, bodily or psychological injury or death.
• Physical exertion to which I am not accustomed.
• Failure of equipment or use of inadequate equipment.
• There may be no or inadequate facilities for treatment or transport to treatment if I am injured.
• The conditions in which the activities are conducted may vary without warning.
• I may cause injury to other persons and/or other persons may cause injury to me.
• I may be injured or die due to the negligence, breach of contract or breach of statutory duty or guarantee of the provider.

I acknowledge that the activities are being undertaken for the purposes of recreation, enjoyment or leisure, and involve a significant degree
of risk of physical harm.

I acknowledge that the Activity may be undertaken with one or more other persons as part of a group and that the Provider is not liable for the actions of other participants in the group activity.
By signing below, I acknowledge, agree and understand that the risks associated with the Activities and/or recreational services have been explained to me. I undertake any such risk voluntarily and at my own risk.

For Victoria
Warning under the Australian Consumer Law and Fair-Trading Act 2012 (Vic)
Under the Australian Consumer Law (Victoria), several statutory guarantees apply to the supply of certain goods and services. These
guarantees mean that the supplier named on this form is required to ensure that the recreational services it supplies to you—
• Are rendered with due care and skill; and
• Are reasonably fit for any purpose which you, either expressly or by implication, make known to the supplier; and
• Might reasonably be expected to achieve any result you have made known to the supplier.
Under section 22 of the Australian Consumer Law and Fair Trading Act 2012, the supplier is entitled to ask you to agree that these statutory guarantees do not apply to you.
If you sign this form, you will be agreeing that your rights to sue the supplier under the Australian Consumer
Law and Fair Trading Act 2012 if you are killed or injured because the services provided were not in accordance with these guarantees, are excluded, restricted or modified in the way set out in this form.

NOTE: The change to your rights, as set out in this form, does not apply if your death or injury is due to gross negligence on the supplier's part. Gross negligence, in relation to an act or omission, means doing the act or omitting to do an act with reckless disregard, with or without consciousness, for the consequences of the act or omission. See regulation 5 of the Australian Consumer Law and Fair-Trading Regulations 2012 and section 22(3)(b) of the Australian Consumer Law and Fair-Trading Act 2012.

Agreement to exclude, restrict or modify your rights:
I agree that the liability of the Provider for any personal injury that may result from the supply of the recreational services that may be suffered by me (or a person for whom or on whose behalf I am acquiring the services) is excluded.

Declaration and Signature
I have read carefully and understand this risk warning and waiver of liability and sign it feely and voluntarily without inducement of any kind.
Signature of Participant: ________________________
Signature of Witness ______________________

For Participants under age 18
Date:
This is to certify that I, as a parent/guardian with legal responsibility for the Participant, acknowledge, understand and accept all of the above and consent to his/her release as provided above. I release and agree to indemnify and hold harmless the Provider from any and all liabilities arising from my minor child’s involvement or participation in the Activities and/or recreational services, even if arising from the negligence of the Provider.
Signature of Legal Guardian:
Name (Print): ___________________________________
Signature of Witness _______________________________
Date:

Who should we contact in case of an emergency?
Name: _________________________________________
Contact Number: ________________________________
By signing this form, you are authorizing McCormacks Mountain Valley Trail Rides to arrange emergency medical treatment if required.