Describe your abilities / difficulties in the following areas (include assistance required or equipment needed):

Participant’s Authorization for Emergency Medical Treatment Release Form

In the event emergency medical aid/treatment is required due to illness or injury during the process of receiving services, or while being on the property of the agency, I authorize SoléAna Stables to:

• Secure and retain medical treatment and transportation, if needed
• Release participant records upon request to the authorized individual agency involved in the medical emergency treatment

In case of an emergency, please contact (must be a local contact):

OR

Consent Plan

This authorization includes x-ray, surgery, hospitalization, medication, and any treatment procedure deemed “lifesaving” by the physician. This provision will only be invoked if the person(s) listed as “emergency contact” is unable to be reached. I agree to pay for or arrange insurance payment for costs and claims SoléAna Stables incurs or becomes liable to pay for all medical aid, treatment, and procedures arising from any illness or injury covered by this authorization.

Non-Consent Plan

I do not give my consent for emergency medical treatment/aid in the case of illness or injury during the process of receiving services or while being on the property of the agency, SoléAna Stables. In the event emergency treatment/aid is required, I WISH THE FOLLOWING PROCEDURES TO TAKE PLACE:

Participant Release Form

Social Media Agreement:

SoléAna Stables appreciates your enthusiasm in sharing the amazing strides our Participants are taking as apart of this program. However, we ask that you consult with the SoléAna Stables Instructor or Executive Director before posting any videos of the sessions on social media. Not everyone in our program is open to sharing their personage on social media and we want to make sure we respect their privacy. I agree to request permission from the SoléAna Stables Executive Director before posting personal videos online of any sessions that I may capture or be featured in and/or before referencing SoléAna Stables.

Confidentiality Agreement:

I understand that all information (written and verbal) about Participants at SoléAna Stables is confidential and is not to be shared with anyone without the expressed written consent of the participant. Violating this agreement may result in the termination of my association with SoléAna Stables.

Release and Hold Harmless Agreement - SoléAna Stables

WARNING UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE), A FARM ANIMAL PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN FARM ANIMAL ACTIVITIES RESULTING FROM THE INHERENT RISKS OF FARM ANIMAL ACTIVITIES.

RELEASE AND INDEMNITY AGREEMENT I hereby RELEASE, WAIVE AND DISCHARGE, SoléAna Stables, a Texas non-profit 501c3 Corporation, its Owners, Employees and Board of Directors, from ALL liability, and any and all possible causes of action in law or in equity that may arise from injury, including but not limited to injury, damage or other misfortune resulting from any recreational or educational activity, including, but not limited to grooming, walking or leading, horseback riding, or group activity which may take place at the stables or at other locations.I am fully aware that there is an element of risk of injury, damage or other misfortune associated with these recreational and educational activities. I accept the risk of such activities, and am aware that such activities are for the recreation, sport, therapy or education, and undertake them voluntarily as the possible benefits to myself/son/daughter/ward are greater than the risk assumed. I further agree to INDEMNIFY AND HOLD HARMLESS SoléAna Stables, it’s Board of Directors, Instructors, Therapists, Aides, Volunteers, and/or Employees/Contractors for any injuries and/or lossesI/my son/daughter/ward may sustain while participating at SoléAna Stables. In consideration of the permission to participate extended to me and for the services rendered by SoléAna Stables, I do hereby for myself, heirs, personal representatives and agents forever release and discharge any claims, demands, actions or lawsuits that may occur as a result of negligent, but not reckless or intentional conduct during my participation. By signing below, I ACKNOWLEDGE that I enter into this release after having read the same, and place my signature hereto of my own free voluntary act and deed. By signing below, I represent to SoléAna Stables that I fully understand its contents, that I do not need any further explanation, and I waive any further explanation.

I have read and understand the above release and indemnity agreement.

Release of Liability - Silver Spur Stables

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT READ THIS AGREEMENT CAREFULLY BEFORE SIGNING IT. YOUR SIGNATURE INDICATES YOUR UNDERSTANDING OF AND AGREEMENT TO ITS TERMS BY SIGNING THIS AGREEMENT, YOU (AND YOUR CHILD) ARE GIVING UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES IN CASE OF INJURY, DEATH OR PROPERTY DAMAGE FOR ANY REASON INCLUDING, BUT NOT LIMITED TO, THE NEGLIGENCE OF THE TRAINER, THE STABLE, ITS OWNERS, EMPLOYEES AND AGENTS (“THE RELEASEES”).

WARNING

UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE), AN EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE, FARM, OR FARM ANIMAL ACTIVITIES RESULTING FROM THE INHERENT RISK OF EQUINE ACTIVITIES.

Any dispute regarding this Agreement shall be resolved in Brazoria County, Texas using Texas law to govern this Agreement.

In consideration for allowing me to enter and/or be present upon the premises located at 1226 County Road 45 in Angleton, Texas, and/or in consideration of being allowed to handle, be in the vicinity of and/or ride any wild or domestic animal (including, without limitation) a horse the undersigned agree(s) on his, her, or their own behalf and on behalf of any person present on the premises brought, invited, or permitted to be on premises by the undersigned (including, without limitation, and minor or compromised or any person found by any Court or authority to be incompetent to bindingly execute a release and indemnity on his, her, or their own behalf) and my, our, or their guardian(s), personal representative(s), heir(s), next-of-kin, spouses and assigns, THE UNDERSIGNED HEREBY:

1. Acknowledge that a horse or mule may, without warning or any apparent cause, buck, stumble, fall, rear, bite, kick, run, make unpredictable movements, spook, jump obstacles, step on a person’s feet, push or shove a person, saddles or bridles may loosen or break - all of which may cause the rider to fall or be jolted resulting in serious injury or death to the Undersigned or any person within close proximity of a horse.
2. ACKNOWLEDGE THAT HORSEBACK RIDING, THE HANDLING OF A HORSE OR BEING IN CLOSE PROXIMITY TO A HORSE IS AN INHERENTLY DANGEROUS ACTIVITY AND INVOLVES RISKS THAT MY CAUSE SERIOUS INJURY AND INSOME CASES DEATH because of the unpredictable nature and irrational behavior of horses, regardless of their training or past performance.
3. Voluntarily assume the risk and danger of injury or death inherent in the handling or riding of the horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse, and use of saddles, bridles, equipment and gear provided to me by Silver Spur Stables, LLC.
4. RELEASE, DISCHARGE AND PROMISE NOT TO SUE: Silver Spur Stables, LLC for any loss, damage, injury (including death) or cost to me arising out of the handling or riding of a horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse, and use of saddles, bridles, equipment and gear provided by Silver Spur Stables, LLC.
5. RELEASE Silver Spur Stables, LLC from any claim that such Silver Spur Stables, LLC were negligent in connection with my or my child’s riding a horse including but not limited to training or selecting horses, maintenance, care, fit or adjustment of saddles or bridles, instruction on riding skills or leading and supervising riders or the use of any equipment provided by SilverSpur Stables, LLC or being on the premises of the Stable, which resulted in loss, damage, injury or death.
6. INDEMNIFY, AND SAVE AND HOLD HARMLESS Silver Spur Stables, LLC from and against any loss, liability, damage or cost they may incur arising out of or in any way connected with my handling or riding the horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse and/or and use of saddles, bridles, equipment and gear provided therewith from or contributed to by my own negligence.
7. Agree to abide by and follow any instructions given or rules established by Silver Spur Stables, LLC is with regard to my riding or handling of the horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse or any saddles, bridles, equipment and gear provided therewith.
8. The Undersigned expressly agrees that the foregoing release and waiver of liability, assumption of risk, and indemnity agreement is governed by laws of the State of Texas and is intended to be as broad and inclusive as is permitted by Texas law, and that in the event any portion of this Agreement is determined to be invalid, illegal, or unenforceable for any reason, the balance of the Agreement shall not be affected or impaired in any way and shall continue in full legal force and effect.
9. Acknowledge that this document is a contract and agree that if a lawsuit is filed against Silver Spur Stables, LLC for any injury or damage in breach of this contract, the Undersigned will pay all attorney’s, court fees and all costs incurred by Silver Spur Stables, LLC in defending such an action.
10. IT IS RECOMMENDED THAT I AND ALL RIDERS WEAR A PROTECTIVE HELMET. IT IS MY UNDERSTANDING THAT A PROTECTIVE HELMET IS AVAILABLE AND HAS BEEN OFFERED FOR MY OWN SAFETY. I DECLINE TO WEAR A HELMET (PLEASE INITIAL HERE):

I agree to hold harmless, RELEASE, DEFEND, and INDEMNIFY the RELEASED PARTIES of and from all past, current and future claims, causes of action and legal liability that I and/or my minor child(ren) or ward(s), or any person claiming by, through, or under any of them, may have against them including any causes of action for our bodily injuries, death or property damage, even if same are wholly caused as a result of any negligence or gross negligence on the part of any of the Released Parties and even if resulting from any activities not inherent to the risks ofequine activities and this agreement to indemnify the Released Parties includes an agreement to indemnify them for any claims brought by any third parties as a result of such above referenced injuries and damages suffered by me (or my minor child(ren) or ward(s)) including any claims brought by any hospital, medical provider, insurance company, governmental agency or any claims by any third party (sued by us for our injuries and damages) seeking contribution from theReleased Parties. If our Guest should suffer any damages for bodily injuries, death or property damage while on Silver Spur Stables, LLC premises and/or while at any offsite event involving any equine activities and/or while traveling with any Released Parties to/from any such offsite event then – even if such injuries and damages are wholly caused by any negligence or gross negligence on the part of any Released parties – I nevertheless agree that (a) if the Guest sues me I shall not see contribution from the Released parties; (b) if the Guest sues the Released Parties I shall defend and indemnify the Released parties for such claims; (c) if the Guest sues a third party who then seeks contribution from the Release Parties I shall defend and indemnify the Released Parties for such claim.

I have read this document. I understand it is a promise not to sue and to release andindemnify the Trainer, the Stable, its owners, employees and agents for all claims. I havemade a free and deliberate choice to sign the Release and Waiver as a condition to SilverSpur Stables, LLC allowing me or my child to ride or handle a horse. I have concludedthat the risks involved and the Release and Waiver of Liability is worth the pleasure ofhorseback riding experience and acknowledges that the same is valuable consideration forthis Release and Waiver of Liability. I further waive and relinquish all claims of any kindagainst any person benefitting from this Release and Indemnity and extinguish andrelinquish as of the date this instrument is signed, any claim I might have against anybeneficiary hereof. I further agree that I, or my estate, shall hold harmless and indemnifyany beneficiary hereof from any claims, due, debt liability, judgment, or obligation of anydescription to any person who is or claims to be entitled to any benefit or recovery of anykind as a result, directly or indirectly, of my presence or their presence, or that of anyproperty owned, possessed or controlled by any of us, on the aforementioned premises orresulting from any activity or condition exiting thereon, including, without limitation, and injury or damages resulting directly or indirectly from any wild or domestic animal, or from any act or omission of any beneficiary hereunder or act or omission of any agent, servant, employee, or representative of any beneficiary of the waiver, relinquishment, release and/or indemnity hereunder.

The releases, waivers, relinquishments and indemnities contained herein are in addition to all exemptions under any applicable law benefitting SILVER SPUR STABLES, its owners, managers, agents, servants, employees, or representatives.

NOTICE

Any and all guests or other persons to be admitted to premises by, or at the request of,

Program Guidelines

Participant Eligibility

• Participant is a current or prior military service member or immediate relative to a current or prior service member
• All paperwork must be current (a medical release from the participant’s current physician is NOT required to participate in unmounted sessions, but is required for any mounted sessions)
• SoléAna Stables reserves the right to deny services to any individual based upon concerns for the Participants’ safety and/or the safety of the horse, Volunteers, Staff, or for any other reason in accordance with PATH Intl. operating guidelines

Participant Evaluation/Assessment

• If it is determined that the participant is a good candidate for our program and all forms have been received, the participant will be contacted to review their application and availability before being enrolled in the program and given a start date
• Upon starting the program, the participant may be asked to fill out various surveys to track participant progress throughout the program(s)
• In order to ensure effective, client centered activities, the participant may be asked to provide feedback on our program’s effectiveness at the conclusion of the session

Attendance

• Participants need to attend on a weekly basis to maximize the therapeutic benefits of each lesson
• You can help us provide the maximum time available by arriving 10 minutes before your lesson

Guests

To ensure everyone's privacy, please do not bring guests to observe your lesson. If someone is interested in learning more about the program, please have them contact your Instructor or the Executive Director via email or phone call

Change of Health or Medication Status

Participants must inform their instructors, in writing, immediately of any changes in health or medication - This includes, but is not limited to, changes in weight, increased/decreased medication dosages, revised diagnoses, surgeries, etc

Program Withdrawal

If the participant will not be returning under their own accord for the next session, please contact the Executive Director as soon as possible - This allows us time to contact another participant on the waitlist and arrange for enrollment

Unmounted Lessons

• All unmounted group lessons may consist of a maximum of 8 Participants
• All mounted group lessons may consist of a max of 4 Participants - There are currently no private lessons.
• There are no “typical” lesson plans, but rather lessons are designed with the individual participant’s goals in mind - Lessons emphasize social interaction among the Participants
• Lessons are scheduled for two hours (including mounting, dismounting during mounted lessons) and fellowship at the end of each lesson

Mounted Lessons

• To protect our Participants and horses, weight guidelines have been established for all mounted activities - A participant plus tack (saddle, pad, bridle, reins & bit, etc.) should not exceed 20% of the horse’s weight. For example, a participant that weighs 180lbs. using a saddle that weighs 20lbs. should ride a horse whose weight is greater than 1000 lbs. Based on our current horses, our max weight for Participants wishing to engage in mounted lessons is 180 lbs or less
• Participants are able to independently maintain balance on equine, if participating in mounted lessons
• All Participants must wear approved ASTM-SEI safety helmets during all mounted equine activities unless an Alternative Helmet Waiver has been filed - Helmets are provided, but Participants may purchase their own ASTM-SEI helmet if they choose to

Attire

• To ensure safety, Participants should be dressed in long, durable pants and proper closed-toe footwear
• For all mounted lessons we strongly encourage all Participants to wear boots with a heel to allow for proper fit in stirrups
• Crocs and opened-toed shoes are not permitted by Participants, parents, guests or Volunteers at any time

Weapon Policy

SoléAna Stables explicitly prohibits:

• The possession of any weapon or ammunition. Possession of facsimile weapons is also prohibited. This includes but is not limited to pellet guns, air soft pistols and B.B. guns. Serious injury has occurred in situations where facsimile weapons have been mistaken for actual weapons
• Weapons prohibited on site are defined by Texas Penal Code, Title 10, Chapter 46 and include, but are not limited to, clubs, location-restricted knives (with blade over five and one-half inches), explosive weapons, firearms, firearm silencers, machine guns, short-barrel firearms, armor- piercing ammunition, chemical dispensing devices (other than a small chemical dispensers sold commercially for personal protection), zip guns, tire deflation devices, or improvised explosive devices
• If you are found in possession of weapons, firearms, or implements associated with their use in the arena, buildings, or common property, we will immediately escort you off the property and terminate this agreement

Drug Policy

SoléAna Stables explicitly prohibits:

• The use, possession, solicitation for, or sale of narcotics or other illegal drugs, alcohol, or prescription medication without a prescription on the premises or while participating in the program
• Being impaired or under the influence of legal or illegal drugs or alcohol while on the premises is prohibited, if such impairment or influence adversely affects the Participants performance or the safety of the Participants and Staff or Volunteers
• "Prohibited substances" include illegal drugs, alcohol, or prescription drugs not taken in accordance with a prescription given to the participant

Cancellation

• As a nonprofit, SoléAna Stables relies on its Volunteers to help with the many tasks involved in lessons - In order to respect our Volunteers’ time, please contact the Executive Director and/or Instructors as soon as you are aware of a planned or unplanned cancellation
• Please try to give us at least 24 hours' notice of any cancellations - We understand that occasional emergencies happen, or a participant may become sick, so in those instances please contact us as soon as you can
• If you “No Call/No Show” two lessons in a row, we will assume that you are no longer participating in the program, and you will be removed from the program
• For mounted lessons, in the event that it is unsafe to ride (due to weather, power outage etc.) we may provide, as an alternative to riding, a ground lesson. Assume that lessons are NOT cancelled unless you hear from an Instructor - Please make sure that SoléAna Stables has a current phone number and/or email address for notification purposes
• Every effort will be made to reschedule lessons cancelled by SoléAna Stables, but ability to reschedule is not guaranteed

Safety Rules

• Participant family members and children are expected to follow guidelines and may not engage in disruptive, unsafe or inappropriate behavior
• No running, screaming, or boisterous behavior is allowed on the premises
• Personal pets are not allowed on the property, with the exception of service dogs
• Please park your vehicle in the designated parking area
• Please do not sit, stand or climb on the fences
• Smoking, vaping and chewing tobacco are not permitted on the premises
• Please do not feed horses treats or reach through the fence to pet them, even if they are tied up, unless directed to do so by an instructor or Staff member
• Weapons: see Weapon Policy above

Possible Reasons for Participant Discharge

Please be advised of the following reasons that may lead to discharge from the program:

• The participant’s inability to follow directions is interfering with progress toward goals
• The participant is uncontrolled and/or exhibits inappropriate behavior that constitutes a safety risk to him/herself, Staff, Volunteers, other Participants, and/or horse
• The participant exceeds weight that can safely be managed by Staff, Volunteers, and/or horses for mounted lessons
• See Cancellation and Make-Up Guidelines for other discharge reasons