IF YOU DO NOT WANT A RIDING HELMET
PLEASE READ AND SIGN BELOW
I, the undersigned, recognize the dangers inherent with horseback riding. I am assuming the hazard of this risk for myself and my minor child/children since I wish to ride horses. I realize I am subject to injury from this activity and that no form of pre-planning can remove all the danger that I am exposing myself and my child/children to. I have been offered a protective riding helmet, which could prevent permanent brain damage in the event of an accident. I am refusing this critical safety precaution.
DATE_____________
NAME _______________________________________________________
MINOR CHILD (if riding) _______________________________________________________
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