Release of Liability Agreement

Please review the terms and conditions below.

Informed Consent

I hereby request and consent to the services of Spirit Saddle & Tack, LLC, that may consist of equine massage, BEMER PEMF, Saddle Fitting, or any other services performed by Jessica Wipprecht, who now or in the future, render services to my horse.

FOR MASSAGE ONLY
Massages will mostly consist of manual hand pressure, but other tools (e.g., Gua Sha scraping tools or Posture Prep Groomer) may be used during the massage at your consent.

General Release of Liability

In consideration of the following, I hereby release and forever discharge Jessica Wipprecht, or Spirit Saddle & Tack, LLC from all responsibility or liability of any kind, nature or character whatsoever from the beginning of this world to this day. This transaction is consummated at my specific request.

I understand that any services offered do not replace regular care by my veterinarian, and that massage/bodywork practitioners are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given would be construed as such.

Because massage/bodywork and BEMER PEMF are not to be performed under certain medical conditions, I affirm that I have stated all my horses known medical conditions and answered all the questions on this document honestly.

I agree to keep the practitioner updated as to any changes in my horses' medical profile and understand that there shall be no liability on the practitioner’s part if I forget to inform of such. Should I choose to disregard this liability and pursue legal action, I will pay all legal fees incurred by Jessica Wipprecht and Spirit Saddle & Tack, LLC.

Consent for Use or Disclosure of Health Information

We are very concerned with protecting your personal information, but if at any time we feel that your horse’s health is at risk and needs evaluated by a veterinarian, we will contact the veterinarian that you have listed on this form, or other animal service so that your horse is provided with appropriate care.

Appointment Reminder and Health Care Information Authorization

Spirit Saddle & Tack, LLC may need to use your name, address, and phone number to contact you with appointment reminders, information about treatment alternatives, or other health related information that may be of interest to you. If this contact is made by phone and you are not home, a message will be left on your answering machine or voicemail. By signing this form, you are giving us authorization to contact you with these reminders and information.

Upon the approval of a licensed veterinarian

Please be advised that it is the horse owner’s responsibility to inform the veterinarian that equine massage is being performed on their horse if they so choose. Should the horse owner or veterinarian require records on any or all visits, it is the responsibility of the horse owner to inform Jessica Wipprecht, or Spirit Saddle & Tack, LLC to send said records.

Office Terms & Conditions During the Appointment

"Office" is defined herein as the physical location in which Spirit Saddle & Tack, LLC is performing services. Please adhere to the following during the appointment:

Safe and clean environment:

NO children running around horse or in the same aisle as the horse being treated.
Avoid scheduling appointments during feeding time at your location.
Horses must be clean before appointment time. If the horse is not clean on any part of their body that needs massaged, $10 will be added to your total fee.

All services must be paid for at the time of service. Forms of payment accepted for in-person services, during the appointment, are as follows:

Debit card accepted only by legal-aged adult. No card numbers will be saved.
Cash, Square, and Venmo are also accepted.
All electronic payments will have 4% convenience fee added to total.

Responsible adult must be present at all times.

No minor will be the responsible party for a horse at any time.
Responsible adult must be present if the main caretaker of the horse is a minor.

First-time appointment?

Horse owner must be on-site for all services for first time appointments.

Respect for time:

Please be courteous to others and cancel your appointment at least 24 hours ahead of time.
If you are not ready for your appointment and I must wait for you, a $60 charge will be added to the total.

Saddle Fitting Services Clause

I understand that a horse may need the saddle refitted 2-3 times per year and that this saddle fitting does not replace any evaluation by my veterinarian for any condition. I understand that any measurements taken at the appointment today will change with activity of the horse. Any measurements taken for the purpose of custom saddle-making does not make Spirit Saddle & Tack, LLC responsible for the fit of the saddle once it has been made by the saddle maker. Any further issues with a custom-made saddle must be discussed with the saddle maker from this appointment onwards. None of these services are a substitute for proper veterinary care and therapists cannot take responsibility for primary health care of client’s horses. Massage is non-invasive, soft tissue manipulation only.