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In
consideration of the services of Maple Crest Farms,
their agents, owners, officers, volunteers,
participants, employees, and all other persons or
entities acting in any capacity on their behalf, I
hereby agree to release, indemnify, and discharge Maple
Crest Farms, on behalf of myself, my spouse, my
children, my parents, my heirs, assigns, personal
representative and estate as follows:
1.
I acknowledge that horseback riding entails
known and unanticipated risks that could result in
physical or emotional injury, paralysis, death, or
damage to myself, to property, or to third parties. I
understand that such risks simply cannot be eliminated
without jeopardizing the essential qualities of the
activity.
The risks include, among other things:
Contact with wild animals, hiking and exposure to the
elements. A horse, regardless of its training and usual
past behavior, may act unpredictably at times based upon
instinct or fright which may cause you to be thrown from
your horse or injured by the horse. Horses may do such
things as bite, kick, buck, lie down, or stumble.
Saddles may slip and other tack or saddle problems may
develop as a result of normal use and wear. Your horse
may collide with obstacles or encounter variations in
terrain such as creeks, water, bridges, traveled roads,
wild animals, birds, stump, forest growth, debris, rocks
and cliffs and other obstacles whether obvious or not
and whether man made or natural, Each of those obstacles
or variations in terrain could cause you to lose control
of you horse and you could fall. Riding a horse requires
the participant to balance on the saddle. Participants
may lose their balance, which can result in falling from
the horse. Furthermore, Maple Crest Farms’ employees
have difficult jobs to perform. They seek safety, but
they are not infallible. They might be unaware of a
participant's fitness or abilities. They might misjudge
the weather or other environmental conditions. They may
give incomplete warnings or instructions, and the
equipment being used might malfunction.
2. I
expressly agree and promise to accept and assume all of
the risks existing in this activity. My participation in
this activity is purely voluntary, and I elect to
participate in spite of the risks.
3.
I
hereby voluntarily release, forever discharge, and agree
to indemnify and hold harmless Maple Crest Farms from
any and all claims, demands, or causes of action, which
are in any way connected with my participation in this
activity or my use of Maple Crest Farm's equipment or
facilities, including any such claims which allege
negligent acts or omissions of Maple Crest Farms.
4.
Should Maple Crest Farms or anyone acting on their
behalf be required to incur attorney's fees and costs to
enforce this agreement, I agree to indemnify and hold
them harmless far all such fees and costs.
5.
I
certify that I have adequate insurance to cover any
injury or damage I may cause or suffer while
participating, or else I agree to bear the costs of such
injury or damage myself: I further certify that I am
willing to assume the risk of any medical or physical
condition I may have.
6.I
agree that if any portion of this agreement is found to
be void or unenforceable, the remaining portions shall
remain in full force and effect.
By
signing this document, I acknowledge that if anyone is
hurt or property is damaged during my participation in
this activity. I may be found by a court of law to have
waived my right to maintain a lawsuit against Maple
Crest Farms on the basis of any claim from which I have
released them herein. I have had sufficient opportunity
to read this entire document. I have read and understood
it, and I agree to be bound by its terms.
Participant’s name (Print
Name)______________________________________________________________________
Address
_________________________________________________________________________________________
City
_________________________________
State
___________ Zip Code ___________________________________
Home Phone ____________________________________________
Cell Phone: _______________________________
Email address
___________________________________________
Date: ____________________________________
PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION
(Must be completed for participants under the age of 18)
In consideration of (child)
____________________________________ (print minor's
name) ("Minor") being permitted by Maple Crest Farms to
participate in its activities and to use its equipment
and facilities, I further agree to indemnify and hold
harmless Maple Crest Farms from any and all Claims which
are brought by, or an behalf of Minor, and which are in
any way connected with such use or participation by
Minor.
Parent or Guardian: ______________________________ Print
Name: _______________________ Date: _________
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