Confidence-Building Trail and Obstacle Clinic
With JEAN THORNTON (formerly Bess Wall Obstacle Clinic)
Release of Liability (Florida)
(Fill out the first paragraph. Carefully read the following paragraphs)
This RELEASE of LIABILITY is made and entered into on this ____day of _____________, by and between Jean Thornton and Equivale Inc., hereinafter designated MANAGER and ____________________________________ hereinafter designated PARTICIPANT or AUDITOR, and if Participant or Auditor is a minor, Participant or Auditor’s parent or guardian, _______________________. In return for the use, today and on all future dates of the property, facilities and services of the Manager, the Rider, his heirs, assigns, and legal representatives, hereby expressly agree to the following:
It is the responsibility of the Rider to carry full and complete insurance coverage on his horse, personal property and himself.
Participant or Auditor agrees to assume ANY AND ALL RISKS INVOLVED IN OR ARISING FROM THE RIDER’S USE OF OR PRESENCE UPON MANAGER’S PROPERTY AND FACILITIES including, without limitation but not limited to, the risks of death, bodily injury, property damage, falls, kicks, bites, collisions with vehicles, horses or stationary objects, fire or explosion, the unavailability of emergency medical care, or the negligence or deliberate act of another person.
Participant or Auditor agrees to hold Manager and all of its successors, assigns, subsidiaries, affiliates, officers, directors, employees and agents completely harmless and not liable and release them from all liability whatsoever and AGREES NOT TO SUE them on account of or in connection with any claims, causes of action, injuries, damages, cost or expenses arising out of Rider or Auditor’s use of or presence upon Manager’s property and facilities, including without limitation, those based on death, bodily injury, property damage, including consequential damages, except if the damages are caused by the direct, willful and wanton negligence of the Manager.
Participant or Auditor agrees to waive the protection afforded by any statute or law in any jurisdiction whose purpose, substance and/or effect is to provide that a general release shall not extend to claims, material or otherwise, which the person giving the release does not know or suspect to exist at the time of executing the release.
Participant or Auditor agrees to indemnify and defend Manager against, and hold it harmless from, any and all claims, causes of action, damages, judgments, costs or expenses, including attorney’s fees, which in any way arise from the Participant or Auditor’s use of or presence upon the Manager’s property and facilities.
Participant or Auditor agrees to abide by all of Manager’s rules and regulations.
If Participant or Auditor is using his/her equine, the equine shall be free from infection, contagious or transmissible disease. Manager reserves the right to refuse any equine if it is not in proper health or is deemed dangerous or undesirable.
This contract is non-assignable and non-transferable and is made and entered into the State of Florida, and shall be enforced and interpreted under the laws of this state. Should any clause be in conflict with State Law, then that clause is null and void. When the Manager and Participant or Auditor and Participant or Auditor’s parent or guardian, if Participant or Auditor is a minor, sign this contract, it will then be binding on both parties, subject to the above terms and conditions.
Florida - Warning - Under Florida law, an equine sponsor or equine professional is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risks of equine activities. _____________
I understand Jean Thornton or her designees often takes pictures and/or video of horse-related activities and events that are used for her portfolios and advertising. I understand that pictures and/or video of horse-related activities and events are often sent to her from other participants. By being a participant in this clinic, I understand that I am giving Jean Thornton permission to use any pictures and/or video that may include my family or me for their portfolios and/or for advertising.
THIS IS A RELEASE OF LIABILITY. DO NOT SIGN THIS RELEASE IF YOU DO NOT UNDERSTAND OR DO NOT AGREE WITH ITS TERMS.
Name of Participant or Auditor ________________________________________
Parent/Guardian (of child under 18) _______________________________
How did you hear about this clinic? ______________________________
E-Mail_________________________________________________
Address_______________________________________________
City _________________________________________ State___________ Zip_____________
Home Phone _________________________________________________________________ Work/Cell_____________________________________________________________________
In case of an emergency—contact person: ____________________________________
Phone number: __________________________ ____________________________________
Relationship: ____________________________
All participants in the Confidence-Building Trail and Obstacle Clinics must wear a helmet. Showing up without a helmet does not constitute a refund. The Participant or Auditor will not be able to participate in the clinic until s/he is able to find a helmet to wear. NO EXCEPTIONS.
_______________________________________ __________________________
Participant or Auditor’s Signature Date
_______________________________________ __________________________
Parent’s Signature (if Participant or Auditor is under 18) Date
ENTRY FORM (Print, please)
One-Day Confidence-Building Trail and Obstacle
Course Clinics with JEAN THORNTON
CONTACT
equivalejean@gmail.com
386-985-2103 h
386-383-3527 c
LOCATION:
May 12th & 13th, 2012
9 a.m. -- 4 p.m.
COST: $135 to participate both days or
$85 for one day
Plus:
STALL= $15 per night OR
GROUNDS FEE $10 per animal (those not stalled)
Check in begins at 8:00 a.m.
Required meeting at 9:00 without animals
Cancellation Policy: Note from doctor or vet due to a sick or injured horse or participant entitles participant to receive a voucher for the next clinic if received prior to one week before clinic. If note from vet/doctor is received less than one week before clinic, then participant is entitled to receive 50% discount on next clinic.
NAME: ________________________________________________ Age if under 18: ______
Parental Signature, if under 18: ______________________________________
Horse’s Name: _______________________________________________________________
Breed: _____________________________________________Age: ______Gender:________
Address: ____________________________________________________________________
State: ________ Zip: _____________ Coggins Accession #:____________________________
EMAIL (print neatly): ___________________________________________________________
Phone :______________________________( home) ;____________________________( cell)
May 12th ($85) _________or May 13th ($85) _________ OR May 12th & 13th ($135) __________
+ Grounds fee ($10) __________ OR Number of Stalls ($15 each per day) ____________ approximate arrival day / time______________ camping ($15 per night):_________________
Additional Spectators Names: ____________________________________________________________________________
Each spectator must sign a separate waiver
Please include copy of coggins and complete liability form with entry and make checks payable to: EQUIVALE, Inc.
Mail to: Jean Thornton 1365 Spring Garden Ranch Rd
Deleon Springs, FL 32130
LIABILITY RELEASE
The undersigned, in consideration of the premises, and other valuable considerations, does herewith release REBEL RIDGE FARM, INC., and JOHN C. and CHARLOTTE TRENTELMAN, their heirs and assigns, from any and all liability that may arise out of the following:
a) The receipt of riding or driving lessons at Rebel Ridge Farm or elsewhere, whether given by Trentelman or any other instructor.
b) The use of Rebel Ridge Farm's or Trentelman's horses at any time for any purpose.
c) The undersigned bringing his/her horses onto Rebel Ridge Farm or Trentelman's property for any purpose, with the consent of Rebel Ridge Farm, Inc., and/or Trentelman, or the use of any other person's horse at Rebel Ridge Farm.
d) The use of Rebel Ridge Farm’s premises for any purpose including riding, driving, or auditing of instruction.
The undersigned further acknowledges the assumed risk involved in the above activities, and does herewith release and discharge Rebel Ridge Farm, Inc. and John C. and Charlotte L. Trentelman from any and all liability, damages, or causes of action which the undersigned could assert against Rebel Ridge Farm, Inc., and/or Trentelman because of injury or other damages suffered by the undersigned arising out of said activities.
Dated this ______ day of ______________, 200__.
__________________________________
Signature, if minor, by guardian.
Printed name
Address
Phone Number
WARNING
UNDER FLORIDA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO, OR THE DEATH OF, A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES.