[{"type":"header","label":"Horseback Riding/Animal Activities

Release of Liability

","className":"waiver-header-element"},{"type":"paragraph","label":"Indemnifying the entities below (“The Releasees,” “Mary Campbell”):\nMary Campbell, MA Licensed Riding Instructor, License #03812\n139 Mt Warner Rd., Hadley, MA 01035\nLittlefield Farm

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/OR 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”).

I, (and my minor child ) (hereinafter the “Undersigned”) in consideration for allowing me (or my minor child) to handle and ride a horse and on behalf of myself, my child or our personal representatives, heirs, next-of-kin, spouses and assigns, \nTHE UNDERSIGNED HEREBY:

1. Acknowledge that an equine or goat 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 IN SOME 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, feeding, or riding of the horse or being in close proximity to a horse or other animal 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 Mary Campbell/Littlefield Farm.

4. RELEASE, DISCHARGE AND PROMISE NOT TO SUE Mary Campbell/Littlefield Farm for any loss, damage, injury (including death) or cost to me or my child, arising from the handling or riding of a horse or being in close proximity to a horse or other animal 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 Mary Campbell/Littlefield Farm.\nFarm.

5. Release Mary Campbell/Littlefield Farm from any claim of negligence 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 tack, instruction on riding skills or leading and supervising riders or the use of any equipment provided by Mary Campbell/Littlefield Farm which resulted in loss, damage, injury or death.

6. INDEMNIFY, AND SAVE AND HOLD HARMLESS Mary Campbell/Littlefield Farm from and against any loss, liability, damage or cost they may incur arising out of or in any way connected with either my or my child’s handling or riding the horse or being in close proximity to a horse while under the instruction or care of Mary Campbell/Littlefield Farm.

7. Agrees that the Undersigned has read and understands the following language of the Massachusetts Equine Activity Liability Statute: “Under Massachusetts law, an 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, pursuant to section 2D of chapter 128 of the General Laws.”

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 Commonwealth of Massachusetts and is intended to be as broad and inclusive as is permitted by Massachusetts 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 Mary Campbell/Littlefield Farm for any injury or damage in breach of this contract, the Undersigned will pay all attorney’s fees and costs incurred by Mary Campbell/Littlefield Farm in defending such an action.

10. ALL RIDERS ARE REQUIRED TO WEAR AN ASTM/SEI CERTIFIED PROTECTIVE HELMET. IT IS MY UNDERSTANDING THAT SAID HELMET IS NOT GUARENTEED TO BE EFFECTIVE AND MAY FAIL IN THE EVENT OF AN ACCIDENT. ALL RIDERS ARE REQUIRED TO PURCHASE THEIR OWN ASTM/FEI APPROVED HORSEBACK RIDING HELMET.

I have read this document. I understand it is a promise not to sue and to release and indemnify the Trainer, the Stable, its owners, employees, family, and agents for all claims. I have made a free and deliberate choice to sign the Release and Waiver as a condition to Mary Campbell/Littlefield Farm, allowing me or my child to ride or handle a horse and other animals as part of any equestrian program and/or event. I have concluded that the risks involved and the Release and Waiver of Liability is worth the pleasure of horseback riding experience and acknowledges that the same is valuable consideration for this Release and Waiver of Liability.

","className":"waiver-legal-element"},{"type":"checkbox-group","required":true,"label":"Electronic signature consent","className":"waiver-accept-element","name":"checkbox-group-1720632110685","values":[{"label":"","value":"option-1"}]},{"type":"signature","required":true,"label":"Signature","className":"waiver-signature-element","name":"signature-1720632110693"}]

	Officiële naam	Roepnaam	Verjaardag	Ras
	Buttercup	Butter		Shetland Pony
Shetland Pony
	Cocoa	Cocoa		Shetland/Mini
Shetland/Mini
	Misty	Misty May	139890240001/05/2014	Haflinger/Paint
139890240001/05/2014 Haflinger/Paint