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The undersigned, __________________________________on behalf of himself or herself, and his or her representatives, heirs and assigns (“Releasor/OWNER ”), hereby releases, waives, discharges and agrees not to sue HORSELOVERSGUIDE LLC. EVON AND/OR CRAIG MONTGOMERY, 130 ADDY BOY LANE SAXONBURG, PA. 16056 OR SAXONY FARMS, ADDY BOY LANE, SAXONBURG, PA. 16056 or CONCORDIA LUTHERN MINISTRIES OF 134 MARWOOD RD, CABOT, PA any of their officers, directors, shareholders, employees, agents, contractors, farriers, veterinarians and trainers and their successors and assigns with respect to any loss or damages, injuries or death to Releasor/OWNER and the horse owned or utilized by releasor /OWNER or to any property of Releasor/OWNER ,whether caused by the acts of any such persons or otherwise.
This release specifically covers, but is not limited to, inherent risks of an equine activity, which means a danger or condition that is an integral part of an equine activity, including, but not limited to, any of the following:
1.the propensity of an equine to behave in ways that may result in injury, death, or loss to persons on or around the equine;
2.the unpredictability of an equine’s reaction to sounds, sudden movement, unfamiliar objects, person, or other animals;
3.hazards, including, but not limited to, surface or subsurface conditions;
4.a collision with another equine, another animal, a person or an object;
5.the potential of an equine activity participant to act in a negligent manner that may contribute to injury, death, or loss to the person or the participant or to other persons, including, but not limited to, failing to maintain control over an equine or failing to act within the ability of the participant.
The term “equine activity” is defined and includes, among other things, the activities you engage in at SAXONY Farm with respect to the speciation, riding and boarding of horses and the term “equine activity participant” includes you identified as “Releasor/OWNER ” and other spectators, riders and boarders in that regard.
Releasor/OWNER , on behalf of himself or herself and his or her designees, and their respective representatives, heirs and assigns, hereby releases, waives, discharges and agrees not to sue Horseloversguide LLC., SAXONY Farm, CONCORDIA LUTHERN MINISTRIES, any of their officers, its directors, shareholders, employees, agents and contractors and their successors and assigns with respect to any liability or claim made by any person with respect to the loss, sickness, disease, estray, theft, injury or death of the horse, whether caused by the negligence of SAXONY Farm or otherwise.
Releasor/OWNER also similarly and to the same extent, releases such persons named above from any claims or demands with respect to any first aid, treatment or other services rendered to Releasor/OWNER or Releasor’s/OWNER designee or to the horse utilized by Releasor/OWNER or Releasor’s/OWNER designee in connection with the services contemplated by this Agreement.
This Waiver Agreement is made and entered into in the Commonwealth of Pennsylvania and shall be enforced and interpreted under the courts and laws of the Commonwealth of Pennsylvania.
Warning: Under Pennsylvania law an equine professional and equine activity sponsor is not liable for an injury to or death of a participant in equine activities resulting from the inherent risks of equine activities.
Participant agrees that Participant has been given sufficient time to read, understand, and ask questions, if any, concerning the nature and scope of this Waiver Agreement. Signer agrees that all information is true and correct to the best of their knowledge.
Date:________________
Releasor/OWNER SIGNATURE :___________________________________________________________
Parent or Guardian (If Releasor/OWNER is a Minor): ___________________________________________
Name (Print): LIST ALL PARTICIPANTS ONE FORM PER FAMILY IS OK.
__________________________________________________________________________________________
__________________________________________________________________________________________
Address:__________________________________________________________________________________
_________________________________________________________________________________________
Phone Number:______________________________Cell__________________________________________
EQUINE INFORMATION :
Name (Print)______________________________________________________________________________
Breed ____________________________________________________________________________________
AGE ___________________________________________________________________________________
Last known veterinarian visit, Coggins, Shots, Health Certificate (no) (yes ) when ___________________
Any horse entering grounds must have had vaccination shots within previous year of event. Precautions are for all participants’ safety.
PLAN ON SHOWING CURRENT COGGINS REPORT IF STAYING OVERNIGHT AT SAXONY FARM.
ARE YOU PLANNING ON STAYING OVERNIGHT AT THIS EVENT ? _________________________________
ESTIMATE TIME OF ARRIVAL ? _________________________________________________________________
PLEASE PLAN ON BRINGING YOUR OWN FEED AND WATER CONTAINERS FOR HORSE HYGIENE
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