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Hamilton County Riding Club, Inc.

ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM AND

EIA (COGGINS) TEST NOTICIATION

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Hamilton County Riding Club, Inc. (HCRC) and any of their associates are released from all liability when attending and/or participating in any events associated with HCRC.

 

I/We, the parent(s) or legal guardian(s) of the above-named contestant, do hereby give permission for him/her to participate in the HCRC club season/series/jackpot series/and any other event(s) hosted by this organization.

 

HOLD HARMLESS AND EXCLUSION OF LIABILITY

I/We acknowledge that all horseback-riding/rodeo events/jackpot events that we participate in are considered contact sports for which I/we assume all liability for personal injuries, death and property damage that arises there from.  Further I am/we are aware of the Equine Liability Law under Florida Statute 773.01: 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. and agree not to hold the Hamilton County Riding Club, Inc. and its owners, operators, members, officers, directors, and agents liable for any injury, death to my myself, others, or to my animals arising from either their negligence, my negligence, or the negligent conduct of anyone causing me, my family members and/or my animals any injury, death, or damages.

  I/We HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH Hamilton County Riding Club, Inc. (HCRC), including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released from dangerous or defective equipment or property owned/rented, maintained, or controlled by them, or because of their possible liability without fault.

  I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity.

  I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity/event.

  In consideration of my application and permitting me to participate in this activity/events, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:

  (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: HCRC, Hamilton County, and/or their board, directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;

  (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.

  I acknowledge that they are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I acknowledge that this activity may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants but are also present for volunteers. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.

  I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

 EVENT: All rodeos, jackpots, fundraisers, and/or activities/events hosted by HCRC.

EQUINE INFECTIOUS ANEMIA (EIA/COGGINS TEST NOTIFICATION

I/we certify that all horses I/we bring onto the premises will have a current negative Equine Infectious Anemia (EIA/Coggins) test. EIA/Coggins certificate is subject to inspection upon request.  If you are unable to provide adequate proof any rider (member or non-member) will be subject to the penalties and laws of the State of Florida. 

I/WE CERTIFY THAT I/WE HAVE READ THIS DOCUMENT AND I/WE FULLY UNDERSTAND ITS CONTENT. I AM/WE ARE AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I/WE SIGN IT OF MY/OUR OWN FREE WILL.

IF UNDER 18 YEARS OF AGE THIS FORM MUST BE SIGFNED BY A PARENT AND/OR GUARDIAN 

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