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THIS IS AN IMPORTANT LEGAL DOCUMENT. PLEASE READ CAREFULLY.

WARNING

 

Under North Carolina 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 exclusively from the inherent risks of equine activities.

Chapter 99E of the North Carolina General Statutes.

 

DECLARATION: I desire to participate, at my own risk, in an equine activity. I have been informed and fully realize that there are inherent risks and dangers associated with equine activities and that injury, loss, damage or death could result from my participation. However, I knowingly and willingly wish to participate in this activity.

In consideration, therefore, for the privilege of riding and/or working around horses at Saddletree Stables, located at 2112 Saddletree Lane, Willow Spring, NC 27592, and for the receipt of other valuable consideration the receipt of which is hereby acknowledged. I hereby covenant and agree, for the express benefit of Saddletree Stables and/or Donald and Michelle Stephenson, its directors, shareholders, officers, employees, independent contractors, all 4-H horse club volunteers, lessors, agents, attorneys, successors, and assigns (the “Benefitted persons”), as follows:

 

Release and Covenant Not to Sue: I do hereby release the Benefitted Persons from any and all liability or responsibility for accident, damage, injury, or illness to me, my horse(s), any member of my family or his personal representative, or any of my guests arising out of any occurrence on or around the premises of Saddletree Stables. I further release any landowner who permits me to use his lands without charge for riding or other activity in accordance with the North Carolina Landowner Liability Act. I hereby covenant not to sue any of the Benefitted Persons and knowingly and voluntarily relinquish any claims, for myself and anyone claiming through me, hereafter existing which I, my personal representative, insurers, assignees, or subrogees may have against them, including claims arising out of negligence of the Benefitted Person.

 

Hold Harmless and Indemnification: I do hereby covenant and agree to hold harmless and indemnify the Benefitted Persons for any loss, liability, or responsibility for accident, damage, or injury resulting from my acts of omissions, or the actions of my horse(s) or from suits brought by my personal representative, family members, guests, insurers, assignees, subrogee, or other persons claiming through me or who were on the premises at my invitation.

 

Enforcement: I understand and agree that any of the Benefitted Persons may enforce any terms of this agreement and agree to reimburse any and each of them in the event they are reasonably required to bring an action for enforcement of this agreement for their costs and expenses incurred in such action, including their reasonable attorney’s fees.

Today's Date: June 28, 2022

First Student/Boarder Name

First Name*

Last Name*

Phone*
First Student/Boarder Date of Birth*
I certify that I am 18 years of age or older
First Student/Boarder Signature*
Second Student/Boarder Name

First Name*

Last Name*
Second Student/Boarder Date of Birth*
Third Student/Boarder Name

First Name*

Last Name*
Third Student/Boarder Date of Birth*
Fourth Student/Boarder Name

First Name*

Last Name*
Fourth Student/Boarder Date of Birth*
Fifth Student/Boarder Name

First Name*

Last Name*
Fifth Student/Boarder Date of Birth*
Sixth Student/Boarder Name

First Name*

Last Name*
Sixth Student/Boarder Date of Birth*
Seventh Student/Boarder Name

First Name*

Last Name*
Seventh Student/Boarder Date of Birth*
Eighth Student/Boarder Name

First Name*

Last Name*
Eighth Student/Boarder Date of Birth*
Ninth Student/Boarder Name

First Name*

Last Name*
Ninth Student/Boarder Date of Birth*
Tenth Student/Boarder Name

First Name*

Last Name*
Tenth Student/Boarder Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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