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Norfolk Hunt Club Release & Waiver of Liability

Participation: I request permission (1) to participate or continue to participate in horseback riding, foxhunting, and other equestrian activities, with the Norfolk Hunt Club at its organized events and (2) to horseback ride or continue to horseback ride or engage in other equestrian activities on property owned or managed by, or otherwise made available to, the Club.

Assumption of Risks: I fully understand that foxhunting (which includes riding and jumping over fences, other obstacles, and steep and rough terrain), eventing, polo, and other equestrian activities are very dangerous. I accept and assume all the risks of injury (including death) to me or my property arising from my riding activities. I further understand I am required to wear an ASTM/SEI certified helmet with harness fastened at all times when mounted on a horse.

Release of Liability: In exchange for being permitted to participate in these activities, for myself, my spouse, my heirs, guardians, and legal representatives, I release and agree not to make or bring any claim of any kind against the Norfolk Hunt Club, or its Masters, professional staff, officers, directors, members, employees, sponsors, volunteers, or guests, any land owners or other persons making property available to the Norfolk Hunt Club or to me, including the Wardner Farm Trust, for any injury (including death), to me or any damage to my property whether from anyone’s negligence or not, including from any failure to enforce rules or protocols, or any other cause, arising out of my participation in these dangerous horseback riding, foxhunting or related activities both (1) in the past and (2) in the future; and I also agree if anyone makes any claims because of any prior or future injury to me (including death), or for any prior or future damage to my property, I will keep all those released by this agreement free of any damages or costs because of those claims.

Photos: I authorize the Norfolk Hunt Club to use photos, and or other likeness of myself and/or my child or the child for whom I have legal guardianship for any promotional materials regarding the Norfolk Hunt Club’s programs, facilities, events or services. Such likeness will not be sold to other parties, except in Club calendars and greeting cards. Promotional materials bearing these likenesses may be distributed for free to the public and posted on the Norfolk Hunt Club website. The Norfolk Hunt Club reserves the right to use any photo or likeness for a time period beginning when this form is signed and ending upon written request of participant, parent or legal guardian.

Instructions and Authorization: The participant agrees to follow the instructions of the Norfolk Hunt Club, its Masters and Professional Staff, officers, employees, volunteers, and landowners, at all times and not to undertake any activity which the Norfolk Hunt Club has not specifically authorized.

Consent to Emergency Medical Care: In case of injury to the Participant while participating in Norfolk Hunt club activities, the Participant hereby authorizes the Norfolk Hunt Club and any Masters, professional staff, officers, directors, members, employees, sponsors, volunteers, guests or any land owners or other persons making property available to the Norfolk Hunt Club to seek medical care and attention for him or her, including but not limited to arranging for an ambulance to take the Participant to a medical care facility and consenting to treatment, medication and or surgery for the Participant. The Participant acknowledges that he or she shall be solely responsible for the payment of any medical costs and expenses incurred on behalf of the Participant and hereby indemnifies and agrees to hold harmless the Norfolk Hunt Club for any costs incurred by it on behalf of the Participant.

Norfolk Hunt Club | P.O. Box 242 | Dover, MA 02030 | www.norfolkhunt.com

Emergency Veterinary Care: In the event of any injury to the horse owned or ridden by the Participant while participating in Club events, the Participant hereby authorizes the Norfolk Hunt Club, its Masters, professional staff, officers, directors, members, employees, sponsors, volunteers, guests or any land owners or other persons making property available to the Norfolk Hunt Club, should the Participant be unable to provide direction, to undertake emergency veterinary care it may deem necessary or advisable under the circumstances, including but not limited to providing first aid, contacting a veterinarian consenting to medication, or any other recommended procedure.

The Participant hereby acknowledges that he or she shall be solely responsible for the costs of any such care. The Participant hereby releases the Norfolk Hunt Club from and against any and all liability for any injury or damage to the Participant’s horse caused by the Norfolk Hunt Club’s failure to take any action or election to pursue any course of action which the Norfolk Hunt Club deemed reasonable under the circumstances given the facts known to it at the time such decisions were made.

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

Massachusetts Contract: This Agreement is a Massachusetts contract and shall be interpreted and construed in accordance with the laws of the Commonwealth of Massachusetts, without regard to conflicts of laws principles.

Today's Date: July 21, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Relationship
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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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*
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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