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This waiver includes the Covid Release, Medical Consent and Photo Release.

MEDICAL CONSENT AND ASSUMPTION OF RISK

    1. Beginning on the first day of my or my child/ward’s presence and attendance at and/or participation in the RMS Ranch Horse Camp and all associated activities and outings including, but not limited to, horse back riding and interacting with animals, continuing from day to day throughout the time my child/ward is present at, attends, and/or participates in the Camp, I hereby authorize any licensed physician, emergency medical technician, paramedics, nurses, hospital or other medical or health care facility or provider (“Medical Provider”) to provide medical care to my child/ward for any illness, injury, and/or condition that occurs, manifests or arises at the Camp. I further authorize any such Medical Provider to perform all procedures or services deemed medically advisable to treat or relieve, or to attempt to treat or relieve, any illness, injury, and/or condition.

I Agree

    2. I authorize RMS Ranch LLC, its parent, all subsidiaries, related and affiliated entities, including but not limited to, Farm To You Revue, LLC and all their officers, directors, members, partners, shareholders, employees, agents, insurers, successors and assigns (“SEA”) to share medical information related to my child/ward with any Medical Provider providing medical care to my child/ward for any illness, injury, and/or condition that occurs, manifests or arises at the Camp.

I Agree

    3. I execute this Medical Consent and Assumption of Risk (the “Consent”) with RMS Ranch. I understand and agree that this Consent shall be binding on me and my child/ward, as well as the representatives, executors, heirs, next of kin, administrators, beneficiaries, successors and assigns of my child/ward.

I Agree

    4. I acknowledge that there is a risk of complications and unforeseen consequences in any medical treatment and I, individually and as parent/natural guardian of my child/ward, a minor, sign this Agreement on behalf of my child/ward. I acknowledge that no warranty is being made as to the result of any medical treatment. I agree that any health history provided by me or my child/ward is correct to the best of my knowledge.

I Agree

    5. I acknowledge having knowledge and experience with the health and capabilities of my child/ward superior to Camp staff. I certify that my child/ward is in good health and does not have any health or mental / physical impairments or conditions that would be aggravated by attendance or participation at the Camp or that make such attendance or participation unsafe or otherwise inappropriate for my child/ward, the animals at the Camp, or other campers. I further certify that my child/ward does not currently have upper respiratory disease or illness (including but not limited to asthma, colds, flu, etc.), is not on medication that suppresses immune function or has possible side effects that would interfere with the Camp, and that my child/ward does not have open sores, open wounds, cuts, abrasions, skin irritations or other outward signs of illness.

I Agree

I represent and agree that I have the legal capacity and authority to act on behalf of myself and my child/ward. This release shall be binding upon me and/or the minor camper, and my or the minor camper’s heirs, executors, representatives, next of kin, beneficiaries, administrators, successors and assigns.

 

COVID RELEASE

 

INHERENT RISKS & ASSUMPTION OF RISK. All ranch visitors including camp participants, pony riders and their parents, volunteers,  and similar acknowledge there are inherent risks associated with interacting with other people during a pandemic and hereby expressly assumes all risks associated with participating in such activities.  

I Agree


COVID Risk WARNING:
Exposure to COVID  is an inherent risk in any location where people are present; we cannot guarantee you, your family or friends will not be exposed to COVID during any visit to the ranch including but not limited to, animal experience, ranch visit, tour or camp. By visiting our ranch or allowing your child to visit and participate in any activity where there are people, you are accepting all risks associated with COVID.

I Agree

I understand and agree to all of the above WARNINGS & Risks.  

 

PHOTO RELEASE

PARTICIPANT AND I hereby grant to RMS Ranch, LLC the right to reproduce, use, exhibit, display, broadcast, distribute and create works of horse camp related photographs or videotaped images of my child for use in connection with the activities of RMS Ranch or for promoting, publicizing or explaining the camp or its activities. This grant includes, without limitation, the right to publish such images on the web site, and public relations / promotional materials, such as marketing and other publications, advertisements, fund-raising materials and any other ranch-related publication. All photos taken are without compensation to participant. All electronic or non-electronic negatives, positives, and prints are owned by RMS Ranch.

 

DURATION

By signing this, I acknowledge that this waiver is valid from the date I signed it, going forward indefinitely for every visit in the future.  This waiver does not expire. 

First Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*

Middle Name

Last Name*

Relationship*

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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