Loading...

Must have & bring your own approved riding (or bike) helmet, heeled boots for riding and clothing appropriate for the weather. 


Kritter’s Korner
14921 Largo Vista Drive
Haymarket, VA 20169
571.221.6614


Now, therefor it is agreed as follows:

1. I the Undersigned, being at least 18 years of age and understanding and having read this Release completely, do hereby make this Release and waiver of rights and claims this day of November 23, 2024.

2. I understand that riding and being in the company of horses and ponies on the grounds of Kritter’s Korner is a very hazardous activity. I have not been encouraged to enter onto the grounds by any person or ride horses or ponies on the grounds of Kritter’s Korner, by any person, and do so of my own free will, specifically assuming the risk of any injury, accident, or mishap that might befall me.

The Undersigned specifically releases:

a.   Kerrie A. Logsdon, individually

b.  Robert B. Logsdon, individually

c.   Alice Penn Ritter, individually

d.  Edge Hill Homeowners Association

e.   All agents, employees, contractors, subcontractors, servants, licensees or concessionaires of Kerrie Logsdon and/or Edge Hill Homeowners Association.

3. The above named parties are hereby released from any liability in connection with any suits,actions, damages, liability and expense in connection with any loss of life, bodily or personal injury, or property damage arising from, or out, of any occurrence in, on, or from, the premises of Kritter’s Korner or Edge Hill, especially the barn(s), paddocks, and riding areas, and the Undersigned agrees to enter the above-mentioned areas at his/her own risk, and the Undersigned hereby releases the parties above-named to the fullest extent possible from all claims of every kind arising by virtue of entry for any purpose onto Kritter’s Korner, and specifically from riding or working with horses or ponies thereon.

4. This release is binding upon the heirs, successors, assigns, and personal representatives of theUndersigned.

5. In the event that any of the above-named parties are made party to any litigation arising out of any occurrence upon Kritter’s Korner or Edge Hill involving the Undersigned, or his/her representatives shall protect and hold the above-mentioned parties (Paragraph 2A & 2B) harmless and shall pay all the above-mentioned parties costs, expenses and attorney’s fees in connection with said litigation or claim.

6. The Undersigned covenants not to make any claim of any nature against or through Kritter’sKorner and/or Kerrie A. Logsdon’s insurance.

7. Should the Undersigned or any of the Undersigned’s guest, invitees, employees or agents of any kind abuse a horse or pony, take unnecessary risks, or otherwise endanger others in the sole opinion of Kerrie A. Logsdon, the Undersigned may be required to leave the premises immediately and this agreement may become null and void.

8. Kritter’s Korner has insurance on its facilities in the event of fire or other casualty. However, Kritter’s Korner does not assume responsibility or liability for any injury or illness common to horses or ponies while it is at Kritter’s Korner. Kritter’s Korner shall have no responsibility or liability for any injury or illness, which may so occur.

9. The Undersigned is responsible for damage caused by its horse or pony, which includes, but is not limited to the breaking of a stall door or jump pole, or injury to other property. The Undersigned shall reimburse Kritter’s Korner for the cost of the repairs due to such damage.

10. This Agreement is binding upon and shall inure to the benefit of the heirs, executors, administrator, successors and assigns of the parties hereto.

11. This Agreement constitutes the entire agreement between the parties and superseded any and all prior oral representations or understandings. This agreement may not be modified or changed, except by written instrument executed by the parties hereto. 

12. This Agreement shall be construed in accordance with the laws of the Commonwealth of Virginia.

 

IN WITNESS WHEREOF, the individual parties have signed and sealed this Agreement, having read same and understanding same.


Today's Date: November 23, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
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:*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Further, I give permissions for photographs which may include the rider to be used in advertising and social media promotion of Kritter’s Korner.*
No
Yes

Parent's Name:

Home Phone:

Cell Phone:

Work Phone:

Medical Concerns:

Allergies:

Riding Experience?

Goals for Riding

Special Information and Instructions
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!