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Release of Liability

 

Read Carefully - This Affects Your Legal Rights

 

 

In exchange for participation in the activity of Horseback riding, lessons & ground work organized by Fouche Farm & Family (DBA Sorli Farm Therapeutic Barn), of 1081 Westford St., Carlisle, Massachusetts, 01741 and/or use of the property, facilities, and services of Fouche Farm & Family, I agree for myself and (if applicable) for the members of my family, to the following:

 

1. Agreement To Follow Directions. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Fouche Farm & Family, or the employees, representatives, or agents of Fouche Farm & Family.

 

2. Assumption of the Risks and Release. I recognize that there are certain inherent risks associated with the above-described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Fouche Farm & Family for injury, loss, or damage arising out of my or my family's use of or presence upon the facilities of Fouche Farm & Family, whether caused by the fault of myself, my family, Fouche Farm & Family or other third parties.

 

3. Indemnification. I agree to indemnify and defend Fouche Farm & Family against all claims, causes of action, damages, judgments, costs, or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Fouche Farm & Family.

 

4. Fees. I agree to pay for all damages to the facilities of Fouche Farm & Family caused by any negligent, reckless, or willful actions by me or my family.

 

5. Consent. I, _________________ of _________________, _________________, _________________ _________________, consent to the participation of my _________________, _________________, in the activity of Horseback riding, lessons & ground work, and agree on behalf of the above minor to all of the terms and conditions of this agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of _________________.

 

6. Medical Authorization. In the event of an injury to the above minor during the above-described activities, I give my permission to Fouche Farm & Family or to the employees, representatives, or agents of Fouche Farm & Family to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin on _________________ and will remain in effect until terminated in writing by the undersigned or when the above-described activities are completed. Fouche Farm & Family shall have the following powers:

 

   a.The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;

 

   b.The power to authorize medical treatment or medical procedures in an emergency situation; and

 

   c.The power to make appropriate decisions regarding clothing, bodily nourishment and shelter.

 

7. Applicable Law. Any legal or equitable claim that may arise from participation in the above shall be resolved under Massachusetts law.

 

8. No Duress. I agree and acknowledge that I am under no pressure or duress to sign this agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this agreement if I so desire. I further agree and acknowledge that Fouche Farm & Family has offered to refund any fees I have paid to use its facilities if I choose not to sign this agreement.

 

9. Arm's Length Agreement. This agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this agreement or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.

 

10. Enforceability. The invalidity or unenforceability of any provision of this agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this agreement or of any other applications of such provision, as the case may be. Such invalid or unenforceable provision shall be deemed not to be a part of this agreement.

 

11. Emergency Contact. In case of an emergency, please call _________________ (Relationship: _________________) at _________________ (Day), or _________________ (Evening).

 

I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.

 

 

 

 

 By: s_Af_The_Signer_Name_ 

Date: d_Af_The_Signer_Date_ 

_________________

 

 


First Participant's Name
First Name*
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Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
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Participant's Date of Birth*
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Third Participant's Name
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Fourth Participant's Name
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Participant's Date of Birth*
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Fifth Participant's Name
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Participant's Date of Birth*
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Sixth Participant's Name
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Seventh Participant's Name
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Eighth Participant's Name
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Ninth Participant's Name
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Participant's Date of Birth*
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Tenth Participant's Name
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Participant's Date of Birth*
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Parent or Guardian's Email Address
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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.


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*
Middle Name
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Parent or Guardian's Date of Birth*
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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