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ACKNOWLEDGMENT OF RISK AND RELEASE OF LIABILITY (AR-0103) WARNING: THIS AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS. READ IT CAREFULLY!

Combined form for: adult participants signing for themselves, parent/guardians signing for a minor, or a parent/guardian signing for both themselves and a minor.



SECTION A - ADULT PARTICIPANT WAIVER

Every Person Must Read and Understand this Waiver Before Participating in Equine Activities  

The following waiver of all claims, release from all liability, assumption of all risks, agreement not to sue and other terms of this  agreement are entered into by me (the Participant) with and for the benefit of: the host Stephanie Jensen Equestrian/ Munchkins & Minis, its directors, officers,  employees, volunteers, business operators, agents and site property owners or lessees (collectively the "Host"). Without limiting  the generality of the foregoing, "Equine Activities" includes but is not limited to trail rides, pack trips and riding instructions provided by the host to the Participant.  

Initial below after Reading and Understanding each item:  

1. I am aware that there are inherent dangers, hazards and risks (collectively "Risks") associated with "Equine Activities" and  injuries resulting from these "Risks" are a common occurrence. I am aware that the "Risks" of "Equine Activities" mean  those dangerous conditions which are an integral part of "Equine Activities", including but not limited to:  (a) the propensity of any equine to behave in ways that may result in injury, harm or death to persons on or around them  and to potentially collide with, bite or kick other animals, people or objects; 

(b) the unpredictability of an equine's reaction to such things as sounds, sudden movement, tremors, vibrations,  unfamiliar objects, persons or other animals and hazards such as subsurface objects;  

(c) the potential for other participants to behave in a negligent manner that may contribute to injury to themselves or  others, including failing to act within their abilities to maintain control over an equine.  

2. I freely accept and fully assume all responsibility for all "Risks" and possibilities of personal injury, death, property damage  or loss resulting from my participation in "Equine Activities".  

3. I agree that although the "Host" has taken steps to reduce the "Risks" and increase the safety of the "Equine Activities", it  is not possible for the "Host" to make the "Equine Activities" completely safe. I accept these "Risks" and agree to the  terms of this waiver even if the "Host" is found to be negligent or in breach of any duty of care or any obligation to me in  my participation in "Equine Activities".  

4. In addition to consideration given to the "Host" for my participation in "Equine Activities", I and my heirs, next of kin,  executors, administrators and assigns (collectively my "Legal Representatives") agree:  

(a) to waive all claims that I have or may have in the future against the "Host";  

(b) to release and forever discharge the "Host" from all liability for any personal injury, death, property damage, or loss  resulting from my participation in the equine activity due to any cause, including but not limited to negligence (failure  to use such care as a reasonably prudent and careful person would use under similar circumstances), breach of any  duty imposed by law, breach of contract or mistake or error in judgment of the "Host"; and  

(c) to be liable for and to hold harmless and indemnify the "Host" from all actions, proceedings, claims, damages, costs  demands, including court costs and costs on a solicitor and own client basis, and liabilities of whatsoever nature or  kind arising out of or in any way connected with my participation in "Equine Activities".  

5. I agree that this waiver and all terms contained herein are governed exclusively and in all respects by the laws of the  Province or Territory of Canada in which the "Equine Activities" are provided by the "Host". I hereby irrevocably submit to  the exclusive jurisdiction of the courts of that Province or Territory of Canada and I agree that no other court can exercise  jurisdiction over the terms and claims referred to herein. Any litigation to enforce this waiver will be instituted in the  Province or Territory of Canada in which the "Equine Activities" are provided by the "Host".  

6. I confirm that I have had sufficient time to read and understand this waiver in its entirety. I understand that this agreement  represents the entire agreement between myself and the "Host", and it is binding on myself and my "Legal  Representatives".  

7. I confirm that I have reached the age of majority in the province in which I am participating in "Equine Activities".


SECTION B - MINOR PARTICIPANT WAIVER

The Parent/Guardian Must Read and Understand this Waiver Prior to Infant Participating in Equine Activities  The following waiver of all claims, release from all liability, assumption of all risks, agreement not to sue and other terms of this  agreement are entered into by me on behalf of the Infant Participant named below with and for the benefit of: the host Stephanie Jensen Equestrian/ Munchkins & Minis, its directors, officers, employees, volunteers, business  operators, agents, and site property owners or lessees (the “Host”). Without limiting the generality of the foregoing, “Equine  Activities” includes but is not limited to trail rides, pack trips or riding instruction provided by the "Host" to the Infant Participant. 

Initial below after Reading and Understanding each item:  

1. I am the Parent/Guardian of the Infant Participant and am executing this waiver on behalf of the Infant Participant in my  capacity as Parent/Guardian and with the intent that his waiver be binding on myself and the Infant Participant for all legal  purposes.  

2. I am aware that there are inherent dangers, hazards and risks (“Risks”) associated with "Equine Activities" and injuries  resulting from these "Risks" are a common occurrence. I am aware that the "Risks" of "Equine Activities" mean those  dangerous conditions which are an integral part of "Equine Activities", including but not limited to:  

(a) the propensity of any equine to behave in ways that may result in injury , harm or death to persons on or around them  and to potentially collide with, bite or kick other animals, people or objects;  

(b) the unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations,  unfamiliar objects, persons or other animals and hazards such as subsurface objects; and  

(c) the potential for other participants to behave in a negligent manner that may contribute to injury to themselves or  others, including failing to act within their abilities to maintain control over an equine.  

3. I freely accept and fully assume all responsibility for all "Risks" and possibilities of any and all personal injury, death,  property damage or loss resulting from the Infant Participant’s participation in "Equine Activities".  

4. I agree that although the "Host" has taken steps to reduce the "Risks" and increase the safety of the "Equine Activities", it  is not possible for the "Host" to make the "Equine Activities" completely safe. I accept these "Risks" and agree to the  terms of this waiver on behalf of the Infant Participant, even if the "Host" is found to be negligent or in breach of any duty  of care or any obligation to myself or the Infant Participant in the Infant’s participation in "Equine Activities".  

5. In addition to consideration given to the "Host" for the Infant Participant’s participation in "Equine Activities", I and my  heirs, next of kin, executors, administrators and assigns, as well as the Infant Participant and his/her heirs, next of kin,  executors, administrators and assigns (collectively our “Legal Representatives”) agree:  

(a) to waive all claims that the Infant Participant has or may have in the future against the "Host";  

(b) to release and forever discharge the "Host" from all liability for personal injury, death, property damage, or loss that I,  the Infant Participant, or our "Legal Representatives" might suffer as a result of the Infant Participant’s participation in  "Equine Activities" due to any cause, including but not limited to negligence (failure to use such care as a reasonably  prudent and careful person would use under similar circumstances), breach of any duty imposed by law, breach of  contract or mistake or error in judgment of the "Host"; and  

(c) to be liable for and to hold harmless and indemnify the "Host" from all actions, proceedings, claims, damages, costs  demands, including court costs and costs on a solicitor and own client basis, and liabilities of whatsoever nature or  kind arising out of or in any way connected with the Infant's participation in "Equine Activities".  

6. I agree that this waiver and all terms contained herein are governed exclusively and in all respects by the laws of the  Province or Territory of Canada in which the "Equine Activities" are provided by the "Host". I hereby irrevocably submit to  the exclusive jurisdiction of the courts of that Province or Territory of Canada and I agree that no other court can exercise  jurisdiction over the terms and claims referred to herein. Any litigation to enforce this waiver will be instituted in the  Province or Territory of Canada in which the "Equine Activities" are provided by the "Host".  

7. I confirm that I have had sufficient time to read and understand this waiver in its entirety. I understand that this agreement  represents the entire agreement between the "Host", myself as Parent/Guardian, and the Infant Participant, and it is  binding on myself, the Infant Participant and our "Legal Representatives".



First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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Address
Address
City
Province
Postal Code
PHOTO & MEDIA CONSENT
I grant permission for Munchkins & Minis to photograph or video my child during programs, lessons, or events. These images may be used for promotional purposes including social media, website content, advertising, and printed materials. No names or identifying information will be used without additional consent.*
Yes
No
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
Last Name*
Phone*
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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