I recognize and acknowledge that my participation in such activities and any other activities which may include equine activities, involves the possibility of inherent risks including, but not limited to, the following:
- The propensity of an equine to behave in ways that may result in injury, death, or loss to persons on or around
the equine;
- The unpredictability of an equine’s reaction to sounds, sudden movement, unfamiliar objects, persons, or other
animals;
- Hazards, including, but not limited to, surface or subsurface conditions;
- A collision with another equine, another animal, a person, or an object;
- The potential of an equine activity participant to act in a negligent manner that may contribute to injury, death,or loss to the person of the participant or to other persons, including, but not limited to, failing to maintaincontrol over an equine or failure to act within the ability of the participant.
With full knowledge of the above and any other inherent risks which may be associated with equine activities, I hereby consent to my participation in the above described activities and waive any and all claims for tort or civil actions of any kind which I or my heirs, personal representatives and next of kin may have or which may arise against YMCA Camp Willson as a result of my participation in such equine activities. On behalf of myself, my heirs, personal representatives and next of kin, I hereby release and discharge YMCA Camp Willson, its successors, assigns, affiliates, directors, officers, employees, and agents from any and all liabilities, claims, lawsuits, losses, costs, causes of action and damages of any kind originating or in any way arising from, my participation in such equine activities.
Without limitation, or obligation, any and all media, including photographs, film footage, or tape recordings, which may include my image or voice for purposes of art, advertising, education, or promotion, or for any other purpose consistent with the YMCA Mission, and release the YMCA from any claim or liability to that use. The images become the exclusive property of the YMCA. I waive all rights to inspect and/or approve any text that may be used in conjunction with the media and the use to which it may be applied.
I understand this Waiver and Release shall be valid for one year from the date below my signature, unless revoked in writing by me by notice to:
YMCA Camp Willson
2732 County Road 11
Bellefontaine, OH
43311-9382
I HEREBY DECLARE THAT THE TERMS OF THIS WAIVER AND RELEASE HAVE BEEN COMPLETELY READ, ARE FULLY UNDERSTOOD AND ARE VOLUNTARILY ACCEPTED FOR THE PURPOSES OF MY PARTICIPATION IN THE ACTIVITIES DESCRIBED HEREIN