2026 VALLEYVIEW & DISTRICTS AGRICULTURAL SOCIETY LIABILITY WAIVER AND RELEASE
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Emergency Contact Name & Phone Number
*
WARNING & ASSUMPTION OF RISK
I
acknowledge
that
horseback
riding,
handling
horses,
and
participating
in
equestrian
activities
involve
inherent
risks,
including
but
not
limited
to:
Falling from or being thrown by a horse
Kicks, bites, or other unpredictable animal behavior
Rough or uneven terrain
Equipment failure
Injury due to the negligence of others, including other riders
I
understand
that
these
risks
could
result
in
serious
injury,
disability,
or
death
and
that
the
Valleyview
&
Districts
Agricultural
Society
(hereafter
referred
to
as
the
AG
Society
'),
its
board
members,
volunteers,
instructors,
and
affiliates
cannot
guarantee
my
safety.
RELEASE OF LIABILITY & INDEMNITY AGREEMENT
Please read carefully and check acknowledgements.
RELEASE OF LIABILITY & INDEMNITY AGREEMENT
*
I, the undersigned, on behalf of myself, my heirs, executors, and assigns, hereby: Release and discharge the AG Society, its directors, officers, volunteers, instructors, and affiliates from any and all claims, demands, actions, or causes of action for damages, injuries, or losses arising from my participation in equine activities, including any claims based on negligence.
Acknowledge that if the clinic is held on privately owned property, I understand that the AG Society is hosting the clinic but does not own or control the property. I agree to release and hold harmless the private property owners from any claims, damages or injuries resulting from participation.
Agree to indemnify and hold harmless the AG Society and the private property owners from any claims, damages, or legal fees incurred due to my actions or participation in equestrian activities.
Acknowledge that I am voluntarily participating in this clinic with full knowledge of the risks involved and assume all responsibility for my safety and well-being.
HELMET & SAFETY POLICY
*
I acknowledge that wearing an ASTM/SEl-approved riding helmet is strongly recommended. If I choose not to wear one, I do so at my own risk.
MEDICAL TREATMENT AUTHORIZATION
*
In the event of an accident, I authorize the AG Society and clinic organizers to seek emergency medical treatment on my behalf. I agree to be responsible for any medical expenses incurred.
PHOTO/VIDEO RELEASE (Select one)
*
I give permission for the AG Society to use photographs/videos of me for promotional purposes.
I do not give permission for the AG Society to use photographs/videos of me.
CLINIC CANCELLATION & REFUND POLICY
*
In the event that the clinic is cancelled by the organizers, a full refund will be issued to all registered participants. If a participant is unable to attend, it is the participant’s responsibility to find a replacement to take their place. Registration fees are non-refundable by the organizers.
CODE OF CONDUCT / RULES & REGULATIONS
*
I agree to abide by the AG Societies rules and regulations including the AG Society Code of Conduct. I acknowledge that it is my responsibility to ensure that any horse (s) brought on the AG Society premises is/are free from infection, contagious or transmissible disease. I understand that the AG Society has the right to refuse any horse (s) not in proper health or deemed dangerous or undesirable.
ACKNOWLEDGMENT & SIGNATURE
I have read and understand this agreement. I am signing voluntarily and acknowledge that this release is binding upon me and my heirs.
Date
*
/
Month
/
Day
Year
Date
Signature
*
By typing my name above, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
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