Please note: EAD will adhere to 6 feet social distancing as much as possible. Face masks and hand sanitizer will be readily available For questions about these events, call 616-318-4919 or email firstname.lastname@example.org
Please list the name(s) and birthdate(s) of the children you are registering for the Children's Summer Camps below. You will also be asked to provide the name(s) of the children you are registering in the waiver section of this registration process and sign for parental or guardian consent. If you would like to register more than 5 children, please let us know by phone call, 616-318-4919 or email email@example.com.
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that Equine Assisted Development has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that Equine Assisted Development can not guarantee that I will not become infected with the Coronavirus/Covid-19.
I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, volunteers, organization partners, vendors and other service and event participants and their families.
I voluntarily seek participation in services and events provided by Equine Assisted Development and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while participating in services and events offered by Equine Assisted Development.
I attest that:* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.* I have not traveled internationally within the last 14 days.* I have not traveled to a highly impacted area within the United States of America in the last 14 days.* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. * I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold Equine Assisted Development harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the the organization, or that may otherwise arise in any way in connection with any services received from Equine Assisted Development.
I understand that this release discharges Equine Assisted Development from any liability or claim that I, my heirs, or any personal representatives may have against the organization with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Equine Assisted Development. This liability waiver and release extends to the owners together with all owners, partners, volunteers, contractors, employees and otherwise.
I have agreed to participate at an event hosted by Equine Assisted Development (EAD) at 3224 32nd St., Grand Rapids MI 49512. I recognize that my participation and registration is a opportunity afforded to me by Equine Assisted Development. I fully understand, appreciate and assume all of the risks associated with my event participant registration.
Participation in activities with horses involves an inherent risk including the risk of serious injury or death. I agree to be a event participant with the understanding that I will take responsibility for my own safety and that being around horses entails known and unanticipated risks that could result in injury or death to others or me. I hereby assume all risks in connection there with and expressively waive any claims for any injury or loss arising there from.
In exchange for my participation, I hereby agree to the following.
1. I voluntarily waive, release and hold harmless Equine Assisted Development, its Board of Directors, officers, employees agents, the hosting facility, all owners, managers, volunteers, employees and participants and other volunteers from any and all claims, causes of action and damages for bodily injury or death that I may suffer as a result of, or in any manner connected with, directly or indirectly, my participation as a EAD event participant. I understand that this waiver and release precludes my right to recovery of damages in the event I am injured in the course of my participation.
2. I shall defend, hold harmless and indemnify that Equine Assisted Development its Board of Directors, officers, employees, agents, the hosting facility, all owners, managers, volunteers, employees and participants and other volunteers, from and against all damages, claims, liabilities, causes of action, judgments, settlements, costs and expenses (including, but not limited to, reasonable expert witness and attorney fees) that may at any time arise or be claimed by any person as a result of bodily injury, death or property damage, or as a result of any other claim or cause of action of any nature whatsoever, arising from or in any manner connected with, directly, or indirectly, my participation.
I have read, fully understand and agree to the assumption of risk, waiver, release, hold harmless and indemnification terms set forth above.
I, the undersigned (child’ name if minor), hereby grant Equine Assisted Development (EAD) permission to use, adapt, modify, reproduce, distribute, publically perform and display in any form now known or later developed, my image or visual likeness (Personal Information) throughout the world, by incorporating it for them into publications, catalogues, brochures, books, magazines, photo exhibits, social media, motion picture films, videotapes and/or other media (Works) or commercial, informational, educational, advertising or promotional materials relating thereto.
I release and hereby agree to indemnify defend and save harmless EAD, its agents, employees, licensees and assigns (collectively release entities) from any and all claims I or any third party, may have now or in the future for invasion of privacy, right of publicity, copyright infringement, defamation or any other cause of action arising out of the use, exploitation, reproduction, adaptation, distribution, broadcast, performance or display of personal information.
I waive any right to inspect or to approve any Works that may be created using the personal information and waive any claim with respect to the eventual use to which the Personal Information may be applied. The personal Information may be used at EAD’s sole discretion, alone or in conjunction with any other material of any kind or nature except that EAD will not use the Personal Information for any criminal or illegal purposes or in a manner inconsistent with community standards of decency.
I understand and agree that EAD is and shall be the exclusive owner of all right, title, and interest, including copyright, in the Works and any commercial, informational, educational, advertising, or promotional materials containing the materials. I also understand that I (or my child) will not receive payment for any use of Personal Information.
I am of legal age and have read the release and am familiar with its contents. By their signature below, a minor’s parent(s) or Legal guardian(s) indicate, on behalf of their minor child, their full and unqualified consent to the terms of the release to use image.