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THE SANTA FE HUNT RACE MEET: ENTRY FORM
ONE HORSE AND RIDER COMBINATION PER FORM
NAME HUNT: M F Bib #
ADDRESS:
PHONE: ( ) FAX: ( )
HORSE: ___________________________ CERTIFIED (hunted 3x this season) Yes____ No___
TOTAL CLASSES: $
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SPECIAL ITEMS
GRAND TOTAL: CLASSES + SPECIAL ITEMS $
OR
GET UNLIMITED CLASSES, FOOD, AND HUNTING PER HORSE
FLAT FEE: $ 150
CIRCLE THE BOX ABOVE
SEND CHECK PAYABLE TO: SANTA FE HUNT
c/o Ruth Wheeler, 2031 Charleen Circle, Carlsbad, CA 92008
Or by Credit Card: ____VISA ___MC Name On Card: ________________________________
CC#: __________________________________ Exp Date:__________________________
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RELEASE AND WAIVER OF LIABILITY
For and in consideration of permitting the rider named below to use and have access to the 3 Day Ranch, owned by Marjorie A. Molloy Inc., (the ñPremisesî) and/or to participate in the equestrian events organized by Southern California Equestrian Sports (ñSCESî), Santa Fe Hunt, (ñSFHî) the undersigned for himself or herself (or his or her child or ward if the riderÍs is under 18) agrees on behalf of his or her (or the child or wardÍs) heirs, personal representatives, spouse, next of kin, successors and assigns, all of who shall be legally bound by this Release and Waiver of Liability (ñAgreementî), as follows:
I am fully aware and acknowledge that horseback riding, and particularly jumping, is a dangerous activity and involves inherent risks of accident, loss, serious bodily injury including broken bones, head, neck, spinal and internal injuries, trauma, pain, suffering, or death due to being kicked, stepped on, thrown from or falling from a horse; colliding with other riderÍs horses, buildings, fences or objects on the Premises; numerous other causes, including, without limitation, other personsÍ negligent actions, inactions and/or misconduct; and lack of readily available medical care and treatment. I understand that no amount of care, caution, instruction or expertise can eliminate these risks. I wish to participate in these activities knowing that they are dangerous and agree to accept and assume all risks of personal injury, death and/or property damage that may occur.
I understand and agree that: (i) I am fully responsible for conduct of my horse(s) while on the Premises and will be fully responsible and liable for any property damage or personal injury to myself or others that my horse(s) may cause; (ii) I am fully responsible for the safe keeping of my property (including my horse(s), vehicles, trailers, tack, equipment and all other property) and the property owner, SFH and SCES will not be liable for any loss to my property due to theft, damage or any other cause whatsoever; (iii) any facilities provided by the property owner, SCES and SFH for keeping horses or storing ridersÍ property are for the convenience of riders and do not create a bailment or impose any liability on the property owner, SFH, SCES; and (iv) the consent given by the property owner, SFH and SCES for use and access to the Premises may be revoked at any time.
I understand and acknowledge that I have been advised by the property owner, SFH and SCES that I should wear an approved/certified horse riding helmet while riding, mounting, dismounting and working or being around horses, and that the wearing of a helmet may reduce the severity of head injuries as a result of a fall from a horse or other occurrences. I also understand and acknowledge that it is in my best interest to wear an approved/certified protective vest designed to reduce trauma to the upper torso from impacts and falls. I acknowledge and understand that I have the opportunity to conduct a reasonable visible inspection of the Premises, including the riding course, its layout and obstacles.
Initial here: [______] WAIVER AND RELEASE: To the fullest extent allowed by law, I voluntarily release, discharge, waive and relinquish SFH, SCES, Marjorie A. Molloy Inc., and all of their members, officers, agents, employees, sponsors, volunteers and insurers (ñReleaseesî) from any and all rights, claims, demands, losses, causes of action and damages I now or in the future may have of any kind whether now existent or which become existent in the future, whether the same be now known or unknown, and whether the same be now anticipated or unanticipated, resulting from personal injuries, death or property damage arising from or in any way related to my participation in the activities described in this Agreement and/or my presence on the Premises. I expressly waive all rights conferred by Section 1542 of the California Civil Code which states: ñA general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known to him must have materially affected his settlement with the debtor.î IT IS MY INTENTION BY THIS AGREEMENT TO EXPRESSLY ASSUME THE RISK OF AND TO EXEMPT AND RELEIVE THE RELEASEES FROM ANY AND ALL LIABILTY FOR MY PERSONAL INJURY, PROPERTY DAMAGE OR DEATH FROM WHATEVER CAUSE OCCURING WHILE ON THE PREMISES OR ENGAGING IN THE ACTIVITIES DECRIBED IN THIS AGREEMENT OR RLEATED THERETO.
Initial here: [_____] INDEMNIFICATION: To the fullest extent allowed by law, on behalf of myself and my heirs, personal representatives, spouse, next of kin, successors and assigns, AGREE TO INDEMNIFY, DEFEND AND HOLD HARMLESS the Releasees from any suits, claims, demands, damages, judgments, losses, liability, causes of action at law or in equity, costs or expenses of any nature whatsoever, including attorney fees and expert consultant fees, by whomever and whenever made, arising from or in any way related to my participation in the activities described in this Agreement and/or presence on the Premises and regardless of fault and whether caused by the active, passive, sole or contributory negligence of the Releasees. I agree that under no circumstances will I or my heirs, personal representatives, spouse, next of kin, successors or assigns, sue or present any claim for personal injury, property damage or wrongful death against Releasees whether based on negligent acts or omissions, breach of contract, breach of warranty, strict products liability, dangerous conditions or hidden, latent or obvious defects of the Premises or any other legal or equitable theories. This Agreement may be pled by the Releasees as a complete bar and defense against any claim, demand, action or causes of action asserted by me or on my behalf.
I expressly agree that this Agreement, to the full extent permitted by California law, is intended to be broad and inclusive, and that if any portion of this Agreement is held by a court of competent jurisdiction to be invalid, the balance if this Agreement shall remain in full legal force and effect.
I agree that if I make any claim or commence any legal action against the property owner, SFH, and SCES that is not otherwise barred by this Agreement, such claim or action, including an action to determine the enforceability of this Agreement, shall be subject to and resolved by binding arbitration administered by the American Arbitration Association At its offices in Riverside, California, in accordance with its Commercial Arbitration Rules and the laws of the State of California. The proceeding shall be conducted by one (1) neutral arbitrator who shall follow and apply California law. The arbitrator shall have the authority to order such discovery, by the way of depositions, interrogatories, document production or otherwise, as the arbitrator considers necessary to a full and fair exploration of the issues in dispute, consistent with the expedited nature of the proceeding. The written determination of the arbitrator shall be final, binding and conclusive on the parties and judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction of the parties. I will be responsible for and bear my own costs and attorneyÍs fees. I understand that I am waiving my right to a jury trial.
I have carefully read this Agreement and understand the contents. No oral representations, statements or inducements have been made to me, other than those contained in this Agreement. I understand that this is a waiver and release of liability and a legal binding contract between SCES and myself and supersedes any other agreement or representation by or between the parties and is intended to provide my comprehensive release of liability and agreement to indemnify and not to sue. I agree that all provisions of this Agreement will be binding regardless of whether I have initialed the provisions.
THIS DOCUMENT IS A WAIVER AND RELEASE OF ALL CLAIMS.
READ IT CAREFULLY BEFORE SIGNING.
Print RiderÍs Full Name: ___________________________________________________________________
Signature of Rider: ____________________________________________Date________________________
PARENT OR LEGAL GUARDIAN MUST ALSO SIGN IF RIDER IS UNDER AGE 18
By signing this Agreement as parent or legal guardian, I am agreeing to its terms on behalf of myself and my minor child or ward, and I am consenting to the minor childÍs participation in the activities described above and any other activities related thereto, and acknowledge that I understand that any and all risks and liabilities, whether known or unknown, are expressly assumed by me and all claims, whether known or unknown, are expressly waived in advance.
Print parent/Legal GuardianÍs Full Name: _______________________________________________________
Signature of Parent/Legal Guardian: _____________________________________Date___________________
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