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All participants must have a signed Release of Liability.

Prince Equestrian
Release of Liability

In consideration of being permitted to ride, conduct equestrian activities, and enter and park automobiles on the  property of Prince Equestrian Sports, or Kirstin Prince, or any property adjoining such land for equestrian activities, (the  premises), Releasor does for him/herself, his/her, executors, administrators, assigns, and as parents of any minor child  under his/her control, release hold harmless and forever discharge, Prince Equestrian Sports, Kirstin Prince, Michael and  Marrilynn Samuelson, their heirs, administrators, and executors, Prince Equestrian Sports, its employees, officers and  members all referred to as Releases, of and from any and every claim, demand, action or right of action, of whatsoever  kind or nature, either in law or equity arising from or by any bodily injuries known or unknown, death and/or property  damage resulting from any accident which may occur as a result of participation in riding, equestrian activities, and or  entering or parking an automobile or trailer on the premises, or any activities in connection with Prince Equestrian  Sports and or any other individual named above.

 

Releasor agrees to hold harmless, defend, and indemnify the Releasees and each of them from any loss, liability, damage  or cost Releasee may incur due to the presence of Releasor in or on the premises whether caused by negligence of the  Releasee or otherwise.

  

 

Releasor assumes full responsibility for and risk of bodily injury, death or property to negligence of Releasees or  otherwise while on the premises and/ or while participating in any equestrian activities.

 

Releasor agrees that this release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted  by the laws of the State of Florida, and that if any portion of the agreement is held invalid, it is agreed that the balance;  notwithstanding, continue in full legal force and effect.

 

Releasor further states that he/she has carefully read the above release and knows the contents of the release and sign  this release as his/her own free act.

 

The terms of this release are contractual and not a mere recital.

Select what applies

AUTHORIZATION FOR EMERGENCY MEDICAL TREATMENT

The undersigned hereby grants to a staff member of Prince Equestrian Sports the authority to make healthcare decisions with respect to the participant if the undersigned is unavailable to make such decisions.

 

The term “health care” and “health care decisions” as used in this form shall have the meanings set forth in the Florida Statutes Chapter 765.

19. PHOTO RELEASE: Consent to and authorize the use and reproduction by Prince Equestrian Sports of any and all photographs and other audio/visual materials taken of me/my child for promotional material, educational activities, exhibitions, or for any other use for the benefit of the program.

Thank you for submitting.

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