WAIVER
OF LIABILITY
READ THIS DOCUMENT
COMPLETELY BEFORE SIGNING. ITS EFFECT IS TO RELEASE MESSICK QUARTER
HORSES AT PINE RIDGE ACRES, LLC, BRENDA AND/OR
THOMAS MESSICK, FAMILY MEMBERS, AND/OR EMPLOYEES FROM ANY
LIABILITY RESULTING FROM YOUR PARTICIPATION IN THE ACTIVITIES SET
FORTH BELOW AND WAIVERS ALL CLAIMS FROM DAMAGES OR LOSSES AGAINST MESSICK
QUARTER HORSES AT PINE RIDGE ACRES, LLC, BRENDA AND/OR THOMAS MESSICK,
FAMILY MEMBERS, AND/OR EMPLOYEES.
Messick Quarter Horses at Pine Ridge Acres, LLC, Brenda and/or
Thomas Messick, Family Members, and /or Employees will not be held
liable for any accident, injury, loss, damage, sickness to and/or
death of a rider and/or participant in equine activities resulting
from the inherent risks (permanently existing or a part of) of equine
activities and/or to any damage to and/or loss of riders’ personal
property. Horses, young
and old, react differently and unpredictably, in different situations
and environments. I, the
rider, and/or parent(s) and/or legal guardian(s), understand the risks
involved in the equine sport, including, but not limiting to, the
handling, grooming, saddling and unsaddling, and riding of horses.
Rider, parent(s) and/or legal guardian(s), understand that
there are risks, inherent and otherwise, involved with equine
activities and released Messick Quarter Horses at Pine Ridge Acres,
LLC, Brenda and/or Thomas Messick, Family Members, and/or Employees,
from any and all liability, claims, demands, actions and causes of
action whatsoever arising out of or related to any loss, damage, or
injury, including death, that may be sustained by the rider and/or
participant, or to any property belonging to the rider and/or
participant, whether caused by the negligence of the releasee, or
otherwise, while participating in said equine activities or while on
the premises where the equine activity is being conducted.
Safety is a concern for everyone, but Messick Quarter Horses at
Pine Ridge Acres, LLC, Brenda and/or Thomas Messick, Family Members,
and /or Employees does not assume responsibility for it.
Messick Quarter Horses, at Pine Ridge Acres, LLC, Brenda and/or
Thomas Messick, Family Members, and /or Employees do promote horse and
rider safety precautions and horse and equipment safety checks.
Safety precautions will include, but not be limited to, safety
checks of the horse and equipment, proper headgear and foot gear, and
safety procedures while handling, grooming, saddling/unsaddling, and
riding.
I, THE RIDER
AND/OR PARTICIPANT, AM FULLY AWARE OF THE RISKS AND HAZARDS CONNECTED
WITH THE PARTICIPATION IN EQUINE ACTIVITIES.
I, THE RIDER AND/OR PARTICIPANT, VOLUNTARILY AGREE TO ASSUME
FULL RESPONSIBILITY FOR ANY AND ALL RISKS OF LOSS, PERSONAL PROPERTY
DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, THAT MAY BE SUSTAINED BY
THE RIDER OR PARTICIPANT INVOLVED IN OR ARISING FROM RIDER’S AND/OR
PARTICIPANT’S USE OF OR PRESENCE ON THE PROPERTY AND FACILITIES
WHERE THE EQUINE ACTIVITY IS BEING CONDUCTED.
I, the rider and/or participant, elect to voluntarily
participate in said equine activities or while on the premises where
the equine activity is being conducted.
If an accident, injury, and/or sickness will occur, I give my
permission to Messick Quarter Horses at Pine Ridge Acres, LLC, Brenda
and/or Thomas Messick, Family Members, and /or Employees to treat, or
call for medical attention, and/or authorize emergency treatment if
necessary, if the parent(s) and/or legal guardian(s) cannot be
reached. Messick Quarter
Horses at Pine Ridge Acres, LLC, Brenda and/or Thomas Messick, Family
Members, and /or Employees will not be held liable for any accident,
injury, loss, damage, sickness to and/or death of a rider and/or
participant that might arise out of or in connection with such
authorized emergency medical treatment.
The rider and/or participant has no health related reason or
problem that would preclude or restrict participation in these equine
related activities. Rider,
and/or parent(s) and/or legal guardian(s), is/are responsible for full
and complete insurance coverage on the rider, participant, and/or
personal property. Rider,
parent(s) and/or legal guardian(s), have adequate health insurance
necessary or the financial capability to provide for and pay any
medical costs that may be incurred as a result of injury.
I/we, the rider, parent(s) and/or legal guardian(s), further
AGREE TO INDEMNIFY AND HOLD HARMLESS MESSICK QUARTER HORSES AT PINE
RIDGE ACRES, LLC, BRENDA AND/OR THOMAS MESSICK, FAMILY MEMBERS, AND/OR
EMPLOYEES from any loss, liability, damage or costs, including court
costs and attorneys’ fees, that they may incur due to participation
in any equine activity. It
is my expressed intent that this Release and Hold Harmless Agreement
shall bind the members of my family and spouse, if any, if I am alive,
and my heirs, assigns and personal representative, if I am deceased,
and shall be deemed as a RELEASE, WAIVER, DISCHARGE AND COVENANT NOT
TO SUE Messick Quarter
Horses at Pine Ridge Acres, LLC, Brenda and/or Thomas Messick, Family
Members, and /or Employees. This
Waiver of Liability and Hold Harmless Agreement shall be considered in
accordance with the laws of the State of Nebraska.
WARNING! Under
Nebraska Law an equine professional is not liable for an injury to or
the death of a participant in equine activities resulting from the
inherent risks of equine activities, pursuant to sections 25-21, 249
to 25-21, 253 N.R.S.
I,
THE RIDER AND/OR PARTICIPANT, AM FULLY AWARE OF THE RISKS AND HAZARDS
CONNECTED WITH THE PARTICIPATION IN EQUINE ACTIVITIES.
I, THE RIDER AND/OR PARTICIPANT, VOLUNTARILY AGREE TO ASSUME
FULL RESPONSIBILITY FOR ANY AND ALL RISKS OF LOSS, PERSONAL PROPERTY
DAMAGE, OR PERSONAL INJURY, INCLUDING DEATH, THAT MAY BE SUSTAINED BY
THE RIDER OR PARTICIPANT INVOLVED IN OR ARISING FROM RIDER’S AND/OR
PARTICIPANT’S USE OF OR PRESENCE ON THE PROPERTY AND FACILITIES
WHERE THE EQUINE ACTIVITY IS BEING CONDUCTED.
I,
the rider and/or participant, elect to voluntarily participate in said
equine activities or while on the premises where the equine activity
is being conducted.
IN SIGNING THIS
RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I have read and understood
this Waiver of Liability and Hold Harmless Agreement, have had any
explanation to the provisions contained within this Waiver explained
upon request, understand it and sign it voluntarily as my free act and
deed.
Rider/Participant’s
Signature
Date
Address
Phone Number
If
rider/participant is under the age of 18, both (if applicable) of
his/her parent or legal guardians must also sign:
I (We), (printed name)
, on this
day of ,
2001, am (are) the parent(s) or legal guardian(s) of the participant
who has signed above. I
have read and understand the provisions of this document.
I consent to participation in the riding lessons at Messick
Quarter Horses and/or at any arena or event where Brenda Messick is
instructing. I(we) fully
enter into and agree to the above Waiver of Liability, and I (we)
assume the risk involved in an equine sport, will not sue, and will
hold harmless Messick Quarter Horses at Pine Ridge Acres, L.L.C.,
Brenda and/or Thomas Messick, Family Members, and /or Employees.
Parent or Legal Guardian’s Signature
Date
Address
Phone Number
Parent or Legal
Guardian’s signature
Date
Address
Phone Number
IN CASE OF AN
EMERGENCY AND PARENT OR LEGAL GUARDIAN CANNOT BE REACHED, CONTACT:
Name
Relationship
Address
Phone Number
Brenda Messick
8301 Little Salt Rd. RR
#2, Box 7A, Ceresco,
NE 68017
Phone &
Fax: (402) 785-7005
WARNING!
Under Nebraska Law an equine professional is not liable for an
injury to or the death of a participant in equine activities resulting
from the inherent risks of equine activities, pursuant to sections
25-21, 249 to 25-21, 253 N.R.S.