Adult Authorization for Camper Participation:
I, (YOUR CAMPER), do hereby acknowledge and agree in exchange for the good consideration of being permitted to engage in equine activities with Harmony Equestrian Center, LLC, a limited liability company, and Stacey Collins, Managing Member, that by engaging in an equine activity, I am participating in an activity that poses potentially serious risk of injury or death to myself and others. By signing this Release, Waiver and Indemnification of Liability, I assume the risk of all of the intrinsic dangers associated with participating in an equine activity pursuant to §§ 3.2-6200 through 3.2-6203 of the Code of Virginia, as amended. The intrinsic dangers associated with participation in equine activities are those dangers and conditions integral to participation in equine activities, including, but not limited to:
(1) the propensity of equines to behave in ways that may result in injury, harm, or death to persons on or around them;
(2) the unpredictability of an equine's reaction to such things as sound, sudden movement, and unfamiliar objects, persons, or other animals;
(3) certain hazards such as surface and subsurface conditions;
(4) collisions with animals or objects; and
(5) the potential of an equine activity participant acting in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or not acting within the participant's ability. Va. Code § 3.2-6200 (1950, as amended).
Additionally, by singing this Release, Waiver and Indemnification of Liability, I waive and release any and all claims or rights to sue that I or my heirs may have in relation to my engagement in an equine activity, including injuries caused by negligence and those risks assumed above against Harmony Equestrian Center, LLC ("HEC"), Stacey Collins, any employees or volunteers of HEC, and any family members of the heretofore mentioned. It is my intent to give up those rights and hold the above parties harmless, and I do so knowingly and voluntarily. Further, I agree in consideration for and as a condition of my being allowed to participate in equine activities with HEC, to hereby indemnify, save, and hold harmless all of those parties heretofore mentioned, from any and all claims for loss, damage, and/or injury to myself, any third party, and/or any property resulting from, arising out of, during the course of, or in connection with my participation in said equine activity. By signing below, I acknowledge that I have read this Release, Waiver and Indemnification of Liability and understand the terms and conditions contained herein. This Release, Waiver and Indemnification of Liability is presumed effective until such time that written notice of revocation is provided by the participant (or the parent or guardian of participant if participant is a minor). The revocation shall be valid upon the date of receipt and is not applicable to times/dates prior to such receipt.