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Mahan Farm-8150 Mahan Dr- Tallahassee,FL 32309

c/o Brett Barteld, MF Eventing, Lindsay Barrack


WAIVER AND RELEASE


​I, (Releasor), understand that horseback riding and related activities, such as eventing and jumping, are very dangerous and involve the risk of serious injury and/or death, and/or property damage, including injury and/or death to horses, spectators and others. Accordingly, I/we agree that any activity engaged in by me on the premises owned or controlled by Mahan Farm, MF Eventing, Brett Barteld, & Lindsay Barrack, or related to horses or horseback riding, if on the premises, is done at my own risk. Accordingly, I/we release, for myself/ourselves, heirs, executors, administrators and assigns, any and all claims for damages, death, personal injury or loss of property against Mahan Farm, MF Eventing, Brett Barteld, & Lindsay Barrack, its officers, directors, employees, guarantors, indemnitors, agents or representatives, (hereinafter collectively “Releasees”), which may arise from boarding my horse(s) or participating in or observing equine activities at or sponsored by Mahan Farm, MF Eventing, Brett Barteld, & Lindsay Barrack, even if caused in part by the negligence or negligent actions or other fault of the parties or persons I am releasing, or by the dangerous or defective condition of any property or equipment owned, maintained or controlled by them.


​I understand that this release is effective from the date signed until revoked by me in writing. I further fully understand I am forever giving up in advance any right to sue or make claims against the parties I am releasing if I, my property and/or my horse(s) suffer injuries, death, and/or damages, even though I do not know the extent of those injuries and/or damages. I will assume my own medical and emergency expenses, as well as my horse(s), in the event of an accident or other incapacity or injury resulting from or occurring in my participation in or observation of equine activities at or sponsored by Mahan Farm, MF Eventing, Brett Barteld, & Lindsay Barrack, or boarding of my horse(s) at Mahan Farm.


​I hereby grant permission to Mahan Farm,  MF Eventing, Brett Barteld, & Lindsay Barrack, and its representatives to take photographs or videos of me and to make recordings of my voice at any event hosted by or involving Mahan Farm,  MF Eventing, Brett Barteld, & Lindsay Barrack, or at any time at the location noted above. I further grant to Mahan Farm and its representatives the right to reproduce, use, exhibit, display, broadcast and distribute and create derivative works of these images and recordings in any media now known or later Developed. I acknowledge that Mahan Farm,  MF Eventing, Brett Barteld, & Lindsay Barrack, owns all rights to the images and recordings. I hereby waive any right to inspect or approve the use of the images or recordings or of any written copy. I further waive all moral rights. I also waive any right to royalties or other compensation arising from or related to the use of the images, recordings, or materials. I hereby agree to release, defend, indemnify and hold harmless Mahan Farm,  MF Eventing, Brett Barteld, & Lindsay Barrack, its owners, employees, affiliates and agents from and against any claims, damages or liability arising from or related to the use of the images, recordings or materials, including but not limited to claims of defamation, invasion of privacy, or rights of publicity or copyright infringement, or any misuse, distortion, blurring, alteration, optical illusion or use incomposite form that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.


WARNING:

Under Florida law, an equine activity sponsor or 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.




​I HAVE READ AND UNDERSTOOD THIS ENTIRE RELEASE AND AGREE TO ALL TERMS SET FORTH ABOVE. THIS CONSTITUTES THE ENTIRE RELEASE AND THERE ARE NO TERMS OR CONDITIONS OTHER THAN AS SET OUT HEREIN.



First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
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A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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