Belgian Draft Horses

ARMON’S AYRIDES & CARRIAGES

14488 Weeping Willow Lane ● Brandy Station, Virginia 22714-2344

(540)825-6707 ● Fax (540)825-5127 ● Web Site www.harmonscarriages.com Email:

IN ORDER TO BE COVERED BY THE VIRGINIA EQUINE ACTIVITY STATUE:

CODE OF VIRGINIA SECTIONS 3.2-6100 et seq. IT IS NECESSARY THAT A RELEASE AND WAIVER OF LIABILITY BE SIGNED.

INDIVIDUAL OR AUTHORIZED AGENT FOR CHILDREN UNDER 18 MUST READ, SIGN & RETURN TO HARMON’S HAYRIDES, CARRIAGES, AND TRAINING BEFORE SCHEDULED EQUINE EVENT TAKES PLACE.

AGREEMENT FOR RELEASE & WAIVER OF LIABILITY

I fully understand that any equine activity can be dangerous because an equine can behave in dangerous ways. These intrinsic dangers or conditions that are an integral part of equine activities include, but are not limited to, the inability to predict an equines reaction to sound, movements, objects, persons or animals or because of hazards of surface or subsurface which may result in injury to or death of the participant. I accept and assume the risk of engaging in and legal responsibility for injury, death to self, person or property resulting from the risk of this equine activity.

In exchange for participation in this equine activity for myself, my heirs, guardian, and legal representative I release and agree not to make or bring any claim of any kind against Harmon’s Hayrides, Carriages, and Training, Meadow Acres Farm, its representatives or employees, Mildred C. Harmon, and Scott D. Harmon, Trainer.

This agreement is non-assignable and non-transferable.

This agreement shall be governed by and in accordance with the laws of The Commonwealth of Virginia. Any legal action must be brought in Culpeper County, Virginia. If legal action is brought against Harmon’s Hayrides and Carriages and Harmon’s Hayrides and Carriages prevails, then the non-prevailing party must pay all reasonable attorney fees and court costs. I also agree if anyone makes any claims because of injury to me (including death) or for any damage to my property, I will hold harmless, Indemnify, and defend those whom I have released with respect to all such claims.

PRINT NAME OF INDIVIDUAL, GROUP OR ORGANIZATION EVENT DATE

_Pinecrest Swim and Tennis Club___________ ____________ 12/15/16

SIGNATURE OF INDIVIDUAL OR AUTHORIZED AGENT FOR INDIVIDUAL, CHILDREN UNDER 18, GROUP OR ORGANIZATION

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