MELODY RIDERS SADDLE CLUB, P. O. BOX 236, ADDY, WA 99101
Riding Application
Member ____ Non-Member _____
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Horse Name |
Time Only |
Events |
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WAIVER RELEASE AND INDEMNIFICATION
I do hereby declare that I am a participant (or a legal custodial
parent or guardian of my child or ward) participating in a Melody Riders
Saddle Club ("MRSC") related activity. I hereby agree to comply with all
the rules and regulations of all MRSC related events. For myself, my executors,
heirs, next-of-kin, administrators and assigns, I hereby:
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Waiver and release any and all claims that I may have against
MRSC, a Washington State Non-Profit Corporation, its officers, members,
volunteers and agents, and the Promoters, Arena Owners, including and all
claims for damages caused by negligence of and of them, arising out of
my participation in the Event and its related activities, together with
any cost, including legal fees, that may be incurred as a result of any
such claim whether valid or not: and
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Indemnify and hold harmless and release each of them against
any such claim that I or any of or more of my or their executors, heirs,
next-of-kin administrators, successors, or assigns may have against any
cost, including legal fees, with respect thereto.
I hereby acknowledge that I have sole responsibility for
any personal possession during the event and its related activities. I
hereby acknowledge that participation in the event carries with it a potential
hazard. I, therefore, release MRSC, its officers, directors, volunteers,
and agents and the promoters and Arena owners, from any Liability from
injury or death during the Event or the related activities.
Signed __________________________________ Date _____________________
Signed __________________________________ Date _____________________
Address _____________________________________________________________
______________________________________________________________
Phone _________________________
office use only
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Time Only |
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