CLINTON'S CIRCLE ~C~ RANCH

EQUINE ACTIVITIES
GENERAL RELEASE & WAIVER OF LIABILITY

I, the undersigned for and in consideration of $.10
and other good and valuable consideration, including the permission to participate in any and all equestrian related
activities with Clinton's Circle ~C~ Ranch and all individual owners of it, being permitted to be a tenant, lessee, spectator,
rider, trainer, owner, groom, attendant, referee, umpire or judge, guest of a border/lessee, or any other equestrian or equestrian related
activities including showing horses, taking lessons, jumping, walking or riding (all of the foregoing by way of
example and not by way of limitation), the receipt and sufficiency whereof is all hereby acknowledged, do hereby
agree and consent to the following:

RELEASE AND WAIVER FROM LIABILITY

In consideration of being permitted to participate in any capacity in activities with Clinton's Circle ~C Ranch as set forth
above, I, by execution of this General Release and Waiver of Liability, do hereby release Clinton's Circle ~C~ Ranch and all related and
affiliated corporations and individual property owners thereof, and hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE
Clinton's Circle ~C Ranch for any and all damage, and any claims, including any claim of personal injury, death, or injury to or loss of
personal property, whether arising from control or supervision of spectators, providing or failing to provide
ambulance service, medical care, nursing care, paramedic care, basic life support care, emergency trauma care,
advanced life support care, first aid, emergency communication, emergency transportation, or design, maintenance
or repair of any facility or anything or any other act caused by Owners of Clinton's Circle ~C~ Ranch or otherwise while I am in or upon the
premises of Clinton's Circle ~C~ Ranch. All personal property kept, placed or left on or about the premises of Clinton's Circle ~C~ Ranch shall be at my
sole risk as to loss, theft, injury or damage and Clinton's Circle ~C~ Ranch shall have no responsibility for such loss, theft, or damage to
any such personal property.

 

I hereby agree to INDEMNIFY AND SAVE AND HOLD HARMLESS Clinton's Circle ~C~ Ranch  from any loss, liability,
damage, or costs that Clinton's Circle ~C~ Ranch may incur due to my presence or the presence of my employees, agents or invitees in
or upon the premises, property and grounds of Clinton's Clircle ~C~ Ranch.

 

I hereby acknowledge and agree that horses, equine, riding, hacking, cantering, galloping, polo, jumping, obstacle courses,
and/or all other equestrian activities are dangerous and involve risk of serious injury and/or death and/or property
damage and that the horses, equine, riding, hacking, cantering, galloping, polo, jumping and/or all other equestrian
activities are extremely dangerous and ultra hazardous. I consciously and voluntarily assume all such risks, dangers
and hazards inherent in these activities.

 

I agree to be responsible for all damage caused by me, my animals, or anyone utilizing the premises,
property or grounds of Clinton's Circle ~C~ Ranch with the consent of or at my request.

 

I agree to be liable for all Clinton's Circle ~C Ranch reasonable attorneys fees and other costs resulting my breach of any
provision of the Release and Waiver. I further expressly agree that the foregoing release, waiver and indemnity
provisions are intended to be as broad and inclusive as is permitted by law.

CHOICE OF LAW AND VENUE
I agree that this Release and Waiver shall be governed by and construed in accordance with the laws of the
State of Florida. In the event any action, suit or proceeding is instituted as a result of any matter or thing affecting
this Release and Waiver, the parties hereto hereby designate Volusia County, Florida, as the proper jurisdiction
and the venue in which same is to be instituted.

 

Having read the preceding, I acknowledge my understanding of those risks set forth herein and knowingly
agree to accept full responsibility for my exposure to such risks. I acknowledge a full and complete understanding
of the limitations of liabilities and waiver of certain rights that I may have and granting of releases contained herein
and knowingly consent thereto.

Signed this date the ______ day of __________________, 20___.

Participant: _______________________________________ 

 

Legal Guardian:________________________________________

 

Legal Guardian:________________________________________

Print Participant Signature: _______________________________________

 

Date of Birth of Participant:_____________________________________

 

Driver Liscense:___________________________________

These fields must be complete in full!

Permanent Information:

 

Local Information:_____________________________________________________________________

 

Street Address: ____________________________________________________________________________________

City, State, Zip, County  ______________________________________________________________________________

Phone_________________________________________________________________________

Fax ______________________________________________________________________________

 

Cellular/Mobile ____________________________________________________________

 

 

 

STATE OF FLORIDA )

 SS:
COUNTY OF VOLUSIA )