| NEECA Fall Pleasure Trail Ride Application Saturday, Oct. 24th, 2009 (rain date, Sunday, Oct. 25th) Cutthroat Brook Tree Farm, 586 Briggs Road, Athol, MA NAME:________________________________________ Phone:_________________________ Address:________________________________________________________________________ Emergency Contact Name & Number:_______________________________________________ Horse’s Name:_________________________________ Please fill out and send to: NEECA, c/o Susie Feldman, 586 Briggs Road, Athol, MA 01331 Make checks payable to "NEELMCC", $15/member, $20/non-member I hereby enter NEECA Fall PleasureTrail Ride, taking place at Cutthroat Brook Tree Farm and Harvard Forest on Saturday, Oct. 24th, 2009 at my own risk. In consideration of my being provided equine activities and/or being allowed access on private land, I release and agree to hold harmless and not to sue today and forever the New England Equestrian Center of Athol, New England Equestrian Land Management Conservation Corporation, Ben and Susie Feldman, and the Harvard Forest/Harvard University, the owners of land on which I engage in equine activities, the persons in control of land on which I engage in equine activities, and the guests, invitees, business invitees, spouses, children, relatives, officers, directors, employees, independent contractors, ride personnel, and landowners, public or private (over whose land the ride may pass), and insiders of any of the foregoing from any suits or charges resulting from any accidents or losses, either caused by me or my horse, or to me, my horse, or my equipment including but not limited to all “claims” that I now have or subsequently acquire by participating in equine activities. The word “claims” has the meaning defined in 11 U.S.C. §101. I further agree that it is my responsibility to have conditioned my horse properly to cope with any trail or weather condition that may be encountered. USE OF HELMET. It is recommended that all riders wear a helmet, all riders under the age of 18 MUST wear an approved ASTM helmet. I agree that I am riding at my own risk. I understand that trail riding can involve being in remote areas for extended periods of time, far from communication, transportation and medical facilities. That these areas may have natural hazards which management cannot anticipate, identify, eliminate, modify, or control; that horses can be excitable, difficult to control and unpredictable, and that accidents can happen to anyone at any time. WARNING This release and agreement not to sue applies even to claims for present and future negligence. WARNING Under Massachusetts law, an 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, pursuant to section 2D of chapter 128 of the General Laws. This release and agreement not to sue applies to future claims and future equine activities, unless and until it is revoked in writing. A revocation applies only to claims that accrue after the date of revocation from incidents that occur after the date of revocation. I understand that I am not allowed to enter any land of any person unless this document is in full force and effect without alteration, amendment or change. No person has the authority to alter, amend, or change the provisions of this document insofar as they benefit or might benefit the released person. If a guardian of a person lacking legal capacity to contract signs this document, the signing person represent and warrants that he or she has the legal authority to bind the person on whose behalf he or she signs. I agree to pay reasonable attorneys and expenses incurred by any and all persons benefiting from this document incurred in defending any action I bring against them in violation hereof. This document is executed as the entire agreement of the undersigned as to the subject matter hereof under Massachusetts law as a sealed instrument. ______________________________________________________ Dated _________________ (signature of individual rider) ______________________________________________________ (printed name of rider) ______________________________________________________ Dated _________________ (signature of parent/guardian for participants under 18 years of age) NEELMCC reserves the right to keep and use any likenesses captured during this event for public relations purposes. |