Name *

First Name

Last Name

Mindful Meditations Waiver/Release of Liability: *

On behalf of myself, my estate and the personal representative thereof, my heirs and assigns, I hereby forever release, hold harmless, defend and indemnify Mindful Meditations and their officers, directors, employees and agents, from any and all costs, claims, losses, liabilities or damages arising from or in any way related to, my participation in Mindfulness Meditation classes. I intend this release and indemnity to be regardless whether the claim of liability is asserted in negligence, strict liability in tort, or other theory of recovery. For myself, my estate and the personal representative thereof, my heirs and assigns, I covenant and agree to make no claim, nor to institute any suit, action or proceeding against either Mindful Meditations and their officers, directors, employees and agents, relating to any accident, incident or occurrence arising out of, or in connection with, my participation in Mindful Meditation classes. In agreeing to this release, I have fully informed myself of the content of this release and I have reviewed it and understand what it means, and this release is signed as my own free act and deed. I do hereby certify that I am capable of participating in the program.

 I Agree

SECTION 2- ADULT RELEASE OF LIABILITY Sarah Parks Horsemanship *

Every Person must Read and Understand this form before Participating in Equine Activities. To Sarah Parks Horsemanship, their directors, employees, officers, volunteers, business operators, and site property owners. (all of them collectively called the HOST) Check each item below after reading and understanding the item. I understand there are Inherent DANGERS, HAZARDS and RISKS, (collectively called RISKS) associated with Equine Activities and injuries resulting from these “RISKS” are a common occurrence. *

I Agree

*

I Acknowledge that the Inherent “RISKS” of Equine Activities mean those DANGEROUS conditions which are an integral part of Equine Activities, including but not limited to: • The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people, or objects. • The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects. • The potential for other participant (s) to act in a negligent manner that might contribute to injury to themselves or others, such as failing to act within their ability or to maintain control over an equine. * the potential of natural or man-made hazards being present that can cause me harm, including communicable disease* *

I Agree

*

I Freely Accept and Fully Assume All Responsibility for the Inherent “RISKS” and the possibility of personal injury, death, property damage or loss which might result from the infant being a Participant.*

I Agree

*

I Acknowledge that it remains my Sole Responsibility to act in such a manner as to be responsible for my own safety and to Participate Within My Own Limits. * In addition to consideration given for my Participate in Equine Activity, I and my heirs, executors, administrators and assigns (collectively called my “Legal Representatives”) agree: • To Waive All Claims that I might have against the “HOST”; and • To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I or my “Legal Representatives” might suffer as a result of my Participation due to any cause whatsoever including any NEGLIGENCE ON THE PART OF THE “HOST”; and • To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or personal injury to any third party which might result from my Participation in Equine Activities.

I Agree

*

In addition to consideration given for my Participate in Equine Activity, I and my heirs, executors, administrators and assigns (collectively called my “Legal Representatives”) agree • To Waive All Claims that I might have against the “HOST”; and • To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I or my “Legal Representatives” might suffer as a result of my Participation due to any cause whatsoever including any NEGLIGENCE ON THE PART OF THE “HOST”; and • To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or personal injury to any third party which might result from my Participation in Equine Activities.*

I AGREE to the terms and conditions of the Adult Release of Liability

*

Before checking the "I agree" box on this form, I read it (as indicated by my checked boxes above) and I stated I understand it. I know that checking the "I agree" box on this form, waives certain legal rights I or my “Legal Representatives” might have against the “HOST”. Do Not check the "I agree" box until you Understand All Items Above. *

I AGREE to the terms and conditions of the Adult Release of Liability