FORM C

 

THIS DOCUMENT WILL AFFECT YOUR LEGAL RIGHTS AND LIABILITIES

 

READ CAREFULLY

 

AGREEMENT FOR THE RELEASE AND WAIVER OF LIABILITY FOR A MINOR CHILD

 

I REQUEST PERMISSION FOR MY CHILD  ­­­­­­­­­­________________________

 TO PARTICIPATE IN HORSEBACK RIDING AND OTHER STABLE ACTIVITIES AT MAGIK MORN. 

 

I FULLY UNDERSTAND THAT HORSEBACK RIDING, HANDLING AND GROOMING OF HORSES, SWIMMING AND OTHER CAMP ACTIVITIES ARE VERY DANGEROUS.  I WISH TO ALLOW MY CHILD TO PARTICIPATE IN THESE ACTIVITIES KNOWING THAT THEY ARE DANGEROUS. 

 

I ACCEPT AND ASSUME ALL THE RISKS OF INJURY (INCLUDING DEATH) TO MY CHILD OR MY PROPERTY.  I REPRESENT AND WARRANT THAT I HAVE THE AUTHORITY TO GIVE THIS RELEASE. 

 

IN EXCHANGE FOR MY CHILD BEING PERMITTED TO PARTICIPATE IN THESE ACTIVITIES, FOR MY CHILD, MYSELF, MY CHILD'S HEIRS, GUARDIANS, AND LEGAL REPRESENTATIVES, I RELEASE AND AGREE NOT TO MAKE OR BRING CLAIM OF ANY KIND AGAINST MAGIK MORN, ITS OWNERS KIM MORGAN-DERIET, GEORGE WILLIAM DERIET, EMPLOYEES, OR GUESTS INCLUDING ANY LAND OWNER, LAND HOLDERS OR OTHER PERSONS MAKING PROPERTY AVAILABLE TO MAGIK MORN FOR ANY INJURY (INCLUDING DEATH), TO MY CHILD OR ANY DAMAGE TO MY PROPERTY, WETHER FROM ANYONE'S NEGLIGENCE OR NOT, OR ANY OTHER CAUSE, ARISING OUT OF MY CHILD'S PARTICIPATION IN THESE DANGEROUS HORSEBACK RIDING ACTIVITIES OR OTHER ACTIVITIES AT THIS LOCATION, INCLUDING SWIMMING; AND I ALSO AGREE THAT IF ANYONE MAKES ANY CLAIMS BECAUSE OF ANY INJURY TO MY CHILD (INCLUDING DEATH), OR FOR ANY DAMAGES TO MY PROPERTY, I WILL KEEP ALL THOSE RELEASED BY THIS AGREEMENT FREE OF ANY DAMAGES OR COSTS BECAUSE OF THOSE CLAIMS. 

 

DATED________________ Signature:________________________

                                                          (Parent or legal guardian)

_                                                  Print Name:______________________

 

                                                     Signature:________________________

                                                          (Parent or legal guardian)

_ DATED________________           Print Name:______________________

 

Please have Both Parents sign

 

I also authorise Kim Morgan-Deriet, George William Deriet, or Colleen Morrow or any other staff member of Magik Morn  to seek medical attention for my child should it be necessary