Person Voluntarily entering into this Release and Hold Harmless Agreement:
With this waiver I accept notice of the provisions of the Equine Activity Liability Act 3.2-6200 through 6203, 2008, as amended, which state in part: “”(i) the propensity of an equine to behave in dangerous ways which may result in injury to the participant; (ii)the inability to predict an equine’s reaction to sound, movements, objects, persons or animals; and (iii)the hazards of surface or subsurface conditions.
I, the undersigned, give my child permission to participate in the Kay’s Acres, LLC Traveling Petting Zoo and On Farm Petting Zoo and Harmonia Equestrian LLC. located at 800 Lummis Road, Suffolk, VA, 23437 AND 804 Lummis Road, Suffolk, VA, 23437 AND 832 Copeland Rd, Suffolk VA 23437. I understand that participation involves my child being both in the vicinity and in direct contact with live animals of various species. I agree that I am informed and I completely understand and acknowledge that, although careful precautions will be used for the safety of all children participating in the Traveling Petting Zoo and On Farm Petting Zoo, there are possible risks involved for myself, my child. I understand that any and all animals may react in an impulsive and unpredictable way as a result of, but not limited to, people, sounds, sudden movements, or other animals which could result in injury to my child and those in the vicinity of the Traveling Petting Zoo and On Farm Petting Zoo. I agree I will not hold anyone from Kay’s Acres LLC, Harmonia Equestrian or any participant of this event, liable for any accident, including but not limited to injury, illness, property damage, death, or any other loss sustained by me or my child (or the child I am representing), arising from or due to any cause whatsoever.
ATTENDANCE/PHOTOGRAPHY/VIDEO RELEASE I wish to visit and/or participate in activities sponsored by Kay’s Acres, LLC at 800 Lummis Road, Suffolk, VA, 23437 AND 804 Lummis Road, Suffolk, VA, 23437 AND/OR Harmonia Equestrain LLC located at 832 Copeland Road, Suffolk, VA 23437. I understand that I do so at my own risk. I hereby release and waive all claims against the Kay’s Acres, LLC AND Harmonia Equestrian LLC and any entities affiliated with the foregoing from liability for any and all loss, damage, injuries, claims, demands, lawsuits expenses and any other liability of any kind, of or to me or any other person, directly or indirectly arising out of, or in connection with my visit or participation in any activity. I further agree to hold harmless, indemnify and reimburse the Released Parties from and for any sums, costs, or expenses incurred by any of the Released Parties or paid by them to any person (including me or my insurers) in connection with any accident, loss, damage or injury sustained by me or others in connection with my attendance, at or participation in, the above described activity. This means that I will reimburse the Released Parties if anyone makes a claim against them based on damages or injuries I may suffer. I hereby grant Kay’s Acres, LLC AND Harmonia Equestrian permission to use my likeness in a photograph in any and all of it's publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of the Kay’s Acres, LLC. And/or Harmonia Equestrian LLC. I hereby irrevocably authorize Kay’s Acres, LLC and Harmonia Equestrian LLC to edit, alter, copy exhibit, publish or distribute this photo for purposes of publicizing Kay’s Acres, LLC. And/or Harmonia Equestrian LLC In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph or video.
If minor, person representing himself/herself to the lawful Guardian under this Release and Hold Harmless Agreement:
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