DDA Client Details
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DDA Case Worker
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Release of Liability
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IN CONSIDERATION OF MY DESIRE TO PARTICIPATE IN SAID Activity and being given the right to participate in the same.
I HEREBY (the below listed person/s) for myself, my heirs, executors, administrators, assigns, or personal representatives (hereinafter collectively, “Releasor,
I, or Me”, which will also include Releasor’s parents or guardian if Releasor is a minor under 18 years of age) knowingly and
voluntarily enter into this waiver and release of liability and hereby waive any rights , claims or causes of action of any kind
arising out of my participation in the Activity; and
I HEREBY release and forever discharge Stella’s Chance - Mary Jo Turnbull their affiliates, managers, members, agents, attorneys,
staff, volunteers, heirs, representatives, predecessors, successors, and/or assigns (collectively “Releases”)from any physical or
psychological injury that I may suffer as a direct result of my participation in the aforementioned Activity.
I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY
AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THE ACTIVITY THAT MAY INCLUDE, BUT
ARE NOT LIMITED TO: PHYSICAL OR PSYCHOLOGICAL INJURY OR PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR
PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE
INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS NEGLIGENCE, CONDITIONS RELATED TO TRAVEL TO AND
FROM THE ACTIVITY, OR FROM CONDITIONS AT THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL THE RELATED RISKS
BOTH KNOWN AND UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY.
I FURTHER AGREE to indemnify, defend, and hold harmless the Releasees against any and all claims, suite or actions of any kind
whatsoever for liability, damages, compensation or otherwise brought by me or anyone on behalf, including attorney’s fees and
any related costs.
I FURTHER ACKNOWLEDGE that Releases are not responsible for errors, omissions, acts or failures to act of any party or entity
conducting a specific event or activity on behalf of Releases. In the event that I should need medical care or treatment, I
authorize Stella’s Chance - Mary Jo Turnbull , its agents and/or employees to provide all emergency medical care deemed
necessary, including but not limited to, first aid, CPR, and the use of AEDs, emergency medical transport, and sharing of medical
information with medical personnel, I further agree to assume all costs involved and agree to be financially responsible for any
costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.
*Minors (individuals under the age of 18) are strongly encouraged to wear a protective equestrian approved helmet while
mounted on a horse. By signing, this waiver Parent and/or legal guardian of minor agree to waive the use of protective headwear
while riding with Stella’s Chance - Mary Jo Turnbull.
I FURTHER ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS “WAIVER AND RELEASE” AND FULLY UNDERSTAND THAT IT IS A
RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE Stella’s Chance - Mary Jo Turnbull AND ALL OF ITS
AFFILIATES, MANAGERS, MEMBERS, AGENTS, (CONT.) ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES,
PREDECESSORS, SUCCESSORS AND/OR ASSIGNS FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO
VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST Maryjo Turnbull /
/ Stella’s Chance at Son Rise Ranch, Vancouver WA.
To the extent that statute or case law does not prohibit releases for ordinary negligence, this release is also for such negligence
on the part of,Stella’s Chance - Mary Jo Turnbull, its agents, and employees.
I agree that this Release shall be governed for all purposes by Washington State law, without regard to any conflict of law or
principles. This Release supersedes any/ all previous oral or written promises for other agreements.
THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE DURATION OF MY PARTICIPATION IN THE
ACTIVITY, DURING THIS INITIAL AND ALL SUBSEQUENT EVENTS OF PARTICIPATION.
