Mr. Stewart's Cheshire Foxhounds

Spring Paper Chase Entry form

Mr. Stewart’s Cheshire Foxhounds Pony Club SPRING Paper Chase Entry Form

     Contact information for mailing ribbons. Must be filled out in order to receive a ribbon:  

Name:  ___________________________________________________________________________________________  

Mailing Address:___________________________________________________________________________________

Phone:  _________________________________Email: ____________________________________________________

 Pinnie #_______________________    paid __________________________________

Hunting Pace             or                 Leisure pace

Printed Name of Participant (if under18, parent signature required) ____________________________________________________________

Signature for Releases on this page and following page ____________________________________________________________________

 

Liability Release and Indemnification:  This document waives important legal rights. Read it carefully before signing.

I, the undersigned participant, voluntarily request to participate in Mr. Stewarts Cheshire Foxhounds Paper Chase at the Sanctuary/ Runnymeade on or about April 16 (24th rain date), 2022.  I know that participating in this event is a potentially hazardous activity.  I acknowledge that my participation in this event may involve risk of serious injury or death, including losses or harm which may results from: my own actions, inactions, or negligence; the actions, inactions, or negligence of others; the condition of the facilities, equipment, or areas where the event is being conducted; weather conditions; and/or the normal hazards associated with this type of event.  Knowing these facts, and in consideration of my participation in the event, I hereby for myself, my heirs, executors, assigns, administrators or anyone else who might claim on my behalf, covenant not to sue, and release, discharge and hold harmless, all owners of the Runnymeade Santuary, including, but not limited to, the Runnymeade Santuary Trust, the Trustees of the Runnymeade Sanctuary Trust, and the owners’ respective agents, 

Diana S. Wister Family Farm, L.P., Diana S. Wister and Brandywine Conservancy, Inc., and their respective agents, employees, partners, officers, directors, heirs, successors and assigns, and anyone acting on their behalf (collectively, the “Released Parties”) of and from, and do discharge and waive any and all claims, demands, losses, damages, and liabilities that I may have or sustain with respect to any all damage and/or injury, of any type, arising out of my participating in this event.  This waiver extends to all claims of every kind of nature whatsoever, foreseen or unforeseen, known or unknown.

The undersigned further agrees to hold harmless, indemnify, and save the Released Parties from any and all claims, demands, losses, damages, and liabilities for indemnities, contribution, or otherwise with respect to any damage and/or injury of any type arising from participation in the activities.  The undersigned also agrees that this agreement in all parts extends to all acts by the Released Parties, with the exception of gross negligence or intentional misconduct of the Released Parties, and is intended to be as broad and inclusive as is permitted by the laws of the Commonwealth of Pennsylvania and that if any portion thereof is held invalid, it is agreed that the balance shall continue in full legal force and effect.  Furthermore, I agree to use my personal medical insurance as a primary medical coverage payment if accident or injury occurs.  I consent to emergency medical treatment in the event such care is required.  

It is a Pennsylvania Law  WARNING:  Under Pennsylvania law an equine professional and equine activity sponsor is not liable for an injury to or death of a participant in equine activities resulting from the inherent risks of equine activities.  In consideration of this entry being accepted and permission to participate in this event being granted, I, the participant or the parent/legal guardian of the participant, certify that I am over eighteen (18) years of age and have read the USPC Release on the reverse side of this entry form and fully understand the terms of this agreement.  

Release Form for all Landowners  In consideration of this entry being accepted, I, intending to be legally bound, hereby, for myself and my heir, executors and administrators, wave and release any and all rights I may have against the sponsors, officials, contributors, organizers, landowners, volunteers or beneficiaries of Mr. Stewart’s Cheshire Foxhounds Pony Club Paper Chase for any injuries, loss or damages suffered at this event.  

THE UNITED STATES PONY CLUBS, INC. RELEASE, ASSUMPTION OF RISK, WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT FOR USPC NON-MEMBERS. 

I AGREE for myself, and/or my child, my/our administrators and assigns, in consideration for my, and/or my child’s, participation in this United States Pony Clubs, Inc. (USPC) activity to the following: I AGREE that I choose to participate voluntarily in an USPC activity, as a rider, driver, handler, lessee, owner, agent, spectator, volunteer, and/or trainer. I am fully aware and acknowledge that horse sports and USPC activities involve inherent dangerous risks of accident, loss, and serious bodily injury including, but not limited to, broken bones, head injuries, trauma, pain, suffering or death (“Harm”). I fully understand that this release covers, but is not limited to, inherent risks of an equine activity which mean a danger or condition that is an integral part of an equine activity, including but not limited to, any of the following: The propensity of an equine to behave in ways that may result in injury, death, or loss to persons on or around the equine; The unpredictability of an equine’s reaction to sounds, sudden movement, unfamiliar objects, persons, or other animals; Hazards, including, but not limited to, surface or subsurface conditions; A collision with another equine, another animal, a person, or an object; The potential of an equine activity instructor to act in a negligent manner that may contribute to injury, death, or loss to the person of the participant or to other persons, including but not limited to, failing to maintain control over an equine or failing to act within the ability of the participant. 

I AGREE to release the USPC, its successors or assigns, officials, officers, directors, employees, agents, personnel, volunteers and affiliated organizations from all claims including, but not limited to, claims for money or property, disability, covenants, actions, suits, causes or action, obligations, debts, costs, expenses, attorneys’ fees, judgments, orders and liabilities of whatsoever kind or nature in law, equity or otherwise, whether now known or unknown, suspected or unsuspected, and whether concealed or hidden, including but not limited to any state or federal statutory or common law claim or remedy of any kind whatsoever arising out of or in any way connected with any Harm to me or my horse and for any Harm caused by me or my horse to others, even if the Harm resulted, directly or indirectly, from the negligence of the USPC or the USPC activity. 

I AGREE to expressly assume all risks of Harm to me or my horse, including Harm resulting from the negligence of the USPC or the USPC activity, and specifically agree to the applicable state statute/law regarding equine/farm animal activity liability and signed posting (if any), in any state in which I or my child participates in a USPC activity. A list of state statues and select portions of those statues believed to be in effect at the time of the execution of this agreement is attached hereto. I AGREE to review and understand the full applicable state statutes. 

I AGREE to indemnify (that is, to pay any losses, damages, or costs incurred by) the USPC and the USPC activity and to hold them harmless with respect to claims for Harm to me or my horse, and for claims made by others for any Harm caused by me or my horse in the USPC activity. 

I AGREE that neither I, nor any one claiming through me, will hereafter bring, commence, prosecute or maintain, or cause or permit to be brought, commenced, prosecuted or maintained, any suit or action, either at law or in equity, in any court in the United States or in any state thereof, or elsewhere, against the USPC, its successors or assigns, for, on account of, arising out of, or in any way connected with any Harm to me or my horse, and that neither I, nor any one claiming though me, will enforce, prosecute, or recover upon, or attempt to enforce, prosecute, or recover upon, any claim or right of action whatsoever, which I, or any one claiming though me, may now have or hereafter assert, in any way connected with claims for Harm to me or my horse, and for claims made by others for any Harms caused by me or my horse at the USPC activity. 

I AGREE this Agreement is the entire agreement of the parties, and supersedes all prior oral and written understandings and agreements. This Agreement may be modified only by a written amendment signed by both parties. 

I AGREE that if any provision of the Agreement is found to be invalid or illegal by a court of competent jurisdiction, the remaining provisions shall be construed as if the affected provision had not been included in order to effectuate the intent of the parties.  In the event this form is signed by the parent/guardian of a child, then all representations and acknowledgements herein are expressly made by, for, and on behalf of the parent/guardian and child. 

By signing below, I AGREE to be bound by all applicable USPC rules and all terms and provisions of the USPC activity. I acknowledge that I enter into this release after having read the same, and place my signature hereto of my own free voluntary act and deed. By signing below, I represent to the USPC that I fully understand its contents, that I do not need any further explanation, and I waive any further explanation. 

I have read and AGREE to abide be the above. REQUIRED — all signatures must be originals, not photocopies. PENNSYLVANIA PA

Signature __________________________________________________________________________________________________________________________________

FALL paper Chase entry form