Mini-Connection
 

 Participant(s) Release/Waiver/Hold Harmless/Indemnity Agreement as Required by Florida Law:
**This is an exact copy of the waiver the Host/Hostess & Homeowners will sign on the day of the event.**
For______________________________ Party, On _______________(Date)
To be held at: _____________________________________________ 
  
Please Read Carefully Before Signing. READ and initial each paragraph and sign at bottom.
(An adult parent, legal guardian or legal representative or responsible party must initial and sign if any participant is under age 18.) Event/Activity Sponsor & Administrators DO NOT Assure Your Safety!
* I acknowledge that I am the parent/ legal representative or guardian for a minor (s), or am acting as a host/hostess to my invited adult and minor guests, and am responsible party for any guest participant(s). _____ (Initial)
*I will be responsible for all costs/damages incurred by any participant(s) or any participant's family members for all sums, injuries or property damage that I or my guest(s) or family may incur, and that I have accident medical insurance coverage in force for any injuries that I or my family or guest(s) may incur._______(Initial)
I acknowledge that I will be responsible for my/our negligent acts, the negligent acts of my guests and family members and for the acts of any animals that we bring. I/we carry personal liability insurance coverage, which is now in full force and affect that will indemnify Mini-Connection, their owners and others, acting on their behalf. _______(Initial)
I acknowledged that all participants and guests should wear ASTM- standard/SEI- certified equestrian helmets while participating in the hand guided pony rides and activities. I am understand that the wearing of such headgear while participating in equine activities may reduce the severity of participants' head injuries in the event of a fall or other equestrian-related accident. _____(Initial)
* I acknowledge that my guests and family are participating in a Mini-Connection activity totally at our own risk for injuries or property damage that we may incur. ______ (Initial)
I acknowledge that I, and any participants, hereby release and hold harmless and agree to indemnify Mini-Connection for any damages, costs or other expenses incurred by Mini-Connection, any sponsor, their owners, and others acting on their behalf from any claims, legal liability, legal actions or rights for damages, for any accident or injuries which may occur to me/us or our animals at this activity and/or event. _____ (Initial)
* This agreement is made to waive any legal claims that I/we may have any right to bring against Mini-Connection, any sponsor, their owners, and others acting on their behalf to the fullest extent allowed by law. This agreement also is made to indemnify and fully protect Mini-Connection, their owners, and others acting on their behalf for any harm or damage caused by me/us or our animals in consideration for allowing my/our participation.______ (Initial)
* I was advised to read or have read the provisions of Chapter 773 of the Florida Statutes dealing with Equine Activities.______ (Initial)
* I understand an Equine Activity Sponsor is not liable for any injury to or the death of a participant resulting from the inherent risks of equine activities and no participant nor any participant's representative shall have any claim against or recover from any equine activity sponsor for injury, loss, damage, or death of the participant resulting from any of the inherent risks of equine activities. F.S. 773.02 _______ (Initial)  
The undersigned, as a participant/parent/legal guardian or legal representative/agent/responsible party, being of legal age and fully competent to contract, have read and understand this agreement
and have initialed each of the above paragraphs for the purposes and intent expressed above.
DATED in Brevard County, Florida, this ______ day of _______________.
                                             
Print name of parent / legal
guardian
 
                                                       
Signature of parent / legal guardian
or legal Representative/Agent
 
                                             
Witness
 

A RIDING HELMET IS A RECOMMENDED SAFETY GEAR FOR ALL PARTICIPANTS. (Please Choose One)
I am requiring my guests and participants to wear a safety helmet.        _______ (Initial)
I am not requiring my guests and participants to wear a safety helmet.
   _______ (Initial)
 
                                             
Print name of HomeownerlEvent
Host
 
                                                       
Signature of adult homeowner/
event Host
 
                                             
Witness
 

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