Fancy Fox Farm, LLC

540-937-6121

Ask us about the following (Web Pages Coming Soon):   Riding Lessons, Boarding, Horses for Sale, Scout Merit Badges, Horse Hotel, Hunt Box, Family Cottage Rental     

____________________________________________________________________________________

 Fancy Fox Farm, LLC

EQUINE ACTIVITY, RELEASE AND WAIVER OF LIABILITY

            I am aware that horseback riding, jumping, ground training, grooming, hunting, riding lessons, riding to hounds and other equine activities are athletic events which pose potentially serious risks of injuries or death to their participants.  I understand that my horse or I may be injured or die as a result of my negligence, the negligence of others, or through no fault of myself or anyone else, because of the nature of the activity in which I am going to be engaged.  I also understand that horses, even the most well trained, are often unpredictable and are difficult to control.

            With this waiver I accept notice of the provisions of the Equine Activity Liability Act §§ 3.1-796.130 through 3.1-796.133 of the Code of Virginia, 1950, 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.

            The waiver shall remain valid unless expressly revoked by the participant or parent or guardian of a minor, in writing, with receipt acknowledged by Fancy Fox Farm, LLC.

            Furthermore, with this waiver, I expressly assume the risk of injury or death due to negligence by Fancy Fox Farm, LLC, its owners, agents, employees, and staff or any landowners, their families and tenants, for my own safety or for the safety of my minor child.

            With the knowledge of the forgoing, and as an inducement for the Fancy Fox Farm, LLC to allow me to ride on their facilities and trails, I hereby agree to waive or release any and all rights that I or my heirs may have to make a claim against Fancy Fox Farm, LLC, it’s owners, agents, employees and staff, or any landowners, their families and tenants, over whose land I ride, arising from any damages, injury, or death which I might sustain or which might occur to any horse I am riding as a result of my horseback riding.  I further agree to indemnify and hold harmless all of the forgoing from any claims which I might make or which might be made on my behalf by others or which might be made against me by others, arising from riding with Fancy Fox Farm, LLC.  Furthermore, I agree to indemnify Fancy Fox Farm, LLC, it’s owners, agents, employees, and staff, or any landowners, their families, or tenants, for any injury, death, loss or damage to any personal property which might occur during an equine activity as defined by § 3.1-796.130 of the Code of Virginia, 1950, as amended, or social functions sponsored by Fancy Fox Farm, LLC or held in its behalf or for its benefit.

            BY SIGNING THIS WAIVER AND RELEASE, I UNDERSTAND THAT I AM GIVING UP, (WAIVING AND RELEASING) ANY RIGHT I MIGHT HAVE TO SUE OR MAKE A CLAIM WHICH I MIGHT HAVE OR WHICH MIGHT SUBSEQUENTLY ARISE

OR OCCUR AGAINST FANCY FOX FARM, LLC, its OWNERS, AGENTS, EMPLOYEES,

Page 1 of 2

AND STAFF, OR ANY LANDOWNERS, THEIR FAMILIES, OR TENANTS, OVER WHOSE LAND I (OR MY MINOR CHILD) RIDE, FOR ANY INJURIES I (OR MY MINOR CHILD) MIGHT SUSTAIN WHILE HORSEBACK RIDING OR PARTICIPATING IN AN EQUINE ACTIVITY, AND THAT I AM INDEMNIFYING AND HOLDING HARMLESS FANCY FOX FARM, LLC, IT’S OWNERS, AGENTS, EMPLOYEES, AND STAFF, OR ANY LANDOWNERS, THEIR FAMILIES, OR TENANTS, OVER WHOSE LAND I (OR MY MINOR CHILD) RIDE, FOR INJURING ANYONE ELSE OR ANY HORSE RIDDEN BY ANOTHER WHILE SO ENGAGED.  IT IS MY INTENT TO GIVE UP THOSE RIGHTS AND PROVIDE THE HOLD HARMLESS AGREEMENT, AND I DO SO KNOWINGLY AND VOLUNTARILY.

                                                                                    ___________________________________

                                                                                                Print Participant’s Name

                                                                                    ___________________________________

                                                                                                Participant’s Signature

                                                                                    ___________________________________

                                                                                                            Date

PARENT OR GUARDIAN RELEASE OR WAIVER

            I am the parent or guardian of (Print Name of Minor) ____________________________, a minor, and on the minor’s behalf and on my behalf and on behalf of all other parents or guardians of the minor, I accept the release and waiver of liability at the top of this form as inducement for allowing my child, or this minor, to ride with Fancy Fox Farm, LLC.  I further authorize any emergency medical care which may be necessary.  I represent and warrant that I have the authority to give this release.

                                                                                    ___________________________________

                                                                                                Print Parent or Guardian Name

                                                                                    ___________________________________

                                                                                                Parent or Guardian Signature

                                                                                    ___________________________________

                                                                                                            Date