WAIVER & RELEASE

For All Classical Equus Royal Vaulters Activities

This Is A Waiver of Your Legal Rights, And An Agreement Not To Sue

Serious Injury Or Death May Result From Vaulting Or Being Near Horses

1. Participant's Name (print):_____________________________________________

Address:______________________________ City:________________ State:______

Telephone: (______ ) _________________________

2. Liability Release.

In consideration for Classical Equus Royal Vaulters ("CERV") allowing me or my child to voluntarily participate in its activities, I agree as follows:

a. This agreement, waiver and release applies to CERV and to CERV's affiliated committees, employees, predecessors, successors, attorneys, insurers, members and volunteers who are working in the course and scope of their duties on behalf of CERV

at the time of occurrence of any act or omission which is later alleged to be a cause or

contribution to a claim for injury, damages or death ("Released Parties");

b. I forever release, hold harmless and indemnify Released Parties from liability for any and all claims, demands, causes of action, damages, injuries or death to me, my minor children, my property, and legal liability of every nature, including the negligent acts or

omissions of any Released Parties, whether known or unknown, anticipated or unanticipated, direct or indirect, arising out of participation in the past, present or future CERV activities (including equestrian activities, such as the riding, use of, or being near, horses, whether at an arena, stable or in any such event in association with CERV) and I assume all risks of injury or death as set forth in this release;

c. I shall not bring any lawsuit, action or proceeding against any Released Parties, even if they engage in negligent conduct; and

d. I make this agreement, waiver and release for and on behalf of myself, my spouse, my child and/or ward, heirs, administrators, successors, representatives and assigns.

3. Activity Risk.

I understand that some CERV activities take place on land or in facilities owned and managed by others from whom such land or facilities are borrowed or rented. I understand that the organizers, workers and members involved in CERV activities are not professionals in the horse industry, or in other areas of expertise involved in CERV activities. I also understand that vaulting is a rugged recreational sport activity and that at one point in time or anther me or my child may be injured. I am aware that there are numerous obvious and non-obvious inherent risks of serious injury or death, or property damage, to me or my child, which are always present in CERV activities, on or near horses. I understand that pregnant women are specifically advised not to ride horses. I understand that CERV is a club of private individuals who have come together to support and enjoy recreation-oriented activities.

4. Nature of Horses.

I understand that no horse is completely safe, and the Released Parties make no

representations or guarantees regarding the safety, training or suitability of any horse. Horses are 5 to 15 times larger, 20 to 40 times more powerful, and 3 to 4 times faster than a human. If I fall from a horse to the ground, it will generally be at a distance of 4 to 6 feet, and the impact will injure me. A horse may divert from its training and act according to its natural survival instincts and may abruptly change directions or speed, trip, slip, fall, stop short, shift its weight, buck, rear, kick, bite, spook, or run from what it perceives to be danger if it is frightened or provoked, or for no reason whatsoever.

5. Conditions of Nature & Locations.

I agree that the Released Parties are not responsible for acts, occurrences or elements of nature or a particular location that can injure a person or scare a horse, cause it to trip, fall or react in some other manner. These elements include thunder, lightening, rain, wind, wild and domestic animals, insects, other people and horses, and reptiles which may walk, run, fly near, bite and/or sting a horse or person, irregular footing on groomed or wild land which is subject to constant change according to weather, temperature, natural and man-made objects. The Released Parties have not inspected, and make no representations or warranties concerning the safety or condition of any arena and/or other location of CERV events.

6. Helmet Warning.

I am aware, that due to the extreme nature of the sport of Vaulting, that a helmet is not worn during this activity. I understand that this is contrary to the suggestion of most equestrian sports/activities. I understand that this is a safety precaution which is required by the American Vaulting Association. Due to the nature of the sport of Vaulting ,I also understand that this does allow for potential injury to me or my child.

HAVE READ, UNDERSTOOD AND VOLUNTARILY AGREE TO THIS TWO-PAGE WAIVER & RELEASE. I FURTHER AGREE THAT NO ORAL STATEMENTS, REPRESENTATIONS OR INDUCEMENTS APART FROM THIS WRITTEN AGREEMENT HAVE BEEN MADE TO ME TO OBTAIN MY CONSENT.

Dated: _____________ Participant's Signature:___________________________________

__________________________________

(Printed Name)

IF PARTICIPANT IS UNDER 18, SIGNATURE OF AGREEMENT BY PARENT OR LEGAL GUARDIAN IS ALSO REQUIRED, AND SUCH PERSON FURTHER AGREES, PURSUANT TO PARAGRAPH 2, ABOVE, TO RELEASE AND INDEMNITY THE RELEASED PARTIES FOR ANY INJURY OR DEATH TO, OR ANY CLAIM BY OR ON BEHALF OF, SUCH MINOR:

Minor's Birth Date:_____________

Dated: ____________ Signature: _______________________________

Relationship to Minor: _______________ _______________________________

(Printed Name of Signor)

CERV Witness (print name)_________________________________