MEMBERSHIP APPLICATION

 

SIERRA FOOTHILLS HORSEMAN’S ASSOCIATION

 

I, ____________________________________________, hereby apply for membership in the Sierra Foothills Horseman’s Association, and, if accepted, agree to abide by the rules and regulations governing the organization per the Association By-Laws.

 

 


     $20.00 for family membership (includes children who are 17 years & younger as of Jan. 1st)  

     $15.00 for individual adult membership (18 years and older as of January 1st)

     $ 5.00 for junior membership  (17 years and younger as of January 1st)

Membership is:       New membership          Renewal (dues must be paid by January 1)

 

 

Name:                                                                                   Birthdate:                                   

 

Spouse’s Name:                                                                    Birthdate:                                 

 

Children’s Names:                                                                 Birthdate:                                 

                                                                                             Birthdate:                                 

                                                                                             Birthdate:                                 

                                                                                             Birthdate:                                 

 

Mailing Address:                                                                                                                  

 

City, State, and Zip Code:                                                                                                    

 

Telephone Number:    (               )                                                                                        

 

E-Mail Address:                                                                                                                   

 

SIGNATURE: ____________________________________   DATE:                            

                                                                                                                                                                                                                                         

PLEASE READ AND SIGN THE “RELEASE AND HOLD HARMLESS AGREEMENT” ON THE REVERSE SIDE.

 

 

 


To be Completed by Sierra Foothills Horseman’s Association

  Cash         Check #______                                 Membership Dues Amount: $________  

Total Amount Received   $                          Date Received:­­­­_________   Membership Year: _______      

 

 

 

SIERRA FOOTHILLS HORSEMAN’S ASSOCIATION

RELEASE AND HOLD HARMLESS AGREEMENT

 

The Undersigned assumes the unavoidable risks inherent in all horse-related activities, including but not limited to bodily injury and physical harm to horse, rider, and spectator.  The Undersigned acknowledges that horse-related activities are dangerous and that horses themselves have unpredictable temperaments, which can sometimes cause injury.  The Undersigned acknowledges that even the most experienced horse event sponsor, participant, or horse owner cannot predict how each individual horse will react in a variety of situations and cannot guarantee my safety.  THEREFORE, BY SIGNING BELOW, I KNOWINGLY ASSUME THE UNAVOIDABLE RISKS INHERENT IN ALL HORSE-RELATED ACTIVITIES, WHETHER KNOWN OR UNKNOWN, INCLUDING BUT NOT LIMITED TO BODILY INJURY AND PHYSICAL HARM TO HORSE, RIDER, AND SPECTATOR, AND AGREE TO THE FOLLOWING ON BEHALF OF MYSELF AND MY SPOUSE, IF ANY:

 

1.   I HEREBY RELEASE AND DISCHARGE SIERRA FOOTHILLS HORSEMAN’S ASSOCIATION

(“SFHA”), THE SFHA BOARD OF DIRECTORS, ALL SFHA OFFICERS, AND INDIVIDUAL ASSOCIATION MEMBERS AND THEIR AGENTS, EMPLOYEES, OR REPRESENTATIVES (HEREINAFTER COLLECTIVELY KNOWN AS “RELEASEES”) FROM ALL ACTIONS, CLAIMS OR DEMANDS I MAY NOW OR HEREAFTER HAVE FROM INJURY, DEATH, OR DAMAGE RESULTING FROM MY PARTICIPATION IN ANY HORSE-RELATED ACTIVITIES SPONSORED BY SFHA.

 

2.   I also EXPRESSLY WAIVE any rights I may have under California Civil Code 1542, which states:  “A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor.”

 

3.   I agree that I will DEFEND, INDEMNIFY, AND HOLD HARMLESS Releasees against all claims, demands, and causes of action, including court costs and actual attorney’s fees, arising from any proceeding or lawsuit brought against them due to any act done by me, or brought by me or for my benefit.

 

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT CAREFULLY AND COMPLETELY, AND FULLY UNDERSTAND ITS CONTENTS.  I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND RELEASEES, AND I SIGN IT OF MY OWN FREE WILL.  I FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS, OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE, AND THAT I RELY ON NONE.  THIS AGREEMENT SHALL REMAIN IN EFECT UNTIL REVOKED IN WRITING BY ME.

 

Age, if a minor:                                                                                                                    

 

                                                                                                                                           

Signature                                                                                  If a minor, signature of Parent or Guardian

 

                                                                                                                                           

Print Name                                                                               Print Name of Parent or Guardian

 

Dated:                                                                    Dated: