OLIVER AGRICULTURAL SOCIETY 2010

MEMBERSHIP/WAIVER FORM

NAME______________________________________________________

YOUTH / ADULT BIRTHDAY___________________(youth only)

ADDRESS_________________________________________________
___________________________________________________________
EMAIL-____________________________________PHONE_________________

OAS #___________
Make Check to OLIVER AGRICULTURAL SOCIETY
Mail to: Eva Ridler
3587 Rosslyn Road,
R.R. #5, Thunder Bay, ON P7C 5M9

2010 OAS MEMBERSHIP $5.00

(Membership allows you to enter OAS Horse Events during the year. The Exhibit Hall,
Small Animal classes and Horse Racing at fair time. Aug 28 & 29.
If you Exhibit you will receive a free weekend pass to the fair and may even win prize
money)

Please check one:

□ I grant my permission for OAS to publish photos of myself, and/or my family on OAS material and/or website.

□ I DO NOT wish to have any photos published.

Signature: __________________________________________________

THANK YOU FOR SUPPORTING OLIVER AGRICULTURAL SOCIETY

FUN FOR EVERYONE !

 OAS Assumption of Risk, Release and Indemnification 2010

This document waives very important legal rights. Read it carefully before signing.

THIS WAIVER COVERS ALL HORSE RELATED EVENTS

ORGANIZED BY THE OLIVER AGRICULTURAL SOCIETY, ON ITS OWN OR IN CONJUNCTION WITH ANOTHER ORGANIZATION, LOCATED ON THE
OAS PROPERTY OR LOCATED ON OTHER PROPERTIES.

(THESE MAY INCLUDE: GYMKHANAS, HORSE SHOWS, HORSE RACING, PARADES, FUN RIDES, PRACTICE DAYS, TRAIL RIDES, ETC…)

In consideration for OAS permitting me to ride in ALL horse related events that the OAS hosts, on or off the property, for 2010, and by signing the
wavier, I agree as follows:

I AGREE that I as a rider, driver, handler, lessee, owner, agent, coach, trainer, junior, or as a parent or guardian of a junior. I AM FULLY
AWARE AND ACKNOWLEDGE THAT HORSE ACTIVITIES INVOLVE SERIOUS RISK OF HARM INCLUDING, BUT NOT LIMITED TO RISKS OF
ACCIDENT, SERIOUS BODILY INJURY, INCLUDING DEATH, BROKEN BONES, HEAD INJURIES, TRAUMA, PAIN AND SUFFERING AND PROPERTY
DAMAGE. I ASSUME ALL RISKS OF HARM TO ME, MY HORSE/HORSES OR MY PROPERTY.

I AGREE for myself, my heirs, executors, administrators, successors and assigns to release OAS, the Facilities and the owner(s) of the
facilities and all of their respective officers, officials, directors, employees, agents, personnel, volunteers, affiliated organizations and insurers
(collectively, the “Released Parties”) from any and all claims for damage, loss, or injury to myself, other persons, horses or other property belonging
to me to the fullest extent permitted by law that arises out of or relates in any way to the riding/leading horses on the grounds INCLUDING BUT NOT
LIMITED TO DAMAGES, LOSS, OR INJURY RESULTING FROM ANY ACTS, FAILURE TO ACT, NEGLIGENCE OR NEGLECT OF OTHERS, THE
RELEASED PARTIES, THEIR CONTRACTORS OR INVITEES, as well as for theft, vandalism, fire, other casualty damage, or damage arising out of any
defects in the premises.

I AGREE to indemnify and hold harmless (that is pay all losses, damages, attorneys fees and costs of) the Released Parties from and
against any and all claims, demands, penalties, actions, losses, costs, damages, injuries, liabilities and obligations (including attorneys fees) of
whatsoever kind and nature, which may be asserted against or incurred by any of them as a result of (1) my participation at the grounds or (2) any
act, failure to act, or neglect (a) by me, my agents, employees, riders, handlers, trainers, coaches, drivers, contractors or invitees, or (b) by any animal
owned by me or in my custody or control.

By signing below as a parent or guardian of a junior , I consent to the child’s participation and agree to all of the above provisions, and
further agree to assume all of the obligations of this OAS Assumption of Risk, Release and Indemnification personally and on behalf of the child.

BY SIGNING BELOW, I AGREE TO THE ABOVE

Name (print) ________________________________________________________Sign__________________________________________

ADRESS___________________________________________________________________PHONE___________________________________

EMAIL_______________________________________________________________________AGE _______________________

If Rider/Driver/handler is a Minor/Youth (mandatory) PARENT /GUARDIAN SIGNATURE__________________________________-

Parent/Guardian Print_________________________________________________________________DATE ________________________

ALL PERSONS UNDER THE AGE OF 18 MUST WEAR AN APPROVED HELMET AND B00TS WITH A HEEL WHILE MOUNTED ON A HORSE