Equine Activity Liability Release, Waiver of Right to Sue and Assumptions of All Risks

PARTICIPANT FORM

1.  This Agreement is given under the Virginia Equine Activity Liability Act (Code of Virginia 3.1-796.130 et seq.) as itmay now provide or be hereafter amended (the "Act"). All terms defined by the Act shall have the same meaning herein, andthe Act is hereby incorporated in this Agreement by reference. This Agreement shall be so construed as to provide to the sponsor/professional the fullest protection of a release, waiver of right to sue and assumption of all risks which is afforded tothe sponsor/professional by the Act. (see attached Act)

2.  The undersigned hereby acknowledges that he has full and complete notice and understanding of the Act and ofall the risks inherent in equine activities which may cause, contribute to or result in the death or personal injury of the participant or damage to the participant's property (the "Risks"), including, but not limited to: (i) the propensity of an equineto behave in dangerous ways or to trip and/or fall; (ii) the inability of anyone whomsoever to predict or foresee an equine'sreaction to excitement, weather conditions, sound, movements, objects, persons, animals, reptiles, birds or insects, and theeffects of such reactions; (iii) the hazards of surface or subsurface conditions, including but not limited to objects orconditions on, under or protruding from the surface, both latent and patent; (iv) the hazards which rocks, cliffs, hills, fences, trees, stumps, logs, bridges, ditches and other debris and obstacles, and any equine activity in connectiontherewith, may foreseeable or unforeseeably present; (v) the dangers and risks of tack or harness slipping or breaking for whatever reason; (vi) the dangers and risks of becoming entangled in tack, harness, or vehicles used in an equineactivity, (vii) the risks of falling from or otherwise becoming unstable on an equine or a vehicle used in an equine activity forany reason whatsoever or for no identifiable reason and (viii) any negligent act or omission by the sponsor/professional orany owner which causes or results in the death or personal injury of the participant or damage to the participant's property.

3.  Participant or participant’s parent, guardian or representative expressly agrees that participant shall wear a properly fitted and secured protective headgear and hard-soled, heeled footwear at all times while riding or otherwisecoming in contact with horses, and expressly assumes the risk and injury resulting from failure to do so and/or fromselecting headgear or footwear which does not adequately protect against injury.

4.  The participant hereby RELEASES and WAIVES all rights which he may have or hereafter have against the sponsor/professional and each owner for death, personal injury or property damage which is in anyway associated with the Risks; he does hereby WAIVE his right to sue or to bring any action against the sponsor/professional or any owner in connection therewith; he agrees to INDEMNIFY and DEFEND the sponsor/professional and each owner from and to HOLD the sponsor/professional and each owner HARMLESS against any such suit or action, and he hereby expressly ASSUMES ALL RISKS AND DANGERS of death, personal injuryand property damage which are in any way associated with the Risks enumerated in paragraph 2, above.

5.  The participant hereby authorizes and consents to any emergency medical care which may at the time appear reasonably appropriate under the circumstances as a result of injury or sickness caused by or incurred in the course of anequine activity.

6.  The Agreement shall remain valid and in full force and effect from and after the date opposite the signature of theparticipant until expressly revoked by the participant in a written notice personally delivered to thesponsor/professional.

7.  To the extent possible, this Agreement shall be construed in such manner as will render it, and each provision of it, fully enforceable; but if any provision of this Agreement shall be unenforceable, such provision (or so much thereof as is unenforceable) shall be deleted and the remainder of this Agreement shall continue in full force and effect.

8.  If this Agreement is executed by the undersigned participant for and on behalf of a minor participant named below, theundersigned participant hereby warrants and represents that he is in fact the legal parent or guardian of such minor, with fullrights of custody and control; that this Agreement is given on behalf of and is intended to be binding upon said minorparticipant, his heirs, personal representatives, successors and assigns; and the undersigned participant further agrees that this Agreement shall also be as fully binding on the undersigned participant as if it were entered into solely on hisown behalf.

9.  This Agreement shall be binding upon the heirs, personal representatives, successors and assigns of theparticipants.

10.  I have consulted and relied upon my own advisors on all questions in connection with the foregoing equine liabilityrelease waiver of right to sue, and I have not relied upon the sponsor/professional or any owner for any advice or explanationin connection therewith.

11.  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 STILL POND FARM STABLES, AND PARTICIPANTS, OR EMPLOYEES OVER WHOSE LAND I RIDE, FOR ANY INJURIES I MIGHT SUSTAIN WHILE HORSEBACK RIDING OR PARTICIPATING IN AN EQUINE ACTIVITY, AND THAT I AM INDEMNIFYING AND HOLDINGHARMLESS, STILL POND FARM STABLES, AND EMPLOYEES OVER WHOSE LAND I 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.