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MEMBERSHIP/WAIVER FORM
NAME______________________________________________________
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
Signature: __________________________________________________
VOLUNTEER RECRUITMENT WHO? Any one interested in being a part of the 119th
Murillo Fair. We also would like Volunteers during the year for other events and agriculture
activities. The Oliver Agricultural Society invites you to come and join us. Have Fun and meet
New People and be a part of Your Community. WHERE? At the Murillo Fair Grounds 4559
Oliver Road. Murillo On.
GET YOUR VOLUNTEER CREDIT HOURS REQUIRED FOR SCHOOL.
Bring your school volunteer form with you.
--OR—
I,____________________ as the legal parent/guardian of __________________
(PRINT NAME OF PARENT OR GUARDIAN) (PRINT LEGAL NAME OF MINOR)
hereby grant the aforementioned person my permission to both attend and work
as a volunteer for the Oliver Agricultural Society. I understand that I am wholly
responsible for the actions of the aforementioned person, and the consequences
thereof. I hereby release and waive any and all rights to any and all claims against,
Oliver Agricultural Society , its directors, officers collectively and individually from
causes of action, cost or expense arising as a result of his or her participation in
volunteering , including, without limiting the resulting from personal injury to he or she ,
or damage to his or her property .
I will hold neither O.A.S. nor any facilities responsible or liable
for the aforementioned person’s actions.
Guardian’s Signature:________________________________ Date:__________
Relationship to Minor:________________________________
PRIVACY STATEMENT
All information collected on this form is available for administrative purposes only.
We will not disclose the contents of your Volunteer Registration Sheet or any part
thereof, unless acting under a
good faith belief that such action is necessary to:
1. Comply with a court order or other legal process;
2. Protect the rights or property of Oliver Agricultural Society;
3. Protect the interests of O.A.S. members or the public
OAS Assumption of Risk, Release and Indemnification 2010
This document waives very important legal rights. Read it carefully before signing.
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.
ADRESS___________________________________________________________________PHONE___________________________________
EMAIL_______________________________________________________________________AGE _______________________
ALL PERSONS UNDER THE AGE OF 18 MUST WEAR AN APPROVED HELMET AND B00TS WITH A HEEL WHILE MOUNTED ON A HORSE