OLIVER AGRICULTURAL SOCIETY 2010

MEMBERSHIP $5.00
MEMBERSHIP/WAIVER FORM

NAME (Print)______________________________________________

YOUTH / ADULT BIRTHDAY______________________________________

ADDRESS_____________________________________________
_______________________________________________________
EMAIL-____________________________________PHONE_________________

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

(Allows you to enter 2010 OAS Horse Events.) At fair time Aug 28 & 29 2010
This is your Murillo Fair Membership to enter the Exhibit Hall classes, Small
Animals, Horse Racing, Horse Events or any Fair Event .
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

 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
 OLIVER AGRICULTURAL SOCIETY
2010 RING MEMBERSHIP
MUST BE OAS MEMBER $5.00
RING MEMBERSHIP $10.00
TOTAL OF $15.00
YEAR LONG WEAVIER MUST BE SIGNED BY
HANDLERS/RIDERS/DRIVERS/TRAINER AND OWNERS.
ALL HANDLERS/RIDERS/DRIVERS/OWNERS MUST BE OAS MEMBERS.
YOU MUST HAVE YOUR OWN PERSONAL LIABILITY INSURANCE that will
protect YOU, if SUED by a third party because a horse that YOU own or lease causes
PROPERTY DAMAGE OR BODILY INJURY TO A THIRD PARTY.

YOU MAY GET INSURANCE FROM THE ONTAIRIO EQUESTRIAN FEDERATION BY

BEING A MEMBER.
CALL INTERCITY INSURANCE SERVICES www.intercityinsurance.com
MIKE KING 905-841-8200 TOLL FREE PHONE 1-888-394-330

PERMISSION TO USE THE RING AT LEAST ONE DAY INADVANCE EACH

TIME YOU USE THE RING.

PLEASE HAVE YOUR RING MEMBERSHIP CARD ON YOU WHEN USING THE
RING.

PLEASE CALL: Dianne McParland 935-2188 OR Lorraine Schaaf 939-2291

If you have not called and don’t have permission to use the ring even if you have a OAS
& RING MEMBERSHIP you are TRESSPASSING.
All riders must wear a boot with a heel.
Bridles and Saddles must be worn when riding.
All youth 18 & under must wear an approved riding helmet.
All youth riding on the grounds must be with a parent or legal guardian.

Make Check to Oliver Agricultural Society , Include proof of insurance (copy)

Mail to Membership Director: Eva Ridler R.R. #5, 3587 Rosslyn Road,
Thunder Bay, ON P7C 5M9
For More Information Email greenwayfarms@hotmail.com or call 939-1630

By signing below I agree and understand the rules to use the ring at the
Oliver Agricultural Society Grounds.
Print __________________________________
Sign ________________________________________________ Date______________
Country Fun For Every One! www.murillofair.com