Hold Harmless Agreement / Participant Release Waiver

On behalf of Fort Armstrong Horseman’s Association / Foundation

Operator of Crooked Creek Horse Park, Manor Recreation Area, Ford City, PA

This is a release for all FAHA Events and Activities during the Membership Year 2006 through the close
of the membership year on April 30, 2007 and includes those members indicated on the membership application and as listed below.

PLEASE READ CAREFULLY BEFORE SIGNING!!!

EVENT SPONSORS and CLUB ADMINISTRATORS DO NOT ASSURE YOUR SAFETY

I acknowledge that I, the Participant, Parent or Legal Guardian, will be responsible for any and all costs incurred
by the participant or the participants family members for injuries or property damage that I or my family may incur,
and that I, the Participant, Parent or Legal Guardian, have accident medical insurance coverage in force for injuries
that I or my family may incur.

I acknowledge that I, Participant, Parent or Legal Guardian, will be responsible for my negligent acts, the negligent acts
of my family members and/or legal wards and animals, and I, Participant, Parent or Legal Guardian, do carry personal
liability insurance now in force.

I acknowledge that I, Participant, Parent or Legal Guardian, participate in this event totally at my own risk for injuries or
property damage I or my family may incur and I acknowledge that I, Participant, Parent or Legal Guardian, et.al. hereby
release and hold harmless the sponsor, co-sponsors, their owners, their officers, directors, members, affiliated organizations

and others acting on its behalf, from any claim, legal liability, legal action, or right of damages, for any accident which may
occur to me or my equine animal.  I also assume and accept full responsibility for any damages done by me, or my dog at
this show, activity or event.

I, the undersigned Participant, Parent or Legal Guardian, being of legal age, have read and understand the
above agreement and release. 

Address: _____________________________________        Phone:  ______________________
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