Fillable Printable Simple Hold Harmless Agreement

Simple Hold Harmless Agreement

SAMPLE WAIVER AND HOLD HARMLESS AGREEMENT

This is not a formal, legal document but suggested wording to consider for visitors to our

volunteer farms. Personal Ponies is not liable for the any aspects of the pony visit and is

not part of this agreement. The agreement is between the volunteer and the visitor(s).

I _____________________ am fully aware of the risks and hazards connected with

visiting and possibly handling of equines. I voluntarily assume full responsibility for

risks taken by me when visiting this farm. I voluntarily assume full responsibility for any

risk of property damage, personal injury, including death that may be sustained to me, or

to any loss or damage to any property owned by me, as a result of my visit to this farm.

I, ___________________ understand that there is no express or implied warrantee that

shall apply. I accept any and all costs and or treatments for my self and my family should

medical treatments of any kind be needed by me or by by family as a result of my (our)

visit to this farm.

I, __________________, further hereby agree to indemnify and hold harmless the owners

of this farm for any reason whatever during my visit to this farm.

It is my express intent that this release/agreement hall bing myself, the members of my

family and spouse if I am alive, and my heirs, assigns and personal representative if I am

deceased, and shall be deemed as an agreement to release, waive, discharge, covenant not

to sue, and indemnify the so-named property owners.

Name:_____________________________________________________

Address:___________________________________________________

___________________________________________________________

Date:_______________________________________________________