Memory Lane Vacations & Town of Andover Maine
Camping
at the recreational field ~ Route 120 ~ Andover ME 04216
207-392-2381
info@memorylanevacations.net
Liability
Release
1. I (we) agree to lease a rough campsite at a fee of $20.00 per night. Maximum of 2 horses per site. More than 2 will require two sites to be reserved. Paddock size is limited to 20'x20' per horse.
2.
I (we) understand and agree that I (we) will not hold the property owners Town
of Andover, Memory Lane Vacations or their representatives responsible for any
disease, illness, injury, or death to my horse(s) my friend, relatives, or
acquaintances on the owners property incurred by water, electricity, snow, ice,
hail, fire, building structure default, wind, act of carelessness, negligence,
vandalism or misjudgment or any other act of God. In addition I have read and
understand the Statute Limiting Liability for horse activities in this state.
5.
I (we) understand that dogs are restricted from the ride and I (we) will honor
all No Smoking signs and other safety rules.
6. All children under 18 years of age: Must wear an ASTM approved helmet
and parent or legal guardian MUST sign the release form.
By
signing this I acknowledge that I have read the above release and agree to all
terms as stated.
Signature:
____________________________________________________ Date: __________________
Signature:
____________________________________________________ Date: __________________
Signature:
____________________________________________________ Date: __________________
Signature:
____________________________________________________ Date: __________________
Be
sure to have all participants sign this form
Additional signatures can be added to the back.