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Home › Forms › Digital Application for Clinicians
North Dakota Horse ExpoMay 31 - June 2, 2019 @North Dakota State Fair CenterAll Seasons Arena2005 Burdick Expressway EastMinot, ND 58759
Warning: If a horse is acting up during preparation for, or during the event, owners will be asked to remove the horse from the event without a refund. Please be considerate of others and your horse. If you feel he isn’t ready or is acting up, trust your instincts and keep yourself and others safe by politely removing yourself from the event.
1. Horse rules and regulations, release waiver and stall rental agreement (if needed)
2. Once your information has been received and approved your application will be considered confirmed and your payment will be processed and is NON REFUNDABLE but you are able to sell your spot to another.
3. Payment: $150 per clinic OR $350 for 3 Clinics. Check made payable to North Dakota Horse Expo is due with your application for the total amount of all the clinic fees OR you can pay via Paypal to NDEquineA@gmail.com. (A $50 fee will be applied to a check payment returned insufficient funds, closed account or any other reason. Payment must then be made to include the return fee plus the clinic costs with 3 days of notification or entry will be denied.)
4. Clinic fees DO NOT INCLUDE: stall rental or admission fees.
5. If you wish to participate in the Pre-Show Parade to Gladius please add a note with the clinics you are applying for.
I have read the above terms and am participating of my own free will. I am aware of and accept all risks involved in participating in such an event. I accept all responsibility for myself and my horse(s) during the expo, I am financially and fully responsible for all injury, illness, property damage or death of myself, my horse or any human, property or animal I may come into contact with. As stated in the North Dakota century code: 53-10-01 definitions and 53-10-02. “ an equine activity sponsor or an equine professional is not liable for an injury to or the death of a participant engaged in an equine activity, and, except as provided in subsection 2, no participant or participant's representative may maintain an action against or recover from an equine activity sponsor or an equine professional for an injury to or the death of a participant engaged in an equine activity.”
Acknowledgement and Assumption of Risk
I am aware of the dangers and the risks to myself and my horse and any property involved while participating in the North Dakota Horse Expo, either by renting a booth, therapy stall, riding in a clinic or private lesson, volunteering or any other activity provided during the expo. Inherent risks of domestic animal activities include, but shall not be limited to:
WARNING:Under North Dakota Law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities. North Dakota Century Code ch. 53-10 http://www.legis.nd.gov/cencode/t53c10.pdf
I understand that this activity involves certain risks for physical injury and/or death. I understand that equipment, if any, which may be provided for my protection may be inadequate to prevent serious injury. I also understand that there are potential risks of which I may not presently be aware. Nevertheless, I voluntarily elect to participate in this activity with knowledge of the danger involved to myself and my horse, and I hereby agree to accept and assume any and all risks of property damage, personal injury, or death. North Dakota Horse Expo, Its committee and volunteers, North Dakota Equine Association and all of its constituents asserts lack of responsibility or liability for injury resulting from this activity.
Waiver of Liability and Indemnification
In consideration for being allowed to voluntarily participate in the above-referenced activity and or intramural event, on behalf of myself, my personal representatives, heirs, next of kin, successors and assigns, I forever:
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, or illness during this activity or event. This release, indemnification, and waiver shall be construed broadly to provide a release, indemnification, and waiver to the maximum extent permissible under applicable law. I, the undersigned participant, affirm that I am at least 18 years of age and am freely signing this agreement. If I am not 18 years of age my parent or legal guardian has signed on my behalf. I have read this form and fully understand that by signing this form I am giving up legal rights and/or remedies which may otherwise be available to me regarding any losses I may sustain as a result of my participation. I agree that if any portion is held invalid, the remainder will continue in full legal force and effect. I have read and agree to adhere to all Horse Rules and Regulations of the NDHE.
Please Read Before Signing
All horses entering the fairgrounds will be inspected for health issues. If horses fail this assessment at the gate the horse will not be allowed to participate in the event.
All out of state horses and all sale horses must have:
1) Current negative Coggins certificate2) Health certificate of inspection3) Brand release
As stated in the North Dakota century code: 53-10-01 definitions and 53-10-02. “ an equine activity sponsor or an equine professional is not liable for an injury to or the death of a participant engaged in an equine activity, and, except as provided in subsection 2, no participant or participant's representative may maintain an action against or recover from an equine activity sponsor or an equine professional for an injury to or the death of a participant engaged in an equine activity.”
I hereby have read the NDHE Rules and Regulations, provided a signed waiver and agree to all terms listed above on this date of, December 22, 2024 and am aware of any and all risks to myself and my horse(s) and agree not to hold NDHE or Dirt To Diamonds , LLC responsible or liable for any injury or death surrounding this event.
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