Release Form

Proper execution of the following release by the undersigned is a prerequisite to the undersigned being able to take part in any activity at the Houston Polo Club (“the Club”) and Fulshear Polo Farm, Fulshear Equine LLC (“the Farm”) including but not limited to riding, polo games, polo practices and working in and around the barn area of the Club (“Club Activities”) and/or the Farm (“Farm Activities”).  

 

In consideration of the undersigned electing to participate in the Club’s and/or the Farm’s activities, the undersigned agrees to release, indemnify and hold harmless, and on behalf of said participant, his or her heirs, next of kin, dependents, representatives, executors, administrators, successors or assigns hereby does release, indemnify and hold harmless the Club, the Farm, the Outhier Family and the Waters Family, and the Bayou Club of Houston (the “Bayou Club”), their respective officers, directors, members, and employees from any cause of action claims or demands of any nature whatsoever, which said participant, his or her representatives, heirs, next of kin, dependents, executors or administrators, may now have, or have in the future, against said Club, Farm, Outhier Family, Waters Family or Bayou Club, their respective officers, directors, members and employees, on account of personal injury, property damage, or accident of any kind, including death, arising out of the undersigned participation in Club and/or Farm activities, including without limitation, participation in or observation of polo activities.  

 

The undersigned participant further understands that by signing this Release, he/she covenants and agrees that he/she, as well as his/her heirs, next of kin, representatives, dependents, executors, administrators, successors, and assigns, will never institute any suit or action at law or otherwise against the Club, the Farm,  the Outhier Family, the Waters Family or the Bayou Club or in any way aid in the institution or prosecution of any claim, demand, action, or cause of action for the damages, costs, loss of services, expenses, or compensation for or on account of any damage, loss or injury either to his person, property or both which may result from the undersigned’s attendance at and participating in the Club and/or the Farm activities.    

 

The undersigned participant understands that neither the Club, the Farm, the Outhier Family, the Waters Family nor the Bayou Club undertake to provide medical or hospitalization insurance for participants.  The undersigned participant certifies that he/she will be covered by his/her own medical and hospitalization insurance while participating in the Club and/or the Farm activities.

 

Consistent herewith, the undersigned participant assumes responsibility for his/her own physical fitness and capability to participate in the Club and/or the Farm activities and has taken such steps as he/she deems appropriate to assure himself/herself that he/she is fit and capable of such participation.  

 

The undersigned participant further states the he/she is cognizant of all the inherent dangers of participation in the Club and/or the Farm activities including the dangers of participating in any polo activities; that he/she is of lawful age and legally competent to sign this affirmation and release which he/she has full read and completely understand, he/she understands the terms herein are contractual and not a mere recital, and that he/she has signed this document as his/her own free act.  

 

The undersigned participant agrees that prior to participating he/she will inspect the facilities and equipment to be used and if he/she believes anything is unsafe, he/she will immediately advise his/her coach or supervisor of such conditions and refuse to participate.  

 

“UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE), AN EQUINE PROFESSIONAL IS NOT LIABLE FOR ANY INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISK OF EQUINE ACTIVITIES.”  

 

PHOTOGRAPH/INTERVIEW RELEASE AND INDEMNITY: The undersigned GRANT PERMISSION to be PHOTOGRAPHED or INTERVIEWED in connection with the Club and/or the Farm activities. The undersigned understands that photographs or interviews may be used by the Club for television, film, video, visual, or printed media. The undersigned agrees to RELEASE and INDEMNIFY the Club and/or the Farm for any Claims related to photographs or interviews by the Club Parties or any media.

 




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Use your finger/stylus (mobile) or mouse (desktop) to sign below.