The undersigned*participant, , and parents or legal
guardian of a minor *participant, whose medical insurance is carried
by , policy authorizes member ofTriple H miniature Horse Rescue as agent(s), to consent to any x-ray,anesthetic, medical or surgical diagnosis or treatment and hospital care deemed advisable
and rendered by any licensed physician, licensed emergency medical technician, or surgeon, whether on Triple H Miniature Horse Rescue property, in a remote location, in
an office or in a licensed hospital. This authorization is given in advance of required care to empower the agent(s) to give consent for such treatment as the health-care giver may
deem advisable. This authorization shall remain effective indefinitely unless revoked in writing.
Release of Liability
HHH Miniature Horse Rescue
I, the undersigned, wish to participate as a volunteer at the Triple H Miniature
Rescue Fann. I understand that I will be in close proximity to one or more horses under
circumstances which may expose me to some risk of injury, because of the nature of
horses, the facility, and the activities in which I will be engaged.
In consideration of the HHH Miniature Horse Rescue, allowing my participation,
I, on behalf of myself, and my heirs, administrators, personal representatives, assigns and
children and spouse, if any, do hereby agree to hold harmless, release and discharge
HHH Miniature Horse Rescue, which includes its officers, directors, members, agents,
representatives, affiliates and insurers, of and from all claims, demands, causes of action
and legal liability whether known or unknown, anticipated or unanticipated, due to the
ordinary negligence of discharge HHH Miniature Horse Rescue.
Citation: NDCC 53-10-01; NDCC 53-10-02
This North Dakota statute provides that 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 no participant may maintain an action against an equine activity
sponsor or professional. Statutory definitions are provided, including "participant,"
"equine activity," and who is considered an "equine sponsor" or "equine professional."
Liability is not limited by this statute where the equine professional knowingly provided
faulty tack or equipment, failed to make reasonable and prudent efforts to determine the
ability of the participant to engage safely in the equine activity, owns or otherwise is in
lawful possession of the land or facilities upon which the participant sustained injuries
because of a known, dangerous latent condition, or if he or she commits an act or
omission that constitutes willful or wanton disregard for the safety of the participant or
intentionally injures the participant
* I have read and understand the ND Equine Liability Law. I
shall hold HHH Miniature Horse Rescue Inc, owners,
employees, volunteers and tenants harmless from any and all
costs, claims and liabilities of any kind arriving out of my use
of the facility, any animal activities, any horse, pony, dog,
cat or animal on the property, living at, visiting or boarding
facility. I assume any risk of damage to property, animal or
injury to myself, or anyone visiting the facility with me. I
understand horses can bite, strike, etc which can cause
Injury or death. I understand there are certain risks inherent
with handling animals and I accept those risks.
*Participant- Defined as any individual who knowingly participates in
any Triple H Miniature Horse Rescue activity both on or off HHH
property, Including barn labor, farm labor, educational activities,
fund raising activities and any other activity at any location sponsored
by Triple H Miniature Horse Rescue