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New England 4-H Horse Project Helmet Rule
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Assumption of Risk and Release
NEW ENGLAND 4-H COUNCIL HORSE PROJECT
I have read the NEW ENGLAND 4-H COUNCIL HORSE PROJECT EQUESTRIAN HELMET RULE printed above. I understand that equestrian activity involves certain risks of physical injury. I, nonetheless, wish to participate in the New England 4-H Council Horse Project. I do so at my own risk and agree to indemnify and hold harmless the, Eastern States Exposition/Employees/ trustees, the New England 4-H Council/Committee, employees, and agents from any and all losses, penalties, damages, settlements, costs or other expenses or liabilities arising out of this activity.
Name of 4-H Member __________________________________
Signature of 4-H Member ___________________________________
Name of Parent or Guardian _________________________________
Signature of Parent or Guardian _________________________________
(If 4-H member is under 18,
must be signed by parent or guardian having majority custody of the minor)
Address of 4-H Member: ______________________________________
______________________________________
______________________________________
Date: ______________ Phone Number: ______________________
For more information on educational programs in your area, contact your county Extension office.
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