General Release Form

We are excited to share the magic of Misty Meadows Equine Learning Center with you. Please complete the following application so that we can get to know you better.
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Mother/Parent 1 Information














Father/Parent 2 Information














Release & Indemnification

This Release and Indemnification is granted by the undersigned individual, the “Student”) or the Student’s parent, or legal guardian if the Student is under the age of eighteen (the “Student’s Parent”), to Misty Meadows Foundation, Inc. (the “Foundation”), owner of 55 Misty Meadows Lane, West Tisbury, MA (Assessor Map 26, Parcel 20) (the “Property”), and Misty Meadows Equine Learning Center, Inc., the entity that is running and overseeing the Activities as defined below. 


In consideration for allowing the Student to use the Property for various equine activities, including but not limited to riding, training, caring for or taking lessons with horses, engaging in therapeutic activities, or viewing any such activities, whether the horses are owned by the Student, by the Foundation, by Misty Meadows, or by others (together, the “Activities”), the Student and the Student’s Parent hereby acknowledge and agree, for themselves and their heirs, executors, administrators, and spouses, descendants and parents if applicable, that they will not sue or otherwise hold liable, and that they will indemnify, defend and hold harmless, the Foundation, Misty Meadows, and any of the Foundation’s or Misty Meadow’s members, officers, directors, shareholders, agents, employees, contractors, representatives, volunteers, or related entities, for and from any death or injury to themselves or to others, or for any damage to property, however caused, arising out of or in any way related to the Activities or the use of the Property by the Student or the Student’s Parent or their guests, agents or representatives, to the fullest extent allowed by law. 


The Foundation and Misty Meadows will not permit the Student and the Student’s Parent to utilize the Property for the Activities without the execution of this Release and Indemnification, which is of material significance to the Foundation. As used herein, the word “horse” shall include horses and ponies of every kind. 


The Student / the Student’s Parent hereby acknowledges that the Activities are “equine activities”, that the Foundation is an “equine activity sponsor”, that Misty Meadows and its representatives are “equine activity sponsors” and/or “equine professionals”, and that the Student / the Student’s Parent is a “Student”, all as defined by Massachusetts General Laws Chapter 128, Section 2D. 


The Student / the Student’s Parent acknowledge and understand that horses and activities related to horses are inherently dangerous and that there are dangers and risks which are an integral part of equine activities, including but not limited to the propensity of horses to behave in ways that may result in injury, harm or death to persons on or around them; the unpredictability of a horse’s reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals; certain hazards such as surface conditions and subsurface conditions; collisions with other horses, animals and objects; and the potential of the Student or the Student’s Parent or others to act in a negligent manner that may contribute to injury to themselves or others. The Student / the Student’s Parent acknowledge and agree that these are just some of the risks associated with the Activities, that the Student / the Student’s Parent is not relying on the Foundation or Misty Meadows to list all of the possible risks associated with the Activities, and that, despite these inherent risks, the Student / the Student’s Parent has chosen to engage in the Activities at the Property.


The Student / the Student’s Parent represent that they have voluntarily chosen and desire to use the Property and engage in the Activities, that they will not engage in any activities if they are unable to safely do so, and that they will comply with all directions, requirements and rules imposed by the Foundation and Misty Meadows. In case of injury to the Student or the Student’s Parent while at the Property, the Student / the Student’s Parent authorizes Misty Meadows to seek medical care for them. The Student and the Student’s Parent acknowledge that they shall be solely responsible for the payment of medical costs associated with such care. 


This Release and Indemnification shall be interpreted in accordance with the laws of Massachusetts. No waiver by any party of any breach by any other party of, or failure of any party to comply with, any condition or provision of this Release and Indemnification shall be deemed a waiver of any other breach or failure. The invalidity of any provision of this Release and Indemnification shall in no way affect the validity of any other provision. 


I have read this document in complete detail and have had an opportunity to consult with an attorney if I have chosen to do so. I understand that it is a promise not to sue and a release and indemnity for all claims, and I understand all consequences of signing this release and indemnity. 


This Release and Indemnification shall be binding upon me each and every time I engage in any of the Activities, without the need for re-execution. I hereby execute this Release and Indemnification as an instrument under seal, for myself and my spouse, descendants, parents, heirs, executors and administrators.



PHOTO RELEASE



Confidentiality Policy
At Misty Meadows, we place great importance on protecting the confidential information of our students, staff, and volunteers.

Confidential information includes, but is not limited to, personally identifiable information (i.e. surnames, telephone numbers, addresses, e-mails, etc.), the non-public business records of Misty Meadows, medical information about students.

Confidential Information shall never be disclosed to anyone other than Misty Meadows Staff. Volunteers must seek staff permission before taking any pictures or videos.

I have read and understand the Misty Meadows Confidentiality Policy and agree to abide by same.


Communicable Disease Acknowledgement 
I am aware of the potential spread of communicable diseases (e.g. COVID-19, H1N1, common flu, etc.), that could result in severe illness and potential death. I wish to participate in activities at MMELC and understand that MMELC is following all applicable state and federal guidelines to protect the public as well as personnel at the farm and minimize the spread of COVID-19 on site. To this extent, I agree to follow MMELC policies and procedures (based on CDC and State guidelines) regarding physical distancing and hygiene requirements to reduce the spread of COVID-19.

  1. I agree to practice physical distancing and maintain a minimum of six (6) feet of distance between myself and others as much as possible. 

  2. I agree to wear a face covering (worn over my nose and mouth) any time physical distancing cannot be maintained in order to reduce the risk of exposure to myself and others. 

  3. Any volunteer or student who feels unwell or has been exposed to a positive case, should stay at home and call Misty to inform them of your absence.

  4. I agree to use proper hygiene (hand washing, sanitizing, cough/sneeze protection, etc.) at all times. 
Misty agrees to notify you should MMELC learn that any Student or personnel tested positive for COVID-19 who you were or may have had contact with. All efforts will be made to protect the privacy of individuals in these situations. Misty Meadows Equine Learning Center is not responsible for any potential exposure to COVID-19, which is not a direct result of negligence on the part of MMELC employees, volunteers, or the organization. By signing below, I (my child) agree to comply with the written instructions attached and the requirements listed in the MMELC Risk Assessment. Failure to comply with these written instructions or verbal instructions from staff may result in my participation privileges being removed and I may be asked to leave the premises. 


Conduct Expectations
The following Conduct Expectations shall apply to the Misty Meadows Equine Learning Center (MMELC) community which includes: employees, board members, students and their families, volunteers, and visitors.

We are committed to honesty and integrity in all realms of our work, treating every individual with courtesy, dignity, and respect, providing conditions that safe guard our participants’ well-being, and acting for the benefit of the communities that we serve.

There is zero-tolerance for use or possession of alcoholic beverages, tobacco products, or illegal drugs on the Misty Meadows property. Staff or Volunteers may not report to work under the influence of alcohol, illegal drugs, or controlled substances.

There are some actions that we unequivocally condemn and will not be tolerated in the name of our Center.
  • Using angry or vulgar language including swearing, name-calling, or shouting

  • Making physical contact with a person in any angry or threatening manner

  • Engaging in sexual activity, harassment, or contact with another person

  • Harassing, threatening or intimidating by words, gestures, body language, or other menacing behavior

  • Stealing or destruction of property

  • Carrying or concealing any weapons, devices or objects which may be used as a weapon (unless carrying tools for the purpose of a property-related task)
There are equine-specific expectations that everybody should follow
  • Any form of negative language directed to the horses is prohibited

  • Any form of harassment or physical violence, or talk of, towards horses is prohibited. 
I understand and agree that failure to abide by these Conduct Expectations may result in immediate dismissal from Misty Meadows Equine Learning Center.