The Royal Agricult
             2021 PERTH ROYAL SHOW – HORSE SECTION 

ural Society of Western Australia

DISCLAIMER STATEMENT
NOTE: A SEPARATE DISCLAIMER STATEMENT IS REQUIRED FOR EACH PERSON.

Before signing this Disclaimer, refer to the Section Conditions in the Society’s Horse
Schedules relating to the Parent/Guardian Responsibility, Safety Helmets, General Regulation 17 and the Animal/Livestock Owners/Exhibitors Public Liability Insurance.

Exhibitor Name:  	

Exhibit Name: 	

ALL ADULT EXHIBITORS, RIDERS, DRIVERS, PASSENGERS, GROOMS, ATTENDANTS and
ANY OTHER PARTICIPANTS 18 YEARS OF AGE and OVER

I acknowledge and agree as a condition of participating at the 2021 Perth Royal Show that neither The Royal Agricultural Society of Western Australia, its directors, officers, employees, members and agents, participants, officials, volunteers, medical personnel, any persons, promoters, sponsors, providers of equipment, advertisers, nor Owners or Lessees of premises used to conduct the EVENT(S) shall be under any liability whatsoever for either the death of or for any injury, loss or damage which may be sustained or any claim, demand or costs arising therefrom and incurred by myself or any rider, driver, passenger, attendant or any other participant for whom I am responsible, as a result of participation in or being present at the EVENT(S).

I acknowledge that equestrian activities are dangerous and that accidents causing death, injury, disability and property damage, can, and do occur.

By signing hereunder, I confirm I have read and understood the contents of this Disclaimer together with the Society’s Section Conditions, General Regulation 17 and the Animal/Livestock Owners/Exhibitors Public Liability Insurance by which I agree to abide.

Name (Print): 	

Signature:  	

Dated this: 	day of  	2021

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PARENT/LEGAL GUARDIAN CONSENT for EXHIBITORS, RIDERS, DRIVERS, PASSENGERS, GROOMS, ATTENDANTS and ANY OTHER PARTICIPANTS 17 YEARS OF AGE and UNDER

I,	 	, being the parent/legal guardian of

Name:   	

Address:   	

Date of Birth:   	

confirm that I have read the whole of this document and

have taken all necessary actions to ensure I am aware of the activity in which the above named will participate at the 2021
Perth Royal Show and consent to him/her participating.  In doing so, I acknowledge that equestrian activities are dangerous and that accidents causing death, injury, disability and property damage can and do occur.  I acknowledge and agree that neither The Royal Agricultural Society of Western Australia, its directors, officers, employees, members and agents, participants, officials, volunteers, medical personnel, any persons, promoters, sponsors, providers of equipment, advertisers nor Owners or Lessees of premises used to conduct the EVENT(S) shall be under any liability whatsoever for either the death of or for any injury, loss or damage which may be sustained or any claim, demand or costs arising therefrom and incurred by the abovenamed or by any other person for whom I am responsible as a result of participation in or being present at the EVENT(S).

By signing hereunder, I confirm I have read and understood the contents of this Disclaimer together with the Society’s Section Conditions, General Regulation 17 and the Animal/Livestock Owners/Exhibitors Public Liability Insurance by which I agree to abide.

Name (Print): 	

Signature:  	

Dated this: 	day of  	2021