RELEASE AND INDEMNIFICATION

First Name *

Last Name *

Participant's Date of Birth *

Initials *

This Release and Indemnification is granted by the undersigned individual (the “Participant”), or the Participant’s parent or legal guardian if the Participant is under the age of eighteen (the “Participant’s Parent”), to Daniela Nastasi (“The Foundation”), owner of Artemis Hill Farm at 50 Maple Ave, Goshen, NY 10924 (the “Property”), with Cavalli Healing Hearts, Inc, and UMM GWL Suites, LLC, the entities that are running and overseeing the Activities as defined below.

Please read carefully before participating.

1. Nature of Services

I understand and acknowledge that the services offered by Artemis Hill Farm, UMM GWL Suites, LLC, Cavalli Healing Hearts, Inc and Daniela Nastasi are not psychotherapy, counseling, or mental health treatment. The provider is not a licensed therapist and does not diagnose, treat, or cure any mental health or medical conditions.

The services provided are experiential, educational, and reflective in nature, sometimes described as therapeutic experiences, and are intended to support personal growth, self-awareness, and well-being.

2. Activities & Environment

I understand that sessions may include:

Physical movement and gentle activities
Outdoor experiences in a natural setting
Activities conducted on private property
Participation in the presence of other individuals (group settings)
Interaction with horses on the ground only (no riding)

I acknowledge that outdoor and animal-related activities carry inherent risks, including but not limited to uneven terrain, weather conditions, physical exertion, and unpredictable animal behavior.

3. Assumption of Risk

I voluntarily choose to participate and assume full responsibility for any risks, known or unknown, associated with these activities. I agree to participate within my physical and emotional limits and to communicate any discomfort, concerns, or limitations prior to or during participation.

4. Personal Responsibility

I understand that I am responsible for my own physical, emotional, and mental well-being during and after each session. I agree that I may stop or modify my participation at any time.

If I am currently under the care of a licensed mental health professional or medical provider, I understand that these services are not a substitute for professional care.

Release of Liability

To the fullest extent permitted by law, I hereby release, waive, and hold harmless Daniela Nastasi, Artemis Hill Farm, UMM GWL Suites LLC & Cavalli Healing Hearts, Inc, its owners, facilitators, employees, volunteers, and agents from any and all claims, demands, or causes of action arising out of or related to my participation in these activities, including those involving physical movement, group settings, outdoor environments, and interactions with horses.

The Participant and the Participant’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, and any of the Foundation’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 Participant or the Participant’s Parent or their guests, agents or representatives, to the fullest extent allowed by law.

The Participant / the Participant’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 Participant or the Participant’s Parent or others to act in a negligent manner that may contribute to injury to themselves or others. The Participant / the Participant’s Parent acknowledge and agree that these are just some of the risks associated with the Activities, that the Participant / the Participant’s Parent is not relying on the Foundation or Foundation to list all of the possible risks associated with the Activities, and that, despite these inherent risks, the Participant / the Participant’s Parent has chosen to engage in the Activities at the Property.

The Participant / the Participant’s Parent represent that they have voluntarily chosen and desire to use the Property and engage in the Activities, that they understand the Foundation isn't offering "Therapy" and 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 Property. In case of injury to the Participant or the Participant’s Parent while at the Property, the Participant / the Participant’s Parent authorizes Foundation to seek medical care for them. The Participant and the Participant’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 New York. 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 understand, due to the nature of this event and required preparation, all ticket sales are final. In the event of an emergency please contact [email protected] for placement in a future event of equal value.

Consent

By signing below, I confirm that:

I have read and understood this waiver in its entirety
I am participating voluntarily
I understand the nature and limitations of the services provided
I agree to all terms outlined above
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.

Photo Release

(Please Check One) *

I hereby consent to authorize the use and reproduction by Foundation Equine Learning Center of any and all photographs and any other audio visual materials taken of me/my child for the sole benefit of the program from a professional, promotional or educational standpoint.

I hereby DO NOT consent to authorize the use and reproduction by Foundation Equine Learning Center of any and all photographs and any other audio visual materials taken of me/my child for the sole benefit of the program from a professional, promotional or educational standpoint.

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, on todays date (listed below)

Todays Date *

Signature (by signing this I agree to all above terms and conditions)

Clear

Full Name *

Email *

Address *

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If Parent, print name of the Participant: