Masterson Method Seminar-Workshop Waivers


In order to attend this Masterson Method course, you must review, complete, and sign the following:

  1. EQUINE ACTIVITIES LIABILITY Waiver and Release
  2. AUDIO/VISUAL Consent and Release
  3. COVID-19 Waiver and Release

You will receive a signed copy of this document in your email inbox. If you have any questions, please email us at

Masterson Equine Services, Inc.
123 N. Main Street, #5, Fairfield, IA 52556
641-472-1312

Non-English translations: This page will be translated into non-English languages that courses are taught in, however the English version is the legally-binding one: Dutch translationFrench translation | German translation | Japanese translationPolish translation 

 

1. EQUINE ACTIVITIES LIABILITY Waiver and Release

I, the undersigned, understand that this information, methods, processes and techniques that I may learn or be exposed to during The Masterson Method™ Seminar/Workshop and any courses by Masterson Equine Services, Inc. including without limitation, any consultation and/or any treatment that may be recommended are not a veterinarian and/or medical evaluation and are different from  and not a substitute for modern veterinarian and/or medical diagnosis,evaluation, and treatment. I understand that Masterson Equine Services, Inc., Jim Masterson and its teachers and instructors are not licensed veterinarians and/or health practitioners and will not be providing veterinarian or medical advice, diagnosis or treatment.

I agree to not modify, change or suspend any prescription medication or veterinarian treatment that my horse is now receiving based on this consultation without first consulting the veterinarian or health care practitioner who has been prescribing the medication or treatment program. I understand that it is not within the scope of this consultation for Masterson Equine Services, Inc., Jim Masterson and its teachers and instructors, to assume responsibility for the medical/health treatment of specific health problems.

I acknowledge that no claims or guarantees of any nature have been made to me regarding specific benefits or improvement in my horses’ overall state of health and/or condition(s) as a result of consultation with Masterson Equine Services, Inc., Jim Masterson and its teachers and instructors, and/or methods, processes and techniques that may be recommended. I further acknowledge the inherent risks associated with handling horses and equestrian sports, and the increased and/or heightened risk of participating in activities involving more than one horse.

ON BEHALF OF MYSELF AND MY HEIRS AND REPRESENTATIVES, I HEREBY RELEASE AND WAIVE ANY AND ALL CLAIMS THAT I AND/OR MY HEIRS AND REPRESENTATIVES MAY HAVE AGAINST MASTERSON EQUINE SERVICES, INC., AND ITS OWNERS, DIRECTORS, OFFICERS, EMPLOYEES, INSTRUCTORS, TEACHERS AND AGENTS, ALL EQUESTRIAN PARTICIPANTS, ALL HORSE OWNERS, AND ALL SEMINAR/WORKSHOP PROMOTERS, FOR DEATH, PERSONAL INJURY AND/OR PROPERTY DAMAGE, IN CONNECTION WITH OR ARISING OUT OF THE SEMINAR/WORKSHOP OFFERED BY MASTERSON EQUINE SERVICES, INC. AND/OR ANY METHODS, PROCESSES AND TECHNIQUES UTILIZED AND/OR RECOMMENDED TO ME, INCLUDING WITHOUT LIMITATION ANY NEGLIGENT ACTIVITY BY MASTERSON EQUINE SERVICES, INC., ITS OWNERS, DIRECTORS, OFFICERS, EMPLOYEES, INSTRUCTORS, TEACHERS OR AGENTS. I AGREE THAT THIS RELEASE AND WAIVER IS A NECESSARY PART OF CONSIDERATION TO MASTERSON EQUINE SERVICES, INC. IN AGREEING TO PROVIDE THE SEMINAR/WORKSHOP AND ANY CONSULTATION TO ME, AND BUT FOR THIS RELEASE AND WAIVER, MASTERSON EQUINE SERVICES, INC. WOULD NOT PROVIDE A THE SEMINAR/WORKSHOP AND ANY CONSULTATION TO ME.

 

2. AUDIO/VISUAL Consent and Release (Select Yes or No)

I, the undersigned, hereby consent that any audio and/or video recording and/or images of me may be used by Masterson Equine Services, Inc., Jim Masterson and their assigns or successors, for educational, promotional and entertainment purposes, including television, digital, electronic and internet use, with no compensation to me.

I hereby consent that such video, audio mediums, and/or images of me may be used free and clear of any claim whatsoever on my part, including without limitation any claim for compensation due me.

I hereby release Masterson Equine Services, Inc., Jim Masterson and their assigns or successors, from any claims or liability regarding any use that may be made of the recording in accordance with this Consent and Release.

Do you consent to have audio and/or video recording and/or images taken of you at the course? If no, click the No button and be sure to notify others who may be taking pictures and/or videos on the day of the course.

 

3. COVID-19 Waiver and Release

THIS AGREEMENT MUST BE SIGNED BY ALL ADULTS AND EACH PARENT OR LEGAL GUARDIAN OF ALL MINORS BEFORE PARTICIPATING IN A MASTERSON METHOD™ SEMINAR-WORKSHOP OR COURSE (“hereinafter referred to as “the Course”) OFFERED BY MASTERSON EQUINE SERVICES.

I, the undersigned, acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and other public health authorities may still recommend practicing social distancing.

I understand that the Masterson Method is a hands-on method of equine bodywork, that the purpose of the Course I am attending is hands-on training in the Masterson Method.

I agree to comply with any and all measures that Masterson Equine Services or the Course Instructor has put in place to reduce the risk of the spread of the Coronavirus/COVID-19 at my Course.

I further acknowledge that Masterson Equine Services cannot guarantee that I will not become infected with the Coronavirus/Covid-19, and that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others on the Course.

I attest that:

  • I have been following recommended local health guidelines as much as possible to limit my exposure to the Coronavirus/COVID-19;
  • If, on the day of the course, I am experiencing any symptom of flu or illness such as cough, shortness of breath, difficulty breathing, fever, muscle ache, headache or sore throat; I will contact the office to find a new course (transfer fees may apply); and
  • If I test positive or am exposed to someone with the Coronavirus/COVID-19 within two weeks prior to the course, I will contact the office to find a new course (transfer fees may apply).

I understand that if for any reason it is deemed by the Course Instructor that my participation may create a health risk to myself or other participants on the Course, I may be asked by the Instructor to cease participation in the Course, and that if asked I agree to comply with this request.

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Signature Certificate
Document name: Masterson Method Seminar-Workshop Waivers
lock iconUnique Document ID: 0b27499fc8f2bfba363a4a42c49a7ef0a9d3e320
Timestamp Audit
11/15/2021 2:43 PM CDTMasterson Method Seminar-Workshop Waivers Uploaded by Jim Masterson - IP 2601:447:ce00:32d8:4c9e:a875:f4c5:103e
11/16/2021 8:32 AM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.62.144.116
11/16/2021 8:40 AM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.62.144.116
11/16/2021 8:42 AM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.62.144.116
11/16/2021 8:42 AM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.62.144.116
11/17/2021 11:49 AM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.62.144.116
11/17/2021 11:49 AM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.62.144.116
12/10/2021 3:09 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/10/2021 3:09 PM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/10/2021 3:10 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/10/2021 3:10 PM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/10/2021 4:09 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/10/2021 4:09 PM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/10/2021 4:18 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/10/2021 4:18 PM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 12:41 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 12:41 PM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 12:44 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 12:44 PM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 12:46 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 12:46 PM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:12 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:12 PM CDTMegan Dushin - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:13 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:13 PM CDTKelsey McDade - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:15 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:15 PM CDTKelsey McDade - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:18 PM CDTJanelle Gehman - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:18 PM CDTKelsey McDade - added by Jim Masterson - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:28 PM CDT Document owner has handed over this document to 2021-12-14 14:28:04 - 73.37.177.245
12/14/2021 2:28 PM CDTJanelle Gehman - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:28 PM CDTKelsey McDade - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:29 PM CDTJanelle Gehman - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
12/14/2021 2:29 PM CDTMegan Dushin - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
12/17/2021 12:31 PM CDTJanelle Gehman - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
12/17/2021 12:31 PM CDTMegan Dushin - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
12/31/2021 3:11 PM CDTJanelle Gehman - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
12/31/2021 3:11 PM CDTMegan Dushin - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
01/09/2022 2:29 PM CDTJanelle Gehman - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
01/18/2022 8:38 AM CDTJanelle Gehman - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
01/18/2022 8:39 AM CDTJanelle Gehman - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
01/19/2022 9:40 PM CDTMegan Dushin - added by Kelsey McDade - as a CC'd Recipient Ip: 73.37.177.245
01/25/2022 3:33 PM CDTMegan Dushin - added by Kelsey McDade - as a CC'd Recipient Ip: 24.118.102.127
01/25/2022 3:34 PM CDTMegan Dushin - added by Kelsey McDade - as a CC'd Recipient Ip: 24.118.102.127
05/18/2022 11:54 AM CDTNatalie Lerch - added by Kelsey McDade - as a CC'd Recipient Ip: 174.199.67.162
05/18/2022 11:58 AM CDTNatalie Lerch - added by Kelsey McDade - as a CC'd Recipient Ip: 70.121.126.137
05/20/2022 11:47 AM CDTNatalie Lerch - added by Kelsey McDade - as a CC'd Recipient Ip: 136.62.2.225
05/20/2022 4:32 PM CDTNatalie Lerch - added by Kelsey McDade - as a CC'd Recipient Ip: 136.62.2.225
05/25/2022 10:00 AM CDTNatalie Lerch - added by Kelsey McDade - as a CC'd Recipient Ip: 136.62.2.225
10/28/2022 5:09 PM CDTNatalie Lerch - added by Kelsey McDade - as a CC'd Recipient Ip: 76.17.215.110
10/31/2022 10:31 AM CDTNatalie Lerch - added by Kelsey McDade - as a CC'd Recipient Ip: 76.17.215.110
04/13/2023 11:48 AM CDT Document owner has handed over this document to 2023-04-13 11:48:00 - 47.234.129.140
04/13/2023 11:48 AM CDTNatalie Lerch - added by Jim Masterson - as a CC'd Recipient Ip: 47.234.129.140