SOCIETY FOR CREATIVE ANACHRONISM, INC.
P.O. Box 360789. Milpitas, California 95036-0789. Tel (408) 263-9305. Fax (408) 263-0641
State of Mississippi Liability Form
The Equine Activity Liability laws of the State of Mississippi, as may be amended from time to time, § 95-11-7, state
among its statutory provisions that “WARNING Under Mississippi law, an equine or livestock activity sponsor or an
equine or livestock professional is not liable for an injury to or the death of a participant in equine activities or livestock
shows resulting from the inherent risks of equine activities or livestock shows, pursuant to this chapter.”
WAIVER AND INFORMED CONSENT TO PARTICIPATE AND RELEASE LIABILITY IN SCA
ACTIVITIES WHICH MAY INCLUDE EQUESTRIAN ACTIVITIES
I, the undersigned, do hereby state that I wish to participate in activities sponsored by the Society for Creative
Anachronism, Inc., affiliated organizations, and subsidiaries (hereafter collectively the “SCA”), which may include
being present at or participating in, however slight, equestrian activities at events held by the SCA.
The SCA has rules which govern and may restrict the activities in which I can participate. These rules include, but
are not limited to: Corpora, Corporate Policies and By-Laws, officer handbooks, the various kingdom laws, and the
rules for combat and equestrian related activities. I agree to be bound by the rules of the SCA and any site that an
SCA event is held at. I acknowledge that I am fully aware of the nature, purpose, and risks of these activities of the
SCA (including equine activities). I further acknowledge that these activities are VOLUNTARY and that I do not
have to participate unless I choose to do so. I understand that these activities are potentially dangerous and that I
voluntarily accept any of the inherent risks involved, including risk of injury to myself or damage to my property. The SCA makes no representations or claims as to the condition or safety of land, structures, or surroundings,
whether or not owned, leased, or maintained by the SCA.
I agree to obey the directions of the marshals and other governing officials of SCA activities. In the event of any
disagreements or disputes arising from my taking part in these activities, I agree to the dispute resolution procedures
set forth in Corpora or any handbooks promulgated by the SCA.
In exchange for allowing me to participate in these SCA activities and events, I agree to release from liability, agree
to indemnify and hold harmless the SCA, and any SCA agent, officer, or SCA employee acting within the scope of
their duties, for any injury to my person or damage to my property, even if the same may have been contributed to or
occasioned by the negligence of the above.
It is understood and agreed that this agreement is to be binding upon myself, my heirs, executors, and assigns. I
understand that the SCA does NOT provide any insurance coverage for my person or my property. I acknowledge
that I am responsible for my safety, my own health care needs, and for the protection of my property. I have read the
statements in this document. I agree with its terms and have voluntarily signed it. I understand that this document is
complete unto itself and that any oral promises or representations made to me concerning this document and/or its
terms are not binding upon the SCA, its officers, agents, and/or employees.
I UNDERSTAND THAT THIS IS A LEGAL DOCUMENT. I HAVE READ AND UNDERSTOOD THIS
RELEASE AND I UNDERSTAND ALL ITS TERMS. I EXECUTE IT VOLUNTARILY AND WITH FULL
KNOWLEDGE OF ITS MEANING AND SIGNFICANCE.
EqMIC Mirabelis Zabaneh / Kristen Flitcroft Childress EVENT Gulf Wars XXVII DATE 10-18 March 2018
Legal Name (Please Print), Legal Signature, Date