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Release of Liability, Assumption of Risk, and Indemnification Agreement
Each ADULT must complete this Release of Liability, Assumption of Risk, and Indemnification Agreement form, before purchasing entrance to the Farm. MINORS must be included on one accompanying ADULT's Release.* 

By AGREEING BELOW, you acknowledge that you have read, understand and agree to the following sections. Parents/Guardians/Legal Representatives should agree on behalf of participating Minors after discussing each section with them, indicating that both the Minor and the Parent/Guardian/Legal Representative agree to each section. 



Use states that he/she is not under the influence of any controlled substance (including alcohol), and that he/she will not be under the influence of any such substance when present at any activity sites, jumping pad, barnyard, slides, hay pyramid climbs, on the grounds of SCPF or while participating in activities at the farm. User realizes that participating in/using the jumping pad, slides, barnyard, games while under the influence of a controlled substance would endanger others and him/herself. 

I Agree

User is aware that he/she might be photographed and/or videotaped during his/her participation and authorize such photographs and/or videotapes to be used by SHADOW CREEK PUMPKIN FARM, LLC and/or Ashley Nostalgia, in training and/or promotional materials at any point in the future. User will not receive compensation for the use of such photographs and/or video releases.

I Agree

User gives consent to SHADOW CREEK PUMPKIN FARM, LLC employees and to emergency medical personnel to treat him/her if they deem it to be medically necessary. User authorizes SHADOW CREEK PUMPKIN FARM, LLC’s employees and sub-contractors to secure such medical advice and services as they feel necessary for User’s health or well-being.

I Agree

I, the User, hereby declare, acknowledge and give voluntary consent to allow SHADOW CREEK PUMPKIN FARM, LLC employees to assist the User, the User’s representatives, successors, heirs, and next of kin in the ingress and egress of various attractions. This consent includes, but is not limited to, barrel trains, jump pads, hay hill slides, hay pyramids, hayrides, etc, if they deem it to be necessary. User authorizes SHADOW CREEK PUMPKIN FARM, LLC’s employees, and sub-contractors to assist, as they feel necessary, for User’s health or well-being.

I Agree

User agrees to accept financial responsibility for any medical expenses and/or loss of income that results from his/her participation in or use of the facilities and/or activities, hayride or jumping pad at Shadow Creek Pumpkin Farm, LLC.

I Agree

User understands that jumping pads, hay hill slides and other activities are, by their nature, physically and emotionally demanding, and that participating in these activities may involve risks such as walking, bending, twisting, pulling, lifting, running, jumping, climbing, swinging, increased heart or breath rates and/or physical contact with others.

I Agree

User understands that although the SHADOW CREEK PUMPKIN FARM, LLC staff will make every reasonable effort to minimize exposure to known risks, not all dangers and hazards can be prevented (i.e. cuts, bruises, scrapes, fractures, dislocations, fatalities, etc.) and User accepts all risks and responsibilities of dangers and hazards of visiting the farm. User accepts all responsibilities, and assumes all responsibility (financial and otherwise) for COVID-related incidents/infections while participating at Shadow Creek Pumpkin Farm, LLC.

I Agree

User understands that his/her participation is voluntary, and that User has the right and the responsibility to limit participation in any activity that he/she believes will compromise his/her health or safety, and agree to notify a SHADOW CREEK PUMPKIN FARM, LLC employee if he/she has health or safety concerns. If User chooses to physically enter the farm and/or participate in any of the activities, he/she voluntarily assumes all risks associated with such participation. User states that they will not knowingly come to Shadow Creek if they have symptoms of COVID or a positive test result. User assumes all responsibility for their health and the health of all participants with them and SHADOW CREEK PUMPKIN FARM is not liable if a guest contracts COVID.

I Agree

User understands that SHADOW CREEK PUMPKIN FARM, LLC staff has the right to deny his/her participation in activities should we deem there is a safety or health concern.

I Agree

User understands and assume all dangers and risks (both known and unknown) associated with User’s presence at the farm and/or any activity sites, jumping pad or participation in or use of the hayride and waives release and discharge of SHADOW CREEK PUMPKIN FARM, LLC and their agents, officers and employees from any and all claims or causes of action arising from such presence or participation. User agrees to indemnify and hold harmless SHADOW CREEK PUMPKIN FARM, LLC, its successors or assigns, representative officers, agents and employees for any damage to property and/or injury to person (including death) alleged or claimed to have been caused by or through the use by the User, the Jump Pad, or the condition of the site, and shall indemnify and hold harmless SHADOW CREEK PUMPKIN FARM, LLC and its successors or assigns, and the respective officers, agents and employees of SHADOW CREEK PUMPKIN FARM, LLC from and against any and all claim or claims arising out of the use by the User or the condition of the site of the jumping pad, hayride or other activities, and whether or not such claim or claims are based in whole or in part on the negligence or contributory negligence of any one or more of them; the User shall pay, liquidate and discharge any and all claims or demands for personal injury (including death) and for loss of and damage to any and all property caused by growing out of or incidental to the use of the jumping pad or any other activities at the farm, by the User.

I Agree

User’s purchase of ticket is intended to bind User’s representatives, administrators, successors, heirs, next of kin and assigns on his/her behalf.

I Agree

I am accepting these exact terms for each adult and minor individual I am purchasing tickets for, and release Shadow Creek Pumpkin Farm, LLC, from any and all liability related to our visit to the farm. If they are minors, I must list them below.

I Agree

 Date Signed: December 22, 2024

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information & news by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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