Loading...

Duke Farms Liability Waiver

Waiver of Liability

As a condition of the consent of the Duke Farms Foundation, the Doris Duke Management Foundation, the Doris Duke Foundation for Islamic Art, and the Doris Duke Charitable Foundation, for access by the above named person to the Duke Farms,  the undersigned and/or the parent/guardian of said minor person assumes full responsibility and all risk for any injuries or illnesses which said person might suffer or cause while at Duke Farms or as a result of access to Duke Farms, and does hereby waive any rights to recover against the Duke Farms Foundation, the Doris Duke Management Foundation, the Doris Duke Foundation for Islamic Art and the Doris Duke Charitable Foundation, or any persons acting on the Foundations' behalf, for any personal injuries, illnesses, or property damage that might occur while on or as a result of access to Duke Farms.  Each of the undersigned hereby fully and knowingly releases the Duke Farms Foundation, the Doris Duke Management Foundation, the Doris Duke Foundation for Islamic Art and the Doris Duke Charitable Foundation, agents, contractors, employees, officers, directors, and/or trustees from any claims for any damage, loss, or injury including personal injuries, or illnesses which might occur.

I Agree

Photo/Video and Media Release

The undersigned hereby agrees that the participant(s) listed below have given permission for the unlimited use of any images captured of him/her at any time during his/her presence on Duke Farms property and/or participation in the Program series through video, photo and digital cameras.  The undersigned also agrees to the use of quotations, either in print or reproduction through any audio or video equipment and the use of his/her name.

 

Furthermore, the undersigned agrees that photos, video or audio may be used for Duke Farms promotional material and waives any rights of compensation or ownership thereto, or claims of privacy.

I Agree

Please select who will be participating...
AdultMinor
Continue
First Participant's Name
First Name*
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Parent or Guardian's Email Address
Email*
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!