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I/we, “Participant(s)”), acknowledge that I/we have voluntarily chosen to participate in the following activities at Noci Sonoma, an agricultural ecological tourism experience involving walking/skipping or running in nature on uneven terrain, and other outdoor games/recreation such as harvesting in a garden or relaxing in the hammock. Potential hazards include but are not limited to: trips and falls on uneven terrain or holes in the ground with potential ankle sprains and fractures, eating poisons plants, allergic reactions to plants or grass, cut or injury from garden clippers/sheers, scratches and bruises, eye injuries from branches or trellis, wasp nest encounter, heart attack, head injuries from falls or hits to the head, *bee stings, spider bites, snake bites, ticks that carry Lyme disease, dehydration, heat stroke, sunburn and accidental drowning in ponds or small body of water on the property. *If you know you are allergic to bee stings you are responsible for carrying your own epi-pen when outdoors or potentially around bees.

I AM AWARE THAT THESE ACTIVITIES ARE POTENTIALLY HAZARDOUS ACTIVITIES AND THAT I COULD BE SERIOUSLY INJURED OR EVEN KILLED. I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN.

I verify this statement for myself and minors that I am responsible for by placing my initials here:

You are about to partake in fun outdoor recreation, albeit potentially hazardous and even life-threatening activity. The above list of perceived dangers exists and is made available to you to put you on notice of possible hazards and make you aware so that you proceed with caution and keep safety first in mind while adhering to the rules of Noci Sonoma:

As consideration for being permitted by Noci Sonoma to participate in these activities and use of said premises/facilities, I forever release Noci Sonoma and their affiliated organization, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “Releasees”) from any and all actions, claims, or demands that I, my assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to (i) my participation in these activities, (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities. I also agree that I/we, my assignees, heirs, distributes, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF/MY FAMILY OR THE MINORS FOR WHICH I AM RESPONSIBLE FOR AND Noci Sonoma AND SIGN IT OF MY OWN FREE

Today's Date: August 22, 2019

 

First Participant's Name

First Name*

Last Name*
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*
Parent or Guardian's Email Address

Email*

Confirm Email*
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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.
Parent or Guardian's Name

First Name*

Last Name*
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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