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General Liabilty Release for Farm Activites.

ACKNOWLEDGEMENT OF RISK

ACCEPTANCE OF RESPONSIBILITY & RELEASE OF LIABILITY

IN CONSIDERATION for being given the opportunity to participate in any Florida Jupiter Creamery event, I, my personal representatives, my heirs, and my next of kin:

I, the undersigned and family, hereby and acknowledge that I have voluntarily applied to engage in an activity of farm animal washing, petting, and/or feeding, phyisical exersize, planting, and playing as well as tasting raw milk with Jupiter Creamery.  

I understand that the activity of farm washing, petting, and/or feeding, phyisical exersize, planting, and playing involves numerous inherent risks of injury that are an integral part of such an activity.  I assume full responsibility for all such risks, including slip and falls, collisions and obstacles whether they are obvious or not obvious.

I and/or my family further understand that an animal, irrespective of its training and usual past behavior and characteristics, may act or react unexpectedly or unpredictably at times, and I also assume such risks.  

I understand that I may encounter variations in terrain, which may result in injury or damages.  I acknowledge that these are my responsibilities, and I assume the risk for these hazards, including growth, debris, rocks, and other hazardous surface or subsurface conditions and obstacles, whether they are obvious or not obvious, man-made or natural.  

I understand that animals are unpredictable and that the risk of injury is inherent to the activity.  I understand that animals may bite, scratch, kick, or bump into people in this activity.  I agree to assume all risks of injury or death caused by farm animal washing, petting, and/or feeding whatever the cause, except as provided by law.  

As consideration for being permitted to engage in the activity of farm animal washing, petting and/or feeding, I do hereby waive any claim and release all of the animal owners, officers, member, affiliated organizations, landowners, agents, employees, and/or volunteers for any injury or death caused by or resulting from my participation in the activity of cow washing, petting, and/or feeding.  

In the event a court may find any part of this agreement unlawful and/or unenforceable, the remaining parts of this agreement shall remain in full force and effect.  

Furthermore, any legal action or claim will be restricted to the jurisdiction of Palm Beach County Florida.  

This contract shall be legally binding upon my heirs, my estate, my assigns, my legal guardians, my personal representatives, and myself.  I have carefully read this agreement and fully understand the contents.  I am aware that I am releasing certain legal rights that I otherwise may have, and I enter into this contract on behalf of myself and /or my family of my own free will.  

I have read FL Agro-tourism sign on the gate: F.S.570.964 Ch. 2013-179

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
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, newsletter, and specials by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
I have read FL Agro-tourism sign on the gate: F.S.570.964 Ch. 2013-179
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*

Phone*
Parent or Guardian's Date of Birth*
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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