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Farm Experiences (Field Trips, Farm Camp, Farm Tours, etc.)

I understand that Cloudview Farm provides opportunities for individuals and/or groups (hereinafter “Participant”) to participate in farm outreach/education programs and events. I and/or my child wish to participate in an event at the Cloudview Farm program by participating in activities on the farm. 

I understand that participating in any Cloudview Farm activity involves risks that include inclement weather or excessive heat, proximity to vehicles or equipment, contact with and actions of other participants and/or the public, slips/trips/falls, repetitive motions and/or heavy lifting, and exposure to wildlife (including snakes and biting insects), among others.  I understand that by participating in any Cloudview Farm program, I may be exposed to bodily injury, disability, death, or damage to any of my property that I may bring to the volunteer site. 

I choose for myself and/or for my child to participate in Cloudview Farm event activities despite the risks. By signing this form, I acknowledge all risks of injury, illness, and death and affirm that I have assumed all responsibility of injury, illness, or death in any way connected with participation in this activity.

I agree not to sue Cloudview Farm, its officers, employees or agents, and agree to hold harmless and indemnify Cloudview Farm, its officers, employees, oragents, for all claims, damages, losses, or expenses, including attorney fees, if a suit is filed concerning an injury, illness, or death to me or to my child resulting from participation in this activity. I understand that Cloudview Farm does not provide insurance or worker’s compensation coverage for me or for my child.  I agree for myself and for my heirs, assigns, executors, and administrators to release, waive, and discharge any legal rights I may have to seek payment or relief of any kind from Cloudview Farm, its officers, employees or agents, for injury, illness, or death resulting from the activity.

I also acknowledge and agree that Cloudview Farm may take photographs, recordings, or videos or ask interview questions of individuals or groups participating in Cloudview Farm activities and may use these materials to publicize the program and for other related purposes.

I have read this document thoroughly and understand its terms. I have been able to ask questions about the activity and they have been answered to my satisfaction. I execute this voluntarily and understand that by signing this form I am waiving legal rights.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*
Check to receive information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
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*

Middle Name

Last Name*

Relationship*

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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