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SPECIAL EVENTS WAIVER OF LIABILITY

Release of Liability, Waiver of Claims, Assumption of Risks and Indemnity Agreement against

Charlotte’s Freedom Farm & Lauren Edwards

(Hereinafter referred to as the “Waiver”)

PLEASE READ THE FOLLOWING CAREFULLY:

By signing this document you will waive certain legal rights, including the right to sue or claim compensation following an accident.

To:            Charlotte’s Freedom Farm, Lauren Edwards,  their servants, agents, officers, volunteers, sponsors, employees, successors, and assigns (hereinafter collectively referred to as “CHARLOTTE’S”).

DEFINITION:
In this Waiver the term “Special Events Activities” refers to all activities associated with the Participant’s use and/or participation, of and/or at any events or equipment at any facilities owned and/or operated by CHARLOTTE’S, including, but not limited to facilities located at 9543 Brook Line, Dresden, Ontario, including, but not limited to, activities involving any care or handling provided to any animal, any use of equipment, parking, land, facilities and products, participation in any activities, events conducted by CHARLOTTE’S or  other parties and their activities, and services in any way connected with or related to Special Events Activities during the events facilitated by CHARLOTTE’S.

RELEASES OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
In consideration of CHARLOTTE’S agreeing to allow me to use any CHARLOTTE’S facilities and allowing any Special Events Activities, I hereby agree as: 

  1. TO WAIVE ANY AND ALL CLAIMS that I/we have or may in the future have against CHARLOTTE’S AND TO RELEASE CHARLOTTE’S from any and all liability for any loss, damage, expense or injury that I/we may suffer as a result of my participation in Special Events Activities. DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE OCCUPIERS LIABILITY ACT, R.S.O, 1990. c.O.2 ON THE PART OF CHARLOTTE’S. I UNDERSTAND THAT NEGLIGENCE INCLUDES FAILURE ON THE PART OF CHARLOTTE’S TO TAKE REASONABLE STEPS TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS OF PARTICIPATING IN SPECIAL EVENTS ACTIVITIES REFERRED TO ABOVE.
  2. TO HOLD HARMLESS AND IMDEMNIFY CHARLOTTE’S from any and all liability for any property damage or personal injury to any third party resulting from my participation in any Special Events Activities.
  3. This Waiver shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives, in the event of my death or incapacity.
  4. This Waiver and any rights, duties and obligations as between the parties to this Waiver shall be governed by and interpreted solely in accordance with the laws of the Province of Ontario and no other jurisdiction; and
  5. That my participation in any Special Events Activities is voluntary. I assume full responsibility for any injuries or damages resulting from my participation in any and all Special Events Activities. I recognize and understand that these activities may be hazardous, and injury may include bites, scratches, communicable illnesses, or pests contracted from any animal. I recognize and understand that my participation is solely at my own risk, and that I assume full responsibility for any resulting injuries and damages.

I ACKNOWLEDGE THAT I HAVE READ AND FULLY AGREE TO THE TERMS OF THIS WAIVER. I UNDERSTAND AND CONFIRM THAT BY SIGNING THIS WAIVER I HAVE GIVEN UP CONSIDERABLE FUTURE LEGAL RIGHTS. I HAVE SIGNED THIS WAIVER FREELY, VOLUNTARILY, UNDER NO DURESS OR THREAT OF DURESS, WITHOUT INDUCEMENT, PROMISE, OR GUARANTEE BEING COMMUNICATED TO ME. I HAVE BEEN INSTRUCTED TO SEEK INDEPENDENT LEGAL ADVICE AND HAVE DONE SO OR CHOSEN NOT TO BY MY OWN FREE WILL. MY SIGNATURE IS PROOF OF MY INTENTION TO EXECUTE A COMPLETE AND UNCONDITIONAL WAIVER OF ALL LIABILITY TO THE FULL EXTENT OF THE LAW. I AM 18 YEARS OF AGE OR OLDER AND MENTALLY COMPETENT TO ENTER GRANT THIS WAIVER.

Dated: August 19, 2022

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
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*

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*
Participant's 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*
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*

Middle Name

Last Name*

Phone*
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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