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Waiver of Liability

I, individually and (if applicable) as the parent of the minor child(ren) named herein, acknowledge and accept that visiting a horse farm and horseback riding and activities related thereto, involve the inherent risk of personal injury. By my signature hereon, I hereby waive all rights, claims, causes of action and lawsuits against Dekalb County and the Little Creek Farm Conservancy, Inc., and their respective boards of directors, officers, volunteers, employees, boarders, trainers, heirs, executors, legal representatives, administrators, successors and assigns for 1) any injury, liability or damages sustained by me or my minor child or children, or any other person, which may occur while visiting the property known as Little Creek Horse Farm, at 2057 Lawrenceville Hwy, Decatur, Dekalb County, Georgia, AND 2) for any injury or damages which may occur while I or my minor child participate in any activity at the Farm, including but not limited to, volunteering in any capacity, and handling or riding any horse. I further acknowledge that I am aware of the following law:

WARNING

Under Georgia law, an equine or animal activity sponsor or professional is not liable for injury to, or death of, a participant in equine or animal activities resulting from inherent risk of equine or animal activities pursuant to Chapter 12 of Title 4 of the Official Code of Georgia Annotated.

I have read the Little Creek Farm Conservancy waiver posted on this website and fully understand and agree to the terms. By signing I accept responsibility and waive liability for any injury or damage which occurs during my visit to the property.

 Photo Release

 Further, I understand that Dekalb County and/or Little Creek Farm Conservancy (LCFC) may take photos of me or my minor child(ren) while on the property and that Dekalb County and/or LCFC may use these photographs for educational, promotional, advertising, fundraising, and other purposes. Therefore, I hereby freely and voluntarily consent to the use and publication of my photo or likeness from this date forward until and unless I revoke this consent in writing. I further waive any claims against Dekalb County and/or LCFC and/or their respective employees and/or agents based upon or related to its use or publication of my (or my minor child(ren)’s) likeness, voice, participation, and/or picture. This release shall remain in effect unless and until it is revoked by me in a written notice delivered to Dekalb County, or an LCFC officer and shall apply to all visits I make to Little Creek Horse Farm from the present time until any such revocation. The release is given in consideration for use of the Park and Dekalb County and/or LCFC allowing me to participate in educational, volunteer or fundraiser programs. Please notify info@littlecreekfarmconservancy.org if a photo has been accidentally posted and it will be removed immediately.

By signing this form, each participant hereby acknowledges and agrees that he/she is participating in this project at his/her own risk and holds Dekalb County and all its officers, agents, servants, and employees harmless from and against any and all claims, loss, damage, charge or expense to which they or any of them may be put or subjected by reason of volunteer’s participation in this project. You further acknowledge that Dekalb County is not responsible for the acts of others participating in this project and the other volunteers may include but not be limited to, interested individuals, members of civic groups, religious groups, or community groups, and/or persons convicted of crimes and/or violations of County ordinances and ordered to provide community service. 

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*

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.


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*
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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