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Santaquin Canyon Orchard Company

Entry Form


45 east 900 south

Santaquin, Utah 84655

www.Santaquincanyonorchard.com

Please read and complete this form prior to entering our orchard.

"WARNING: Under Utah law, an operator of an agritourism activity or the property where the activity takes place is not liable for the injury, illness, death, or damage to personal property of a participant that primarily results from the inherent risks of the activity or a participant's failure to follow instructions or exercise reasonable caution. You are assuming the risk of participating in or observing an agritourism activity."

RELEASE, EXPRESS ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

In consideration of the right to enter the premises, orchard, or field to pick any crop, or use any equipment provided to do so, the undersigned for himself or herself, representatives, relatives, or heirs, and for minor children acknowledge the risks inherent being in a field or orchard, using agricultural equipment, or any disregarding rules established to minimize the risk of injury while doing so.

THEREFORE THE UNDERSIGNED EXPRESSLY AGREES TO THE FOLLOWING:

1) I will use care when walking in the field, recognizing that there may be debris or uneven surfaces. I expressly assume the risk of injury arising out of a condition of the soil, trees, or crops growing from it, and release any person or entity that is otherwise responsible for these conditions. I also assume all responsibility of any injury caused by any equipment including garden snips that I or my minors uses.

2) I have read and understand the general safety instructions and the instructions provided for the safe use of ladders. I will inspect any ladder before I use it. If I have any doubt or question, I will seek assistance from a farm employee before using it. By using a ladder, I accept it as free from defects and expressly assume all risk of injury, however caused, arising out of its use, including, but not limited to, injury from tipping or falling, caused by a condition of the ladder, caused by a condition of the soil on which it is placed, caused by how the ladder is positioned or placed, either by myself or others, or caused by act or conduct of mine while on or using the ladder.

3). THE UNDERSIGNED UNDERSTANDS that this agreement is intended to be as broad and inclusive as the law of the State of Utah permits and that if any portion is invalid, it is agreed that the balance shall continue in full force and effect.

4). THE UNDERSIGNED FOR HIMSELF OR HERSELF, REPRESENTATIVES, RELATIVES, OR HEIRS, AND FOR ANY MINOR CHILDREN, HEREBY ASSUMES THE RISK OF USE OF THE PREMISES AND EQUIPMENT PROVIDED, COVENANTS NOT TO SUE, AND AGREES TO INDEMNIFY AND HOLD HARMLESS THE OWNERS, MANAGERS, THEIR AGENTS AND EMPLOYEES, EVEN IF ACTIVELY NEGLIGENT, FROM ANY LOSS, LIABILITY, DAMAGE OR COST INCURRED BY THEM. I HAVE READ AND UNDERSTAND THE ABOVE AND AGREE TO IT FOR MYSELF AND ANY MINOR CHILDREN, REPRESENTATIVES, RELATIVES, OR HEIRS.

The U-Pick experience is unique to our area. Please respect us and the fact that we make a living by the sale of our produce and flowers. The Santaquin Canyon Orchard Company recommends that you follow our simple tips to ensure a pleasurable visit.

*U-Pick Guidelines

  • No climbing or damaging trees.
  • This is NOT an “all you can eat” farm, Please buy what you pick.
  • Children are not allowed on ladders.
  • Check produce for ripeness before picking it.
  • Do not throw fruit or flowers.
  • Please do not litter. Be prepared to take your garbage when you leave
  • Do not sit or stand on buckets. (they are plastic and you could be injured if they break)

Traffic Awareness & Safety 

  • Watch for traffic and pedestrians when pulling into and out of farms.
  • If you are unsure of your destination: Pull completely off the road and re-check your map.
  • Do not make illegal U-turns.
  • Be cautious of approaching traffic that may be exceeding the speed limit! (This does happen, unfortunately)
  • Remember that all traffic laws are strictly enforced by the Santaquin City Police Department

Comfort & Enjoyment

  • Carpooling saves time and gas.
  • Come when it is cooler in the evening.
  • Wear comfortable clothing and sensible shoes.
  • Bring a box bucket or container to take your produce or flowers home.
  • Don't forget to wear sunscreen or some form of skin protection.
  • Buy enough produce or flowers to share with friends & neighbors.

Thank You,

The Santaquin Canyon Orchard Company

Date: 

First Guest Name

First Name*

Last Name*
First Guest Age Acknowledgment*
First Guest Date of Birth*
I certify that I am 18 years of age or older
First Guest Signature*
Second Guest Name

First Name*

Last Name*
Second Guest Date of Birth*
Third Guest Name

First Name*

Last Name*
Third Guest Date of Birth*
Fourth Guest Name

First Name*

Last Name*
Fourth Guest Date of Birth*
Fifth Guest Name

First Name*

Last Name*
Fifth Guest Date of Birth*
Sixth Guest Name

First Name*

Last Name*
Sixth Guest Date of Birth*
Seventh Guest Name

First Name*

Last Name*
Seventh Guest Date of Birth*
Eighth Guest Name

First Name*

Last Name*
Eighth Guest Date of Birth*
Ninth Guest Name

First Name*

Last Name*
Ninth Guest Date of Birth*
Tenth Guest Name

First Name*

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

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Guest 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(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*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
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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