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RELEASE OF LIABILITY

I have requested Pearl Moon Farms (hereinafter “Farm”) to allow me or my child to engage in the following activity or activities on its property:

I agree and acknowledge that my or my child’s SAFETY is at moderate to high risk and that I accept RESPONSIBILITY. I fully understand, and by my signature acknowledge that:

I recognize and acknowledge that there are certain inherent risks and dangers involved with the above-described activity or activities at the Farm that involve certain inherent risks including but not limited to risk of possible injury or death and understand that the following conditions, hazards, or dangers may exist:

* gusty winds

* sharp and/or slippery rocks

* stinging or biting insects and spiders

* wet or slippery roads

* herbicides

* paint, fuel, and oil fumes

* sharp tools

* lack of nearby medical facilities

* diseases caused by water, air, or animal vectors

* steep and slippery trail crossings

* dense, tangled vegetation

* thorny plants

* portable or no bathroom facilities

* no potable drinking water

* steep drop-offs

* rugged terrain

* wild animals

* flash floods

* harsh weather conditions (ranging from hot and humid to wet and cold)

To the extent that my activities may involve the use of motorized tools, hand tools, and/or handling of herbicides, I acknowledge that there are certain inherent risks and dangers involved in such activities, which include (but are not limited to) risk of possible serious bodily injury, death, or poising.

Knowing that the above-described activity or activities at the Farm may present certain risks and dangers to me or my child, including A RISK OF SERIOUS BODILY HARM OR DEATH, I nevertheless permit myself or my child to engage in the above-described activity or activities at the Farm. I voluntarily ASSUME THE RISK OF INJURY OR LOSS created by the above-described conditions, hazards, and dangers at the Farm.

With full knowledge of said conditions, hazards, and dangers, I RELEASE AND AGREE TO INDEMNIFY AND HOLD HARMLESS the Farm and any and all of its officers, employees, and agents, for death or injury to me or my child or damage to or destruction of any of my or my child’s property resulting from the conditions, hazards, and dangers listed above.

I understand and acknowledge that the provisions of Chapter 90, Hawaii Revised Statues, do not apply to my or my child’s activities at the Farm

In consideration for allowing me or my child to engage in the above-described activity or activities at the Farm which I have requested, I, for my heirs, beneficiaries, executors, and administrators, REMISE, RELEASE AND FOREVER DISCHARGE the Farm and any and all of its officers, employees, and agents, acting in their official capacities, from any and all claim(s), demand(s), or cause(s) of action on account of my or my child’s death or personal injury or on account of any injury to my or my child’s property which may occur from my or my child’s negligence, hazards listed herein, or an unforeseeable event, during my or my child’s activity or activities at the Farm described above.

I have read the above waiver and hereby release the Farm, its officers, employees, agents, and assigns from any and all liability that may result from my above-described activity or activities at the Farm.

Date: February 16, 2026

First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Information
(Description of activity)
period of time starting on
and ending on
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
(Description of activity)
period of time starting on
and ending on
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
(Description of activity)
period of time starting on
and ending on
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
(Description of activity)
period of time starting on
and ending on
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
(Description of activity)
period of time starting on
and ending on
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
(Description of activity)
period of time starting on
and ending on
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
(Description of activity)
period of time starting on
and ending on
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
(Description of activity)
period of time starting on
and ending on
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
(Description of activity)
period of time starting on
and ending on
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
(Description of activity)
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and ending on
Parent or Guardian's Email Address
Email*
Confirm Email*
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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(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*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
(Description of activity)
period of time starting on
and ending on
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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