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Anam Cara Farm Sanctuary Waiver, Consent, and Release of Liability

Read carefully before signing

Introduction:

A waiver, consent and release of liability for a farm sanctuary event is a legal document that participants sign to acknowledge and accept the potential risks and hazards associated with visiting a farm sanctuary. This type of document is designed to protect Anam Cara Farm Sanctuary from legal claims in case of accidents, injuries, or damage(s) that may occur while on the Sanctuary property.

Photo consent:

Anam Cara has my permission, both during and any time during the event, to use my likeness, name, voice, or words on either social media, website, television, radio, film, newspapers, magazines, or other media, and in any form, for the purpose of advertising or communicating the purposes and activities of Anam Cara and applying for funds to support these purposes and activities.

Physical Fitness:

I certify that I am physically fit for the event and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems that preclude my participation in the event.

Medical Treatment Authorization:

If during my participation in the event at Anam Cara I need emergency medical treatment and I am not able to give my consent or make my own arrangements for that treatment because of my injuries, I authorize Anam Cara to take whatever measures are necessary to protect my health and well-being, including, if necessary, hospitalization.

Agreement to Follow Rules & Instructions:

I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Anam Cara, or the employees, representatives, or agents of Anam Cara. I understand that I can be removed from the farm for failure to follow rules or direction or for being reckless, endangering others, or disturbing others, all at the discretion of Anam Cara, its employees, representatives, or agents. I will not be entitled to a refund or any fees or monies paid in the event I am required to leave the farm.

Assumption of Risk:

I hereby acknowledge and assume the risk of participating in the event at Anam Cara Farm Sanctuary. I acknowledge that this event my involve a test of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. I understand that there are inherent risks involved with this event, which may include, but are not limited to: exposure to varying weather conditions, harmful plants, insects, and animals; uneven terrain, farm equipment; unpredictable animal behavior; dehydration; and other hazards associated with a farm.

Release of Liability and Indemnification:

I hereby acknowledge my understanding and acceptance of these risks and hereby indemnify, release, and hold harmless Anam Cara Farm Sanctuary, its Board of Directors, officers, employees, volunteers, advisors, and representatives from any claims of injury, damage, or loss to person or property that may result from my volunteer participation at Anam Cara.

Governance:

This waiver, consent, and release of liability will be governed by the laws of the State of Connecticut, without regard to the State’s conflict of law provisions, and enforced entirely within the State. All disputes must be submitted to alternative dispute resolution options first. A good faith effort by all parties to resolve disputes through alternative dispute resolution options must be attempted. Only if those good faith efforts fail can you commence litigation in the Federal or State courts in Connecticut without a jury trial. You consent to the jurisdiction of such courts, agree to accept service of process by registered mail, and hereby waive any jurisdictional or venue defenses otherwise available to you.

BY SIGNING THIS FORM, YOU ACKNOWLEDGE THAT YOU ARE WAIVING YOUR RIGHT TO A JURY TRIAL FOR ANY CLAIM RESULTING FROM YOUR EVENT PARTICIPATION.

This waiver, consent, and release of liability will be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law; however, it will not extend to any claims not permitted to be released by State law.

BY SIGNING, I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ALL OF ITS TERMS. I AM AWARE THAT THIS IS A WAIVER, CONSENT, RELEASE OF LIABILITY, AND A CONTRACT AND, IF I SIGN, I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. I SIGN THIS DOCUMENT OF MY OWN FREE WILL.

 

Signature of Participant or Parent/Legal Guardian (if event participant is a minor or lacks legal capacity):

August 14, 2025

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
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*
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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