Registration and Liability Waiver

RELEASE AND WAIVER OF LIABILITY FORM 

This Release and Waiver of Liability (the ‘release’) releases LITTLE GREEN ACRES (the ‘company’) and the LITTLE GREEN ACRES PROPERTIES existing under the laws of the State of Washington and its owner, officers, employees and agents. 

WAIVER AND RELEASE: 

I, the participant___________________________________________, or guardian of the child/children_______________________________________________ hereby waive and release, and forever discharge and hold harmless Little Green Acres properties, the Company, and it’s successors and assigns from any and all liability, claims, debts, contracts, lawsuits, and demands of whatever kind of nature, either in law or in equity, which arise, or hereafter arise, from or during classes, activities, or events provided by the Company, on LITTLE GREEN ACRES farm properties. I understand and acknowledge that this Release discharges the company and properties owner, Linda Criddle, from any liability or claim that I may have against them with respect to bodily injury, personal injury, illness, death, or property damage that may result from my, or any child/children under my charge, presence at events or activities on the properties.  

ASSUMPTION OF RISK: I understand that animals that I, or the child/children in my charge, may interact with are inherently dangerous and may cause serious or grievous injuries, including bodily injuries, damage to personal properties, or death. Animals that you, or persons in your charge may come into direct contact with include, but are not limited to, sheep, goats, chickens, alpacas, and dogs. I understand that, as with most animals, they may react in unpredictable ways to sounds, sudden movements, people or other animals that could result in injuries. On behalf of myself, the child/children under my charge, my heirs, and next of kin, I waive all claims for damages, injuries and death sustained by me or the child/children in my charge may have against the Company and its owners and the properties.   

I understand that it is a condition of entry that visitors observe all rules and warnings relating to interacting with the animals, do not venture past safety barriers or enter off limit areas.  

I understand activities may be hazardous to me. I hereby expressly assume risk of injury or harm from these activities and release the Company, the properties, and the owner from all liability.  

I understand and acknowledge that working on crafts involves inherent risks, dangers and hazards which may result in injury or illness. I hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify the Company its managers, members, and employees, and the properties and facilities from any and all claims, actions or losses for bodily injury, property damage, wrongful death, or otherwise that I may have, either in my own which may arise from my participation in classes or events or use of tools, products and equipment.  

Insurance: Furthermore, I understand that the Company, or properties owner does not assume any responsibility for, or obligation to, provide me with financial or other assistance, including but not limited to medical, health or disability benefits or insurance. I expressly waive any such claim for compensation or liability on the part of the company, the properties, facilities or equipment, the owner, or volunteers or employees. 

MEDICAL TREATMENT 

☐   I hereby Release and forever discharge the Company, Properties and its facilities, and owner from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during any participation in a Company activity or event or when present on the properties.  

☐  I, or a child/children in my care are subject to the following allergies or medical conditions and I authorize the Company to disclose these conditions to a physician or other medical professional in the event I, or a child/children in my care should require emergency care: 

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

☐  Prohibited activities: As a result of the above mentioned medical conditions, I, or on behalf of the child/children am prohibiting involvement in the following specific activities: ______________________________________________________________________________________________________________________________________________________________

OTHER: As a participant, or guardian of a child/children participants, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Washington and that this Release shall be governed by and interpreted in accordance with the laws of the State of Washington. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.  

☐  I agree that the Company may use my own or the child/children in my charge’s photograph in the routine promotion of its classes and activities and other non-commercial applications.  

Please agree to these terms by checking the box below: 

☐  I agree 

Signature:___________________________________________________________________

Date:________________________________________________