The Giggling Life Care Farm
WAIVER, AGREEMENT AND LIABILITY RELEASE
READ CAREFULLY BEFORE SIGNING
I agree to the following agreement with The Giggling Life Care Farms LLC and Kristi A.Hurley as a condition for them following me, and person’s identified below, to enter the property, barn, and all nearby land and trails (we will call this Center’s Property) be near horses, ponies, or donkeys (we will call them “equines”), receive experiential instruction or guidance, attend, participate in, or observe activities sponsored or conducted by the center, at any location and/or work with equines on, near, or off the Center’s property. All parts of this agreement shall apply to me. (We will call ourselves “I”, “me”, “we”’ or“my”’ as a group in this agreement.) We intend for this agreement to be binding at all times now and in the future, when Center permits us (directly or indirectly) to enter the Center’sProperty, be near equines, receive experiential instruction or guidance, attend, participate in, or observe activities sponsored or conducted by the Center, at any location, and/or work with the equines on, or off the Center’s Property.
IT IS HEREBY AGREED AS FOLLOWS
I have requested to do any and all of the following: enter the Center’s Property, be near equines, receive experiential instruction or guidance, attend, participate in, or observe activities sponsored or conducted by the center from professional counselors, independent contractors-instructors/trainers at any location, and/or work with equines on, near, or off the Center’s Property.Risks: I understand that anyone working with or near an equine at any location can suffer bodily and other injuries. Among other things, equines are unpredictable by nature. For example, when frightened, angry, or under stress, the natural instincts of an equine are to jump forward or sideways, or run away from danger by trotting or galloping. Equines are also known to kick, buck, or rear up, spin around, back up quickly strike, or bite.I know that equines can do any of these things without warning. I also understand that all equines, even if they have no history of injuring anyone, are powerful and could be dangerous to other people and other animals around them. Further, I understand that working with or being near an equine can expose me to numerous inherent risks, which could include, for example, the propensity of an equine to behave in a way that may result in injury or death to a person on or near it; the unpredictability of an equines reaction to sound, movement or unfamiliar object, person, or animal; a collision with an object or another animal; the potential for a person participating in an equine activity to act in negligent manner, to fail to control the equine, or to not act within his or her ability; natural hazards, including surface and subsurface conditions. I understand these risks and dangers are inherent in equine activities and release and discharge The Giggling Life Care Farms LLC and Kristi A. Hurley and it’s representatives, contractors, and their employees, agents, family members, heirs, assigns, affiliated persons, and others acting on their behalf of and from any and all claims, demands, damages, actions, omissions, suits, or causes of action (present or future), resulting from or arising out of my bodily injury or damage that may be sustained.I am voluntarily releasing all of these claims, as generally described above, against TheGiggling Life Care Farms LLC and Kristi A. Hurley and it’s representatives, contractors, and their employees, agents, family members, heirs, assigns, affiliated persons, and others acting on their behalf regardless of whether the claims are known or unknown, anticipated or unanticipated. Miscellaneous: Colorado law governs this Waiver, Agreement, and Liability Release. This document can only be modified in writing and signed by me and The Giggling Life CareFarms LLC, Kristi A. Hurley. Should any part of this document conflict with Colorado Law, only that part will be null and void and the rest shall stay in effect,. Any disputes or activities arising under this Waiver, Agreement and Liability Release shall be litigated in a state or federal court nearest to Adams County, Colorado, and I agree to pay Center’s attorney fees and court costs.
NAME OF CONTRACTING PARTY (PARTICIPANT-CHILD
*
First Name
Last Name
ADDRESS OF CONTRACTING PARTY (PARTICIPANT)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EMAIL ADDRESS
*
example@example.com
Phone Number
*
Please enter a valid phone number.
BIRTH DAY OF CHILD
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Month
-
Day
Year
Date
EMERGENCY PERSON TO CONTACT IN CASE OF EMERGENCY
*
Phone Number
*
Please enter a valid phone number.
RELATIONSHIP
*
Which event do you plan on attending?
*
Please Select
Birthday Party
Saturday Farm Fun
Afterschool Farm Fun
Homeschool Farm Fun
Summer Farn Fun
Riding lessons
Special Event
SIGNATURE OF CONTRACTING PARTY (PARTICIPANT'S PARENT)
*
YOUR NAME
*
First Name
Last Name
Date of signing
*
-
Month
-
Day
Year
Date
Also, is the business owner, Kristi A. Hurley, able to take pictures of the participant interacting with the animals in a class setting, and able to use the photo video if it pertains to her website www.thegigglinglife.com? If you give her permission to use the class photos on her website or her business Facebook page The Giggling Life with Kristi please sign below:
SIGNATURE OF CONTRACTING PARTY
Thank you for signing. I look forward to doing business with you.
Our address is: The Giggling Life Farm 14583 Cherry St. Brighton, CO 80602
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