WAIVER AND RELEASE OF LIABILITY FORM

WAIVER AND RELEASE OF LIABILITY FORM
In consideration of the risk of injury while participating in FARM VISIT/ OR VOLUNTEERING ON BE WELL AT BLACK BARN FARM (the “Activity”), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assign, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge Be Well at Black Barn Farm, located at Six North Street. Methuen, Massachusetts 01844, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Activity, including traveling to and from an event related to this Activity.

I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH TRAVELING TO AND FROM AS WELL AS PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS’ NEGLIGENCE, CONDITIONS RELATED TO TRAVEL, OR THE CONDITION OF THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN OR UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY, INCLUDING TRAVEL TO, FROM AND DURING THIS ACTIVITY.

I agree to indemnify and hold harmless Be Well at Black Barn Farm against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney’s fees and any related costs, if litigation arises pursuant to any claims made by me or anyone else acting on my behalf. If Be Well at Black Barn Farm incurs any of these types of expenses, I agree to reimburse Be Well at Black Barn Farm.

I acknowledge that Be Well at Black Barn Farm and their directors, officers, volunteers, representatives and agents are not responsible for errors, omissions, acts of failures to act of any party or entity conducting a specific event or activity on behalf or Be Well at Black Barn Farm.

I ACKNOWLEDGE THAT THIS ACTIVITY MAY INVOLVE A TEST OF A PERSONS PHYSICAL AND MENTAL LIMITS AND MAY CARRY WITH IT THE POTENTIAL FOR DEATH, SERIOUS INJURY, AND PROPERTY LOSS.

The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, lack of hydration, condition of participants, equipment, animals, vehicular, traffic and actions of others, including but not limited to, participants, volunteers, spectators, coaches, event officials and event monitors, and/ or producers of the event.

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS “WAIVER AND RELEASE” AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE Be Well at Black Barn Farm AND ALL OF ITS AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS, AND ASSIGN, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST Be Well at Black Barn Farm FOR PERSONAL INJURY OR PROPERTY DAMAGE.

To the extent that statute or case law does not prohibit release for negligence, this release is also for negligence on the part of Be Well at Black Barn Farm, its agents, and employees.

In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that should carry my own health insurance.

In the event that any damage to the equipment or facilities occurs as a result of my or my family’s willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness.

This Agreement was entered into arm’s-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength.
Both the Participant, blank* and Be Well at Black Barn Farm agree that this Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into.

In the event that any provision contained within this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect, so long as the clause severed does not affect the intent of the parties. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited.
In the event of an emergency, please contact the following person(s) in the order presented:
Emergency Contact:*

First NameLast Name
Contact Relationship: blank* Contact Telephone: blank*
Emergency Contact #2

First NameLast Name
Contact Relationship: blank Contact Telephone: blank
I, the undersigned participant, affirm that I am of the age of 18 years or older, and that I am freely signing this agreement. I certify that I have read this agreement, that I fully understand its content and that this release cannot be modified orally. I am aware that this is a release of liability and a contract and that I am signing it of my own free will.
Participant Name:*

First NameLast Name
Participant Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participant Signature*

Clear
Date:*

MonthDayYear
Date
PARENT/ OR GUARDIAN FOR MINORS

In the event the participant is under the ager of consent (18 years of age), then this release must be signed by a parent or guardian, a follows:
I hereby certify I am the parent or guardian of blanknamed above, and do hereby give my consent without reservation to the foregoing on behalf of this individual.
Parent/ Guardian Name:

First NameLast Name
Relationship to minor: blank
Parent/ Guardian’s Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

WAIVER AND RELEASE OF LIABILITY FORM

In the event of an emergency, please contact the following person(s) in the order presented:

PARENT/ OR GUARDIAN FOR MINORS