Susan's Pleasant Pheasant Farm

1 Bragg Hollow Rd PO Box 126 Halcottsville, NY 12438 (607) - 326 - 4266

2023 - RELEASE OF LIABILITY - READ BEFORE SIGNING

In consideration of being allowed to participate, in any way, with Susan's Pleasant Pheasant Farm and its related events and activities

I ,_________________________the undersigned, acknowledge, appreciate, and agree:

The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death. While particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist.

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM NEGLIGENCE OF THE RELEASEES of others, and assume full responsibility for my participation.

I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such hazards to the attention of the company immediately.

I, for myself and on behalf of my heirs, assigns, personal representatives and the next of kin, HEREBY RELEASE, INDEMNIFY AND HOLD HARMLESS Susan's Pleasant Pheasant Farm, their officers, officials, agents, employees, other participants, sponsoring agencies, sponsors, advertisers and, if applicable owners and lessors of premises used for the activity, RELEASES WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to persons or property associated with my presence or participation, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law.

IHAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. I FULLY

UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE.

This is to certify that I, as parent or guardian with legal responsibility for this participant, do consent and agree to his /her release as provided above of all releases, and, for myself, my child and our heirs, assigns, and next of kin. I release and agree to indemnify and hold harmless the release from and all liabilities incident to my minor child's involvement or participation in these programs, as provided above, even if arising from negligence of the releases, to the fullest extent permitted by law.