FGW Workshop Registration Form

Farming God's Way Workshop Registration

Please fill in the form below
Number of Registrants for Workshop June 8-12, 8:30am-5:00pm
Attendee(s)
Parent/Guardian Name (if a minor)

First NameLast Name
Contact Number:

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Address:

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Permission and Medical Release
Date

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Date
Permission
Acknowledgement of Personal Liability and Waiver

I understand that farm activities may expose me and/or my child/children to some risks and I assume any such risk that may arise therefrom. I accept full responsibility for all medical expenses for any injuries that might occur to my child by reason of his/her participation. By signing this form, I release Powder Keg Farms, its administrators, directors, faculty, staff, and volunteers (“released parties”) from and against all claims, demands, actions, complaints, suits or other forms of liability that any of them may sustain (a) arising out of my or my child’s/children's failure to comply with local, state, and federal laws and PKF's policies and procedures; (b) arising out of any damage or injury caused by my child/children also agree to indemnify and hold harmless the released parties from any and all related costs, attorney fees, liabilities, settlements, and/or judgments.
Medical Release
Signature
Date

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Date

Payment Information

Farming God's Way Workshop Registration June 8-12, 8:30am-5:00pm . Covers printed materials and lunch each day of the workshop. Scholarships are available upon request to Gini@PowderKegOutreach.org.

Farming God's Way Workshop Registration June 8-12, 8:30am-5:00pm $30.00

Covers printed materials and lunch each day of the workshop. Scholarships are available upon request to Gini@PowderKegOutreach.org.

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Farming God's Way Workshop Registration

Permission and Medical Release

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