Liability Waiver And Release Form

Liability Waiver And Release Form
Participant Name

First NameLast Name
DOB

MonthDayYear
Date
Date of initial volunteer experience (waiver holds true for all volunteer experiences)

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
I, the undersigned, hereby acknowledge to By Faith Farm (James and Lori Birckhead), Fed By Faith, 501c3 non-profit that:

1. I am actively aware of the risk(s) of entering the premises of By Faith Farm located at 7721 Whites Creek Pike, Joelton, TN 37080. By Faith Farm is an actual working farm which risks include, but are not limited to, bodily injury, property injury or death from contact with: farm animals, insects, farming equipment, hand tools, irrigation lines, field stakes, raised beds, electric fences, barbed wire, uneven pathways, slick surfaces, contact with crops or wild plants, which can cause allergic reactions.

2. I assume all foregoing risk of using property and accept personal responsibility for damages from my use, including, but not limited to, injury, disability, or death.

3. I release, waive, and discharge By Faith Farm (James and Lori Birckhead), Fed By Faith, the releases, from any and all liability to me, my heirs, and next of kin for any and all claims, demands, losses, or damages, related to my use of By Faith Farm (James and Lori Birckhead property). I agree to accept full responsibility for any guest whom I bring to By Faith Farm (James and Lori Birckhead property), and will defend and indemnify By Faith Farm and James and Lori Birckhead) , Fed By Faith against any claim brought by such person.

I further agree to Indemnify and hold harmless, By Faith Farm, Lori and James Birckhead , Fed By Faith from any loss, liability, damage or costs, including court costs and attorney’s fees, that may incur due to my participation in said activity, whether caused by negligence of releasees or otherwise.

Photo/Audio/Visual Release: I hereby grant to By Faith Farm and Fed By Faith all rights and consent to copyright, use, reuse, publish or republish, copy, exhibit or distribute all photographs and/or video of myself and my guests to be used for their website and any promotional electronic or printed material without restriction as to frequency or duration of usage and without compensation.

I have read the above waiver and release, understand that I give up substantial rights by signing it, and sign it voluntarily.
Participant Signature

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