Participant Note:
This form is required for any adult (18+) who is participating in SEEAG programming, including educators, volunteers, and chaperones.
The purpose of participating in activities organized by Students for Eco-Education & Agriculture (SEEAG) is to promote education and exploration of agriculture, nutrition, and science through our programs-Farm-to-Food Lab, STEM Career Pathways in Agriculture, Farm Day, and the Youth Wellness Initiative, as well as general volunteer opportunities at our farm sites. By signing this waiver, you acknowledge and accept the risks associated with these activities.
SEEAG Activity Locations:
1. Ventura County Farm-to-Food Lab - School premises & the following farm education site:
a. Petty Ranch, 11971 Darling Road, Saticoy, CA 93004.
2. Santa Barbara County Farm-to-Food Lab - School premises & the following farm education site:
a. Allan Hancock College Vineyard, 800 College Dr, Santa Maria, CA 93454.
i. Southwest end of campus, next to the baseball fields (Coordinates: 34.942301, -120.426712
3. S.T.E.M. Career Pathways in Ag - School premises & various field trip locations in Santa Barbara and Ventura County
4. Youth Wellness Initiative - School premises & various pop-up locations in Santa Barbara and Ventura County
5. General Volunteer Days - Petty Ranch, Allan Hancock College Vineyard, or other SEEAG-approved locations.
a. Activities may include gardening, harvesting, site preparation, and general farm tasks.
Completion Required Before Participation:
I understand that completion of this waiver is required before my participation in any SEEAG activities.
General Guidelines and Acknowledgments:
- I understand that SEEAG programs may take place in various locations, including school premises and field trips. I will follow all safety guidelines and instructions provided by SEEAG staff and representatives.
- I will wear appropriate attire suitable for the activities to ensure my safety during the programs: Close-toed shoes, layers, and sun protection as necessary.
- I acknowledge that the programs may involve physical activities and possible exposure to outdoor elements, andI assume full responsibility for any associated risks.
Health and Safety:
- I agree that if I am feeling unwell or displaying symptoms of illness before the scheduled activities, I will refrain from participating to safeguard the health and well-being of all participants.
- I will remain with a SEEAG Educator or authorized representative at all times during the activities and will promptly notify them in case of an emergency.
Food Safety and Medical Information:
- SEEAG programs may involve food-related activities. I will provide accurate and up-to-date information on my food allergies, dietary restrictions, and other medical conditions that SEEAG should be aware of: