COLEMAN HAY FARMS AGRITOURISM LIABILITY FORM
138 Walter Road Chalfont, PA 18914
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Please read in full:
“AGREEMENT AND WARNING: I understand and acknowledge that, except for limited circumstances listed below, an Agritourism activity provider is not liable for any injury to or death of a participant resulting from an Agritourism activity. I understand that I have accepted all risk of injury, death, property damage and other loss that may result from anagritourism activity. I understand that an Agritourism activity provider is not protected from liability if the provider: (1) Performs an act in a grossly negligent manner and causes injury or damages to a participant. (2) Purposefully causes a participant’s injury. (3) Acts or fails to act in a way that constitutes criminal conduct. (4) Recklessly fails to warn or guard against a dangerous condition that causes injury or damages to a participant. A dangerous condition is a condition that creates an imminent and substantial risk of injury or damages to a participant.”
Name of all Participants:
Visitors under the age of 18 must be accompanied by an adult at all times. Adults arerequired to sign for visitors under the age of 18. Please fill out a line item for each guest within your group.
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Event you are participating in:
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Enter date of Event:
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Signature of Adult:
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Continue
Continue
Should be Empty: