Welcome to the Expanding Horizons Farm Registration and Liability Form!
Please complete the application and waiver of liability electronically. Parent/Guardian must complete waivers for their children. All attached forms must be completed before you/your participant can attend any events. These include the registration form, medical release form, waiver and release of liability forms for the facility.
Expanding Horizons Farm has every intention to be a safe and fun environment. We anticipate lots of running, playing, and hanging out with animals - depending on the clinic or event you participate in. That being said please be sure to wear CLOSED TOE SHOES (boots are best), weather and activity appropriate clothing, and bring water. We will not be able to provide any additional resources at clinics and events (unless otherwise specified). At EHF we are sensitive to allergies that others may have, please note any specifications below and also be aware of others. We will alert you if there is a known allergen present. If you have any questions please feel free to call us at 970.658.6281.
Payments/donations can be made via PayPal or Venmo.
Please reach out if you have any questions, I look forward to seeing you soon!
Emma Bachenberg
970.658.6281
Thank you!
Expanding Horizons Farm
Emergency Contact
(Must be a parent or guardian if participant(s) is/are a minor)
Medical Information
Allergies
Please indicate any special needs so we can joyfully accomodate!
RELEASE OF LIABILITY
I hereby release and hold harmless Expanding Horizons Farm, its employees, volunteers, animals, and facility, owners and agents and assign from all liability for personal injury, including death, as well as all property damage or loss arising out of my/my child’s participation in this Clinic/ Program. I understand that this release and indemnification releases liability for the conduct of Expanding Horizons Farm and its employees, volunteers, clinicians, animals, agents, owners and facility.
PHOTO RELEASE
The undersigned gives permission to Expanding Horizons Farm to use photographs and audio and/or video recordings of the Participant for fundraising and/or marketing purposes. On occasion, with this signed permission, Participant photographs may be included in promotional videos, websites, End of Year albums, newsletters or our Information Handouts. Expanding Horizons Farm respects the privacy of its participants and does not allow unauthorized visitors to photograph or video the camp or its Participants.
PARTICIPATION CONSENT
The undersigned gives participant permission to participate in any and all activities, except those specifically prohibited by parent or physician.
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Choose from one of the PayPal options to make your payment.
Contact Info
Payment Info