• Family Class Registration Form 🌱

    Please fill out your details, select classes, and sign the liability and photo release forms. Consider making a donation to support the classes.
  • Format: (000) 000-0000.
  • Clayton Campus (745 Lion Hope Rd., Clayton, DE)
  • Gumboro Campus (6 Kings Farm, 23160 Bethel Rd., Frankford, DE)
  • R.O.O.T.S. Youth Development Program
    (also operating as ROOTS Farm & Forest School)

    PARTICIPANT CONSENT & WAIVER OF LIABILITY
    Child’s Name: (As mentioned in the registration)

    This waiver applies to the above-named child and any siblings, parents, guardians, caregivers, or guests who accompany them onto ROOTS property or participate in any ROOTS-affiliated activities or events. By signing below, the undersigned agrees that all such individuals are participating voluntarily and are subject to the same waiver, risk acknowledgment, and indemnity provisions contained herein. While this waiver applies to all accompanying individuals, we strongly encourage any adult over the age of 18 who will be on-site or participating to also sign their own individual waiver for record-keeping and mutual understanding.


    1. RELEASE OF LIABILITY
    In consideration for my child’s participation in programs offered by ROOTS Youth Development Program (“ROOTS”), located at 22424 Peterkins Rd, Georgetown, DE 19947 as well as  ROOTS other satellite campuses, I hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE ROOTS Youth Development LLC, its officers, employees, agents, representatives, landlords, guest speakers, and volunteers (the “RELEASEES”) from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, my child, or any member of our party, whether caused by the negligence of the RELEASEES or otherwise.

    This release applies to all ROOTS programming, including but not limited to:

    On-site activities


    Field trips


    Online educational services


    Outdoor and farm-based learning


    Indoor programming held at or away from ROOTS



    2. ACKNOWLEDGEMENT OF RISK
    I acknowledge that participation in ROOTS involves inherent risks, including but not limited to:

    Outdoor play and farm work


    Animal interactions


    Use of natural and homestead tools


    Uneven terrain, inclement weather, or insect exposure


    Loss or damage to personal property


    I voluntarily elect for my child and any accompanying guests to participate, fully understanding and accepting these risks.


    3. PHYSICAL CONDITION
    I affirm that my child is in good physical and mental condition to participate. I am unaware of any condition that would prevent safe participation. I understand that I am responsible for any medical needs or risks arising during their participation.


    4. EMERGENCY MEDICAL TREATMENT CONSENT
    In the event of an injury or emergency, and if I cannot be reached, I authorize ROOTS and its representatives to seek necessary medical treatment for my child or any minor in our party, including ambulance transport or hospital care. I accept full responsibility for all medical expenses incurred.


    5. PHOTO/VIDEO RELEASE
    I grant ROOTS permission to photograph and/or record my child and any accompanying individuals, and to use those images for promotional purposes including brochures, websites, social media, and presentations. No names will be used without additional consent.
    If I do not wish for my child or guests to be photographed, I will notify ROOTS in writing.


    6. RELEASE & INDEMNIFICATION
    I expressly assume all risks and agree to indemnify and hold harmless the RELEASEES from any loss, liability, damage, or expenses — including legal fees — arising from our participation, whether caused by negligence or otherwise, to the fullest extent permitted by law. This waiver binds me, my heirs, and assigns.


    7. SEVERABILITY
    If any part of this waiver is found unenforceable, the remainder shall remain valid. Any invalid provision shall be adjusted and enforced to the maximum extent allowable by law.


    8. GOVERNING LAW
    This waiver is governed by the laws of the State of Delaware.


    SIGNATURE & ACKNOWLEDGEMENT
    I affirm that I have read, understood, and voluntarily signed this document. I am at least 18 years old and the legal parent/guardian of the child named above.

  • Liability and Photo Release Agreement: By signing below, I acknowledge that I have read and agree to the liability waiver and photo release terms provided by the organization. I understand that participation is at my own risk and consent to the use of photos taken during the event for promotional purposes.

  • Date*
     - -
  • Optional Donation for the Class and to Support ROOTS Scholarship Funds

    prevnext( X )
    USD
    Debit or Credit Card
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