Name *

First Name

Last Name

Birthday Childs Name *

First Name

Last Name

Phone Number *

(###)

###

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Birthday Party Date *

MM

DD

YYYY

Waiver of Release *

Waiver of Liability Release * WAIVER OF LIABILITY RELEASE FORM In consideration of participation in Sunken Springs Farm Camp, I (undersigned), parent/guardian of participant (name on form), hereby release Sunken Springs Farm, Zachary and Cassandra Schon, all employees and volunteers from all liability for damages or injury whatsoever arising from participation in activities during camp. I understand activities may include but are not limited to, live animals, being outdoors around bees and insects, hiking, running, hayrides, planting plants and eating food. With full understanding of the inherent risked involved with such activities described but not limited to those listed above, I, the undersigned, release and hold harmless Zachary and Cassandra Schon, along with all employees, volunteers and participants of the camp from all liability arising from or related to participating in camp. I understand this is a voluntary waiver agreement and shall be entered into the State of Pennsylvania and interpreted under the courts of laws of the State of Pennsylvania. I agree I have been given ample time to read, answer and ask questions concerning the nature of this waiver. By checking the box I have read the waiver in its entirety and release and hold harmless Cassandra & Zachary Schon, along with all employees and volunteers of the camp from all liability arising from or related to participating in camp. I understand this is my electronic signature.

By checking the box I have read the waiver in its entirety and release and hold harmless Cassandra & Zachary Schon, along with all employees and volunteers of the camp from all liability arising from or related to participating in camp. I understand this is my electronic signature.