LexFarm · LexFarm Volunteer Registration and Liability Release and Waiver 2024

Volunteer Participant Information

Participant Name

*

First Name

Last Name

Participant Phone

*

Participant Email

*

Verify Email

*

Participant Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Emergency Contact

*

First Name

Last Name

Emergency Contact Phone

*

Check here if Paricipant is under the age of 18

Under 18 years of age

Parent / guardian must read and sign this form.

Liability Release and Waiver

Please read this Liability Release and Waiver (“Waiver”) carefully before signing it. This Waiver affects your legal rights.

Before participating in any program, class, or activity (“Activity”) sponsored by Lexington Community Farm Coalition, Inc., a Massachusetts corporation, together with its employees, volunteers, representatives, officers, agents, and members, and optionally in conjunction with Silk Fields Farm, LLC, together with its owners (members of the Goldinger family), volunteers and representatives (collectively, “LexFarm”), each participant must read, understand, and sign this Waiver (or, if under 18 years of age, have his/her parent or legal guardian sign it on his/her behalf).

I have read the preface of the Waiver

*

Continue

Safety

I understand that an Activity may be offered by LexFarm or a LexFarm educational partner and may be overseen and directed by the educational partner’s personnel. I understand that I have a responsibility to follow the instructions of LexFarm and/or LexFarm educational partnert’s personnel. I have read and understood all of the informational materials provided to me. I agree to pay attention to all signs located on the premises and abide by their instructions and warnings.

I understand that participation in an Activity sponsored by LexFarm or a LexFarm educational partner may include contact with animals, which may pose the risk of physical injury or other harm to myself, to the animals, or to others. I further understand that farms and farm equipment are inherently dangerous. I also understand that Activities sponsored by LexFarm or a LexFarm educational partner may be located on farmland or in other outdoor spaces and that engaging in such Activities may pose the risk of physical injury or other harm. I also understand that part of the risk involved is dependent on my own state of fitness or health and the awareness, care and skill with which I conduct myself in the Activity.

I have voluntarily read this warning, understood this warning, accept and assume all of the risks inherent or otherwise of participating in an Activity.

I have read the SAFETY section

*

Continue

Voluntary Agreement

By signing this Waiver, I agree to release LexFarm from any cause of action, right, or claim arising out of, connected with, or resulting from my participation in any LexFarm or LexFarm educational partner Activity. I assume the risk of any illness or injury that I may incur during my participation in that Activity. I understand and knowingly recognize that this Waiver is a contract with legal consequences, and I have been advised to read it carefully before signing it.

I, the undersigned, am the parent or legal guardian of the participant, who is under 18 years old. I have carefully read the LexFarm liability waiver and release information above..

*

By checking this box and entering my name below, I agree to all conditions of this waiver.

Parent/Guardian Name

*

First Name

Last Name

*

By checking this box and entering my name below, I agree to all conditions of this waiver.

Name

*

First Name

Last Name

Email of Signer

*

Please enter the email of the person signing this waiver. If Participant is under 18, please enter email for parent or guardian signing this form.

Verify Email

*

Date

*

(mm/dd/yyyy)

Photo Release

LexFarm often takes photographs to document its work and activities. LexFarm seeks your permission to publish in print, electronic, video, or any other medium, the likeness or image of each participant for the general promotion of LexFarm programming. If you consent to the publishing of such photographs, please consent by checking the box and entering your name below. (If the participant is under 18 years of age, the parent or guardian must consent) If you do not consent, please leave this field blank.

Photo Release Consent

I consent to the taking and/or publishing of my photograph

Name of person providing consent (where participant is under 18, consent must be given by parent/guardian)

*

First Name

Last Name

Sign and Submit Registration and Liability Release and Waiver Form

By submitting this form, I represent that I am 18 years of age or older and that all of the information I have provided above is accurate to the best of my knowledge.

LexFarm Volunteer Registration and Liability Release and Waiver 2024

Every LexFarm Volunteer must register and complete this Liability Release and Waiver each year.

Volunteer Participant Information

Parent / guardian must read and sign this form.

Liability Release and Waiver

Photo Release

Sign and Submit Registration and Liability Release and Waiver Form