Covid Release – Carlette Farm

Participant's Name *

First

Last

Team Name

Farm Guest Age *

The Participant is 18 years old or older
The Participant is 17 years old or younger

Parent or Guardian of Pace Participant - Name *

First

Last

Parent or Guardian Email Address *

Participant Email Address *

Parent or Guardian Address *

Address Line 1

City

State

Zip Code

Participant Address *

Address Line 1

City

State

Zip Code

Parent or Guardian's Emergency Contact Name *

Participant Emergency Contact Name *

Parent or Guardian's Emergency Contact Cell Phone (a number able to receive texts) *

Participant Emergency Contact Cell Phone (a number able to receive texts) *

Agreement Terms and Conditions

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I further acknowledge that Carlette Farm LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that Carlette Farm LLC cannot guarantee that I will not become infected with the Coronavirus/Covid-19.

I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, and other participants and their families.

I voluntarily seek services provided by Carlette Farm LLC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19.

I acknowledge that I must comply with all set procedures to reduce the spread while attending the Locust Hill Fall Hunter Pace.

Agreement *

I Agree to the Terms and Conditions Above

Signature