Liability Waiver

                                                                                                 Happy Chaos Farms LLC - Petting Zoo Waiver

By visiting Happy Chaos Farms LL Mobile Petting Zoo, I hereby accept any risks involved in participation, accept all liability, and will hold harmless Happy Chaos Farms LLC for any damages to my property or injuries to my person or to my minor child(ren). This release of liability includes, but is not limited to, damages or injuries incurred during petting, feeding, or grooming animals.

I agree to abide by the precautions and safety instructions put into place by Happy Chaos Farms LLC. I further understand that animal behavior can be unpredictable, and that interacting with animals carries certain inherent risks, but are not limited to:

• Being bitten, trod upon, head-butted, dragged, or otherwise injured during direct contact with horses, ponies, cows, pigs, goats, donkeys, sheep, rabbits, ducks, turkeys, chickens, and any other animals on site. Injuries can include, but are not limited to: eye injury, bruising, sprains, bone breakage, or death.

• Bumping into, colliding, or otherwise making contact with farm equipment, objects, or persons in a manner that results in physical injury.

• Certain animal-borne pathogens, including but not limited to: E. coli, Cryptosporidium, and Salmonella.

 

I agree to mitigate the risk of damages or injury by following the safety rules as follows and ensuring that children under my care do so as well:

• Empty pockets of all food. Food, drinks, and gum are not allowed in or near the petting area.

• Wear closed-toed shoes at all times.

• Do not tease, poke at, or otherwise annoy the animals. If animals are behind fencing, do not stick fingers through or reach for animals without permission of petting zoo staff. Never put fingers in or near an animal’s mouth, and follow staff instructions for feeding.

• Respect safety barriers and follow all signage.

• Wash hands thoroughly after pet animals. After touching animals, do not touch your face until hands are sanitized.

 

By signing below, I agree to waive liability for damages or injuries.

I, ____________________________________, fully understand and agree to the above terms.

 

 

____________________________________       _____________________________

Signature (parent/guardian if under 18)                Date

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                                                                                                               Happy Chaos Farms LLC Media Release

 

I, _______________________________________________, hereby authorize Happy Chaos Farms LLC,  and its partners, agents, representatives, assigns, successors in interest and licensees, to photograph, audiotape, and/or videotape me and grant  the Organization and its partners the irrevocable right to use my and/or my minor’s photograph, audio recording, video recording, or any reproduction or modification thereof (the “Photograph,” “Audio,” and/or “Video”), in any manner or medium throughout the world an unlimited number of times in perpetuity in advertising, trade, promotion, exhibition, or any other lawful purpose.

I understand that I will not receive any monetary compensation for the permissions I am granting herein. I hereby waive any right of inspection of approval of the uses to which the Organization may put the Photograph, Audio, and/or Video.

 I acknowledge the Organization will rely on this permission and hereby release and discharge the Organization from any and all claims and demands arising out of or in connection with the Photograph or the exercise of the permissions granted here, including any or all claims of libel, invasion of privacy, or emotional distress.

I understand that I cannot withdraw my consent after I sign this form and that this consent and release is binding on me and my heirs, legal representatives and assigns.

Please check "Yes" or "No" for the following:

I grant permission for Photographs, Audio, and/or Video to be collected and used by Happy Chaos Farms LLC.    YES        NO

 

Participant(s) Name(s) __________________________________________________________

Participant/Guardian Signature _________________________________________________    

Date _____________________________________________________

Participant Address __________________________________________________________________________

Participant Phone Number ____________________________________________________________________

Participant Email Address _____________________________________________________________________

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