HEDGEROW WILLOWS FLOCK & FARM

Poultry Processing Workshop Liability Waiver and Release of Claims

Workshop Date: ____________________________________________________________________________________________________

Participant Name: __________________________________________________________________________________________________

Address: ___________________________________________________________________________________________________________

Phone: _____________________________________ Email: _________________________________________________________________

Acknowledgment of Risks

I understand that participation in the Hedgerow Willows Flock & Farm Poultry Processing Workshop involves inherent risks, including but not limited to:

• Use of sharp knives, scissors, and processing equipment

• Cuts, punctures, abrasions, and other bodily injuries

• Exposure to live and processed poultry

• Exposure to animal waste, feathers, blood, and other biological materials

• Slips, trips, and falls on uneven or wet surfaces

• Allergic reactions, illness, or infection associated with animal handling

• Risks associated with being on a working farm

I voluntarily choose to participate and fully assume all risks associated with my participation.

Health and Safety Agreement

I agree to:

• Follow all instructions provided by workshop instructors and farm personnel.

• Use equipment only as directed.

• Wear appropriate clothing, including closed-toe shoes.

• Immediately notify instructors of any injury or unsafe condition.

• Refrain from participating if I am ill or unable to safely engage in workshop activities.

Release and Waiver of Liability

In consideration of being allowed to participate in this workshop, I hereby release, waive, discharge, and hold harmless Hedgerow Willows Flock & Farm, its owners, employees, volunteers, instructors, agents, and representatives from any and all claims, demands, actions, causes of action, damages, losses, costs, expenses, or liabilities arising from or related to my participation, including those resulting from ordinary negligence.

I understand that this release applies to personal injury, illness, property damage, economic loss, or death that may occur as a result of my participation.

Indemnification

I agree to indemnify and hold harmless Hedgerow Willows Flock & Farm from any claims, damages, or expenses arising from my actions during participation in the workshop.

Medical Treatment Authorization

In the event of an emergency, I authorize Hedgerow Willows Flock & Farm personnel to seek emergency medical treatment on my behalf if I am unable to do so. I understand that I am solely responsible for any medical costs incurred.

Emergency Contact:

Name: _____________________________________________________

Phone: ______________________________________________________

Relationship: ___________________________________________________________

Photography and Media Release (Optional)

☐ I grant permission for photographs or videos taken during the workshop to be used by Hedgerow Willows Flock & Farm for educational, promotional, or marketing purposes.

☐ I do not grant permission for photographs or videos of me to be used.

Acknowledgment

I certify that I am at least 18 years of age, or that a parent or legal guardian has signed below on my behalf. I have carefully read and understand this waiver and voluntarily agree to its terms.

Participant Signature: ___________________________________________________________________________________________

Date: ______________________

Parent/Guardian Consent (Required for Participants Under 18)

I am the parent or legal guardian of the participant named above and consent to their participation in this workshop. I agree to the terms of this waiver on their behalf.

Parent/Guardian Name: _________________________________________________________________________________________

Signature: ___________________________________________________________________________________

Date: ______________________________