I, __________________ ______________________(First and Last Name) acknowledge that in purchasing this ticket,
I give my child ___________________________ ___________(First and Last Name) permission
to attend the Cloverdale Barn Social. I WAIVE, RELEASE, and DISCHARGE CloverdaleBarn, its officers and members, and all business associates and partners involved in the presentation of the above noted activity and each of their officers and employees, from all liability for or by reason of any damage, loss or injury to person and property, even injury
resulting in the death of the Releasor, which has been or may be sustained in consequence of participation in the activity described above, and notwithstanding that such damage, loss or injury may have been caused solely or partly by the negligence of the Releasee. I hereby acknowledge and agree that I have carefully read this Waiver and Release agreement, that I fully understand it, and that I am freely and voluntarily executing it.
By signing this release I will be forever prevented from suing or otherwise claiming against the CloverdaleBarn for any property loss or personal injury that I may sustain while participating in or preparing for the above noted activity and any activities associated with CloverdaleBarn Social. I understand that I would not be permitted to participate in the
above noted activity unless I signed this agreement.
I authorize CloverdaleBarn to reserve the right to photograph and/or videotape for promotional purposes any activities, events and/or programs that myself and/or my child may participate in.
I understand that this agreement is binding on me, my spouse, my heirs, my executors, administrators, personal representatives.
Participants parent(s)/guardian(s), agree if any claim for participant’s personal injury or wrongful death is commenced against releasees, he/she shall indemnify and save harmless releases from any and all claims or causes of action by whomever or wherever made or presented for participant’s personal injuries, property damage, or wrongful death.
This Waiver and Release Agreement will be construed in accordance with and governed by the laws of the State of Virginia, and it is acknowledged by the CloverdaleBarn to be as broad and inclusive as permitted by the laws of this jurisdiction.
I HAVE READ AND UNDERSTAND THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, EXECUTORS, ADMINISTRATORS, AND ASSIGNS MAY HAVE AGAINST THE CloverdaleBarn.
__________________ _____________________ ____
Participant—Last Name First Name Middle
________________________ ____________________________ ______ __________
Street Address City State Zip Code
________________________ ______________________ _________________________
Parent/Guardian—LastName First Name Contact Phone
______________________________________________________________________
Parent/Guardian Signature
I give my child ___________________________ ___________(First and Last Name) permission
to attend the Cloverdale Barn Social. I WAIVE, RELEASE, and DISCHARGE CloverdaleBarn, its officers and members, and all business associates and partners involved in the presentation of the above noted activity and each of their officers and employees, from all liability for or by reason of any damage, loss or injury to person and property, even injury
resulting in the death of the Releasor, which has been or may be sustained in consequence of participation in the activity described above, and notwithstanding that such damage, loss or injury may have been caused solely or partly by the negligence of the Releasee. I hereby acknowledge and agree that I have carefully read this Waiver and Release agreement, that I fully understand it, and that I am freely and voluntarily executing it.
By signing this release I will be forever prevented from suing or otherwise claiming against the CloverdaleBarn for any property loss or personal injury that I may sustain while participating in or preparing for the above noted activity and any activities associated with CloverdaleBarn Social. I understand that I would not be permitted to participate in the
above noted activity unless I signed this agreement.
I authorize CloverdaleBarn to reserve the right to photograph and/or videotape for promotional purposes any activities, events and/or programs that myself and/or my child may participate in.
I understand that this agreement is binding on me, my spouse, my heirs, my executors, administrators, personal representatives.
Participants parent(s)/guardian(s), agree if any claim for participant’s personal injury or wrongful death is commenced against releasees, he/she shall indemnify and save harmless releases from any and all claims or causes of action by whomever or wherever made or presented for participant’s personal injuries, property damage, or wrongful death.
This Waiver and Release Agreement will be construed in accordance with and governed by the laws of the State of Virginia, and it is acknowledged by the CloverdaleBarn to be as broad and inclusive as permitted by the laws of this jurisdiction.
I HAVE READ AND UNDERSTAND THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, EXECUTORS, ADMINISTRATORS, AND ASSIGNS MAY HAVE AGAINST THE CloverdaleBarn.
__________________ _____________________ ____
Participant—Last Name First Name Middle
________________________ ____________________________ ______ __________
Street Address City State Zip Code
________________________ ______________________ _________________________
Parent/Guardian—LastName First Name Contact Phone
______________________________________________________________________
Parent/Guardian Signature