PIONEERING ON PURPOSE REGISTRATION

of Liability Adult

I am purchasing for

Note: children must be signed up for the same sessions as an accompanying adult.

Age

Selected Value: 6

Agreement to accompany children

I understand I am responsible for oversight of children in all workshops. I will select workshops consistent with the age recommendations.

Name of Registrant

Name of Parent/Guardian

Phone

Email

Workshop 1 – Adult

Workshop 1 – Youth

Workshop 2 – Adult

Workshop 2 – Youth

Pioneer Farm Tour (Age 6 and up) – $0.00
Native American Seasons Tour (Age 6 and up) – $0.00
Goats: Meat, Dairy, Brush of Pack (Age 6 and up) – $0.00
Nature Trail Walk (Age 6 and up) – $0.00
Keeping a Family Milking Cow – $0.00
Dill & Spicy Pickles Canning (Age 6 and up) – $10.00
Plants as Medicine: An Introduction to Herbalism & Everyday Plant Remedies (Age 6 and up) – $5.00
Natural Cordage- making twine in your backyard (Age 10 and up) – $0.00

Workshop 3 – Adult

Workshop 3 – Youth

Pioneer Farm Tour (Age 6 and up) – $0.00
Native American Seasons Tour (Age 6 and up) – $0.00
Goats: Meat, Dairy, Brush of Pack (Age 6 and up) – $0.00
Nature Trail Walk (Age 6 and up) – $0.00
Keeping a Family Milking Cow – $0.00
Dill & Spicy Pickles Canning (Age 6 and up) – $10.00
Plants as Medicine: An Introduction to Herbalism & Everyday Plant Remedies (Age 6 and up) – $5.00
Natural Cordage- making twine in your backyard (Age 10 and up) – $0.00

Release of Liability

I acknowledge that this event may use tools and equipment unfamiliar to me, can strain a person’s physical and mental capabilities and carries with it the potential for serious injury. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, equipment, vehicular traffic, actions of other people including, but not limited to, participants, volunteers, event officials, and and/or producers of the event, and lack of hydration. I hereby assume all of the risks of participating and/or volunteering in this event. I realize that liability may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them or because of their possible liability without fault.

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