Release of Liability Waiver
VOLUNTARY ACTIVITIES PARTICIPATION FORM
ACKNOWLEDGMENT AND ASSUMPTION OF POTENTIAL RISK
This is a release of liability and assumption of risk agreement.
Completion of this release is a prerequisite of my voluntary participation in Black Urban Farmers Association – BUFA activities. This release essentially says that I am going to voluntarily participate in the BUFA activities to include but may not be limited to planting, weeding, and doing work projects. Participants can sustain physical injuries to include but may not be limited to the following: (sprains/strains, fractured bones), damage to their property, or death.
I understand and acknowledge that participation in this activity by myself or my children is completely voluntary and as
such is not required by BUFA.
I understand and acknowledge that in order for myself or my children to participate in this activity, I agree to assume liability and responsibility for any and all potential risks which may be associated with participation in this activity.
I agree that neither BUFA, nor their Governing Board, their Officers, their Agents, and their Volunteers shall be liable for any claims, demands, actions, or causes of action arising out of or in any way connected with my participation, specifically including, but not limited to, liabilities, claims, demands, actions, or causes of action relating to bodily injury and illness (including death) and property
damage suffered by me.
I execute this Release of Liability and Assumption of Risk Agreement for full, adequate, and complete consideration, fully intending for the agreement to be binding on me, my family, estate, heirs, administrators, personal representatives, and assignees.
I, as legal guardian, authorize BUFA to photograph my children while
participating in BUFA activities. I further authorize that the photographs may be published to advertise BUFA programs and activities.
I, THE UNDERSIGNED HAVE READ THIS DOCUMENT. I UNDERSTAND THAT IT IS A RELEASE OF ALL CLAIMS. I FURTHER UNDERSTAND THAT I AM ASSUMING ALL RISK INHERENT IN THIS VOLUNTARY ACTIVITY. I VOLUNTARILY SIGN MY NAME AS EVIDENCE OF MY ACCEPTANCE OF THE ABOVE PROVISIONS.