By signing this form,
I acknowledge that I have registered for the aforementioned Afterschool Program days at Poplar & Pine Nature School
and hereby give approval for my child to participate in any and all activities prepared by Poplar & Pine Nature School. In exchange for the acceptance of said minor childâs candidacy by Poplar & Pine Nature School, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Welch Holdings LLC/Belle Vie Farm/Poplar & Pine Nature School and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from Welch Holdings LLC/Belle Vie Farm/Poplar & Pine Nature School.
In case of injury to my child, I hereby waive all claims against Welch Holdings LLC/Belle Vie Farm/Poplar & Pine Nature School including all staff and, if applicable, owners and lessors of premises used to conduct the event and/or program. There is a risk of being injured that is inherent in all farm activities.
I also acknowledge the following: Under North Carolina law, there is no liability for an injury to or death of a participant in an agritourism activity conducted at this agritourism location if such injury or death results from the inherent risks of the agritourism activity. Inherent risks of agritourism activities include, among others, risks of injury inherent to land, equipment, and animals, as well as the potential for you to act in a negligent manner that may contribute to your injury or death. You are assuming the risk of participating in this agritourism activity.