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RELEASE AND WAIVER OF LIABILITY
DAVIS DAIRY, Inc.
d/b/a Davis Farmland & Davis X-treme Adventures
Redstone Hill Road Sterling, MA 01564
In consideration of being allowed to enter the premises and/or participate in the activities at Davis Farmland and Davis
X-treme Adventures, the participant, for him or herself and on behalf of his/her heirs, personal representatives and
next of kin, hereby fully assumes all known and unknown risks, takes full responsibility, and waives any and all claims
against Davis Dairy, Inc., Davis Farmland, Davis X-treme Adventures and their officers, principals and employees for
personal injury, illness, permanent disability, death, loss or damage to personal property or other expense, whether
arising from the negligence of the released parties or otherwise, to the fullest extent permitted by law. This release
shall apply to all activities and events occurring on the Davis Dairy, Inc. premises.
□I AM NOT A (DAVIS FARMLAND) SEASON PASS MEMBER.
□I AM A SEASON PASS MEMBERSHIP AT (DAVIS FARMLAND) or I WILL BE PURCHASING ONE TODAY.
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CURRENT MEMBERS ENTER YOUR VIP # _________________
PURCHASING YOUR PASS TODAY, PLEASE ENTER THE FIRST AND LAST NAME OF THE MEMBER THAT
THE PASS WILL BE ISSUED TO _____________________________ _________________________.
FIRST NAME
LAST NAME
I AM 18 YEARS OF AGE OR OLDER AND MENTALLY COMPETENT TO ENTER INTO THIS AGREEMENT FOR MYSELF AND
FOR ALL CHILDREN UNDER THE AGE OF 18 LISTED BELOW. I HAVE READ AND UNDERSTAND THE CONTENT OF THIS
RELEASE AND WAIVER OF LIABILITY AGREEMENT. I AM FREELY, VOLUNTARILY AND UNCONDITIONALLY WAIVING
CERTAIN LEGAL RIGHTS THAT I, MY CHILD OR OUR HEIRS, PERSONAL REPRESENTATIVES OR NEXT OF KIN, MAY HAVE
AGAINST THE RELEASED PARTIES. BY SIGNING AND DATING THIS WAIVER, I RELEASE LIABILITY FOR MYSELF
AND ALL CHILDREN UNDER THE AGE OF 18 LISTED BELOW.
ADULTS (18+) MUST print and sign below.
Print
PRINT NAMES of all children under the age of 18.
Date _____________________
Sign