Liability Statement (Permission for the Conservancy to handle emergencies): I realize injuries and illness can occur from participation in farm activities including working and volunteering. I hereby waive, release, absolve, indemnify, and agree to hold harmless the Wright-Locke FarmConservancy, Inc., their Board of Directors, employees, or assignees, and the Town of Winchester from any claim arising out of injury or illness to myself. Should I be taken to the hospital for emergency purposes, I hereby grant permission to the attending physician and staff to administer anesthesia, medical, X-ray, and surgical procedures as may be deemed necessary or advisable. I understand that every attempt will be made to contact my listed emergency contact in an emergency. By signing below, I acknowledge that I have read, understood, and agreed to the SOPs and liability information detailed above. *
Name, Relationship (if signing for a minor), and Date
