Goat Visit at Nittany Meadow Farm

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Register for a private goat visit at Nittany Meadow Farm. NOTE: All participants under 18 must have a parent/guardian complete this form on their behalf.

Email *

Date of visit *

YYYY

Time of visit *

Time

Parent/Guardian Email (required for participants under 18)

Participant Date of Birth (required for under 18)

YYYY

Participant Name (first and last) *

Parent/Guardian Name (required if under 18)

Participant Phone Number *

Parent/Guardian Phone Number (required for participants under 18)

For Parent/Guardian of Participant Under 18 ONLY

I agree to allow my child to participate in a private goat visit at Nittany Meadow Farm.

AGREEMENT AND WARNING: I understand and acknowledge that, except for limited circumstances listed below, an agritourism activity provider is not liable for any injury to or death of a participant resulting from an agritourism activity. I understand that I have accepted all risk of injury, death, property damage and other loss that may result from an agritourism activity. I understand that an agritourism activity provider is not protected from liability if the provider: (1) Performs an act in a grossly negligent manner and causes injury or damages to a participant. (2) Purposefully causes a participant’s injury. (3) Acts or fails to act in a way that constitutes criminal conduct. (4) Recklessly fails to warn or guard against a dangerous condition that causes injury or damages to a participant. A dangerous condition is a condition that creates an imminent and substantial risk of injury or damages to a participant. *

I ACKNOWLEDGE THAT I HAVE READ THIS WAIVER AND FULLY UNDERSTAND ITS TERMS AND CONDITIONS.

Required

PHOTO WAIVER: I grant permission to Nittany Meadow Farm to use photos and/or video of me taken at Nittany Meadow Farm in publications, online, and in other communications used by Nittany Meadow Farm to market their products and services. *

I ACKNOWLEDGE THAT I HAVE READ THIS WAIVER AND FULLY UNDERSTAND ITS TERMS AND CONDITIONS.

Required

I’d like to sign up for future communications from Nittany Meadow Farm. *

Yes

A copy of your responses will be emailed to the address you provided.

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