2019 Community Farm Day Registration
Please join us for our Community Farm Days - monthly from April-October. The hands on work and learning happens from 9 AM -1 PM followed by a potluck lunch and conversation, 1-2:30 PM. Check the weather report and dress appropriately. People of all ages and skill levels are welcome for a day of joyful connection to land and one another. Check out our FAQ linked here https://docs.google.com/document/d/1rMVENSonNsW0JjwQ3bLZj0xatuA5xbvnkO3eY4TvSLA/edit

We will send you an email a few days before the community farm day to offer details about what we are working on, and any special instructions. Thanks so much for loving up on Mama Earth with us!
Email address *
Name *
Please enter your full name.
Your answer
Street Address, including Apartment Number (if any)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
Your answer
Email Address *
Your answer
What is your organizational or project affiliation(s)?
Your answer
Which days will you be joining us? *
Check all that you will attend. Email us if anything changes. Thanks!
Required
Please indicate the time frame you will be in attendance.
There is no requirement to attend for the whole day. You can even just come for the potluck. It is helpful for planning if we know when to expect you.
Your answer
What delicious item can you bring for the potluck lunch?
Let us know what you plan to prepare so we can make sure the offerings are balanced.
Your answer
How many people are in your group? *
Please check in at love@soulfirefarm.org if your group size is 6 or more. We have to make sure we have enough staff for the number of volunteers, so we can't always accommodate groups. Thanks!
Your answer
What ethnic/racial identities are represented in you and your group?
Demographic questions are optional, but helpful, as we strive for Soul Fire to be a diverse and inclusive environment. Check all that apply.
How do you describe your gender identity, gender expression, and/or gender history?
Please select any/all that you feel comfortable sharing. This information is kept confidential among Soul Fire staff reviewing registration and will not be shared with other participants without consent. Non-exhaustive examples inlcude: Agender; Bi-Gender; Butch; Cis / Cisgender https://en.wikipedia.org/wiki/Cisgender; Feminine; Femme; Gender Fluid; Genderqueer; Gender Neutral; Gender-Nonconforming; Intersex (not a gender identity/expression, but may be considered relevant/important for some people); Man; Masculine; Non-Binary; Questioning my gender; Stud; Trans / Transgender; Two-Spirit; Woman
Your answer
What ages are represented in you and your group?
Demographic questions are optional, but helpful, as we strive for Soul Fire to be a diverse and inclusive environment. Check all that apply.
Please provide the name and phone number of an emergency contact.
Your answer
By attending this farm day, I commit to uphold Soul Fire Farm's safe space agreements. *
Our goal is for Soul Fire Farm to be a supportive, non-threatening, and inclusive space for all who participate. Everyone who comes to the farm is expected to engage other humans, species, and the land with respect. We will interrupt oppressive behavior, defined as any conduct that demeans, marginalizes, rejects, threatens or harms anyone on the basis of ability, age, cultural background, education, ethnicity, gender, immigration status, language, nationality, physical appearance, race, religion, or sexual orientation as well as any conduct that damages the dwelling spaces or the Earth. Please read all of the agreements here: http://www.soulfirefarm.org/about/safer-space/
Is there anything else you would like to share?
Your answer
SOUL FIRE FARM LIABILITY WAIVER
En Español: https://drive.google.com/file/d/0ByCM4PBW2v3LN2JjWEhIWTc0SG82VS1mWFd6eXl3SmNUVGgw/view?usp=sharing

*PLEASE NOTE*: If there are multiple members in your group, we request that each person complete the liability waiver individually here: https://docs.google.com/forms/d/e/1FAIpQLSe61f9vVTamL19-xLop7O0j5zv0M_sv-G7TxBYePQVlf3Xr2g/viewform?usp=sf_link

By signing this form you are waiving important legal rights. Please read this form carefully.

This Waiver covers my participation in the following activities:
Community Farm Days;
Youth and Intergenerational Education Programs;
Immersion Programs;
Workshops and Retreats;
Any events or activities on the property of Soul Fire Farm Institute, Inc.
Any events or activities facilitated by Soul Fire Farm Institute, Inc. staff, volunteers, or contractors.

I acknowledge, agree and represent that I understand the nature of volunteer farming activities, which may include physical labor involving the use of tools, heavy objects, as well as ambient environmental conditions, and that I am qualified, in good health, and in proper physical condition to participate in such activities.

Participating in the above activities involve risks, dangers and hazards. Farming can be strenuous and subject to risk of injury. I am aware that by participating in the above activities I am risking permanent personal injury, paralysis, death, or damage to property. I accept and assume those risks.

I release the following parties (all of whom are referred to as the “Releasees” in this Waiver Form)
Soul Fire Farm Institute, Inc., and
The directors, officers, employees, agents, independent contractors and volunteers of any of the above from any and all liability for any loss, damage, injury or expenses that I may suffer as a result of my participation in the activity above, no matter how caused, including if caused by the negligence of any of the Releasees.

I also agree not to hold Releasees liable for any loss or damage to my personal property as a result on my participation in the above activities.

If someone sues me for negligence, I agree not to claim contribution or indemnity from any of the Releasees. I release the Releasees from all liability that could arise from such a contribution or indemnity claim.

I agree to hold harmless and indemnify the Releasees in respect of any claims, liability or legal expenses that they incur arising directly or indirectly by reason of a claim brought by me against any person or entity for loss, damage, injury or expenses suffered by me.

I also understand that the Releasees do not assume any responsibility for or obligation to provide financial assistance, including but not limited to medical, health or disability insurance. Soul Fire Farm Institute, Inc. does not provide Worker’s Compensation for volunteer participants.

I confirm that I have attained the age of 16 years, and if under age 18, my parent or guardian has signed this Waiver.

I recognize and agree that I am not allowed to participate in the activity above unless I sign this Waiver. I agree that this Waiver is binding on me and on my heirs, executors, administrators and legal representatives. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed herefrom.

MEDIA RELEASE

I further understand that capturing our moments together will advance the cause of food justice and BIPOC land sovereignty and to that end, I give Soul Fire Farm permission to take photographs of me and use those photographs online and in print media.
I agree to all provisions in the liability waiver above. *
Required
I agree to the media release statement above. *
I understand that if I do not consent to be photographed, I will need to wear a designated button/sticker and communicate directly with people taking photographs about my boundaries.
I agree to use an electronic signature in compliance with the consumer consent disclosures in the UETA and ESIGN Acts. *
My full name is... *
Your name below represents your digital signature.
Your answer
My child(rens) name(s) is/are?
Fill out only if signing on behalf of a minor.
Your answer
A copy of your responses will be emailed to the address you provided.
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