School or Organization Name:____________________________________
Address
of Above: -- Street________________________________
City____________________ ZIP____________
Contact
Persons Name: __________________________________
Contact
Persons Phone -- Work_____________________
Home or Cell ______________
Fax______________________(Must
Have!)
Email: _____________________
Grade or
Age Level of Group: _______________
TOTAL
Number of Classes: _________________
TOTAL
Number in Party: ___________________ (this includes teachers, students,
adults, EVERYONE
in your party)
Desired
Date of Visit: 1st choice: ____________ 2nd _______________
3rd: _________________
Place a
X in the appropriate space below:
___Package 1 - $9.00 per
person (includes all activities)
___Package 2 - $7.00 per
person (includes hayride, pie pumpkin and Barnyard Buddies - visit
only)
___Package 3 - $4.00 per
person (includes hayride only)
Please NOTE: Everyone in
your group must use the same Activity!!
The following complies with liability
requirements listed. Additional cautions are listed under “Making the Most of
Your Visit”, which we urge you to review. Signature is
REQUIRED in the space provided.
Signature_________________________
Print Signature_________________________
Date______________
Act No. 236, June 23, 2010
Amends Title 46 of the 1976
code, relating to Agriculture, by adding Chapter 53, so as to provide that an
agritourism professional is not liable for an injury to or death of a
participant resulting from an inherent risk of an agritourism activity or loss
or damages to the participant resulting there from, under certain conditions,
to provide for the extent of the liability provided and the defenses which may
be pled, to provide that an agritourism professional must post a warning
notice where the agritourism activities are conducted, to provide that warning
notices must be included in contracts the agritourism professionals enters
into with participants, and to provide that the agritourism professional’s
liability is not limited if the proper warning notices are not provided to
participants or warning signs posted.