Release Of Liability Form (Legal Waiver)
Dear All
I much look forward to seeing you all at Upper Weston. This is a working farm with eco-pool, jumping board, slide, sauna, hot tub with a wood and large vegetable garden. We also have pigs, horses, dogs, chickens, bantams (and one cockerel is very cheeky) and ducks. I do my best to make it safe for all but everyone must be responsible for their own safety. To this end I would be most grateful if you would sign the disclaimer below. Apologies for this unexciting health and safety stuff.
Assume responsibility all of the risks of participating in any/all activities being conducted by Dr Sarah Myhill at Upper Weston Llangunllo Knighton Powys LD7 1SL & The College of Naturopathic Medicine at Unit 1, Bulrushes Farm, Coombe Hill Road, East Grinstead, West Sussex, RH194LZ including, but not limited to, any risks arising from negligence or carelessness on the part of the persons or entities being released, from dangerous or faulty equipment or property owned, maintained, or controlled by them, or from their potential liability without fault.
I certify that I am physically healthy, that I have adequately prepared or trained for participation in this activity, and that I have not been told by a competent medical expert not to participate. I confirm that there are no medical reasons or difficulties that prevent me from participating in this activity.
I understand that the terms of this Release of Liability Form will govern my conduct and duties during said activity.
In consideration of your acceptance of my application and permission to engage in this activity, I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors, and assign as follows:
- I waive, release, and discharge Dr Sarah Myhill & The College of Naturopathic Medicine and/or their directors, officers, employees, volunteers, representatives, and agents, as well as the activity host, from any and all liability, including but not limited to liability arising from the negligence or fault of the entities or persons released, for my, property damage, property theft, disability, personal injury, loss of life or actions of any kind which may hereafter occur to me, including my travel to and from this activity.
- The dangers include, but are not limited to, those caused by terrain, facilities, animals, temperature, weather, participant condition, equipment, motor traffic, lack of hydration, and the acts of others, including, but not limited to, participants, volunteers, monitors, and/or activity producers. These dangers are not only there for participants, but also for any volunteers.
- Indemnify, hold harmless, and agree not to sue the entities or people mentioned in this waiver for any and all liabilities or claims arising from participation in this activity, whether caused by the release’s carelessness or otherwise.
I understand that Dr Sarah Myhill & The College of Naturopathic Medicine and its directors, officers, volunteers, representatives, and agents are not liable for the errors, omissions, actions, or failures to act by any party or entity doing a specified activity on their behalf.
I hereby consent to any medical care that may be judged necessary in the case of an injury, accident, or sickness while participating in this activity.
The Release of Liability Form should be interpreted broadly to give a release and waiver to the greatest extent permitted by applicable law.
I declare that I have read and fully understand the contents of this document. I am aware that this is a release of liability and a contract, and I sign it of my own free will.
RELEASEE 1
Name: Sarah Myhill
Title: Doctor
Address: Upper Weston, Llangunllo, Knighton Powys LD7 1SL
Signature: S. Myhill.
RELEASEE 2
Name: Nicole Jackson
Title: Director.
Address:CNM
Unit 1, Bulrushes Farm
Coombe Hill Road, East Grinstead
West Sussex, RH194LZ
United Kingdom
Signature: N. Jackson.



