NADM FARMS facility Waiver

NADM Farms, Inc. d/b/a NADM Farms K-9 Performance Events

 

AGREEMENT

I (we) certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner whose name I have entered above.  I (we) agree to abide by the rules and regulations of NADM Farms, Inc.  d/b/a NADM Farms K-9 Performance Events in effect during the use of this Facility.  I further agree to be bound by the liability waiver as part of the use of this facility.  I (we) certify and represent that the dog(s) brought upon these premises is/are not a hazard (dog or human aggressive) to persons or other dogs.

MEDIA RELEASE FORM

I hereby authorize NADM Farms, Inc., d/b/a NADM Farms K-9 Performance Events, appointed videographer and/or photographer to use, reproduce, and/or publish video and/or photographs that may pertain to me, including my image, likeness and/or voice without compensation.  I understand that this material may be used in various publications, public affairs releases, recruitment materials, the NADM Farms, Inc. and NADM Farms K-9 Performance Events website, facebook page or other related endeavors.  This authorization is continuous and may only be withdrawn by my specific rescission of this authorization.  Consequently, NADM Farms, Inc. d/b/a NADM Farms K-9 Performance Events may publish materials, use my name, photograph and/or make reference to me in any manner that the Corporation deems appropriate in order to promote/publicize service opportunities.

 

LIABILITY WAIVER

I (we) agree that NADM Farms, Inc., d/b/a NADM Farms K-9 Performance Events, has the right to refuse the use of the facility. NADM Farms, Inc., d/b/a NADM Farms K-9 Performance Events, directors, or employees  and/or lessor of the premises and any provider of services that are necessary and any employees or volunteers of the aforementioned parties shall be held harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to any person or thing by the act of this dog while in or about the premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we) further agree to hold the aforementioned parties harmless from any claim for loss, injury, or damage to this dog.  Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and hold the aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries, including death at any time resulting therefrom, sustained by any person or persons, including myself (ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation in any event, training, or recreational activity taking place on the premises, however such injuries, death or property damage may be caused, and whether or not the same may have been caused or may be alleged to have been caused by the negligence of the aforementioned parties or any of their employees, agents, or any other persons.

 

Print Name of owner or owner’s duly authorized agent:

______________________________________________

 

Signature of owner or the owner’s duly authorized agent:

___________________________________________________________Date_______________

 

Parent or Guardian Signature if participant is under 18 years of age:

___________________________________________________________Date_______________