To register your child, please take the time to fill out the information below. Please fill out multiple registration forms when registering more than one child. Refresh the page for a new form. You can submit your payment in one; (i.e. select quantity 2 for 2 children) Checks can be mailed to 851 Head of Pond Road, Water Mill, NY 11976 and addressed to “Head of Pond Farm”. There are no refunds if enrollment is canceled after June 13th.
General Release/ Waiver of Liability
Please read carefully. This is an acknowledgment, waiver, and release from liability. I acknowledge that participating in the Corwith’s Farmstand Farm Camp Education Sessions ("Program") carries with it a potential for injury. I hereby assume the risks inherent in that participation by my child, or children, and by myself. I acknowledge that my statements in this waiver and release from liability are being accepted by Corwith’s Farmstand in consideration for allowing me and my child to participate in the Program and in any events or activities related thereto. I hereby take the following actions for myself, my executors, administrators, heirs, next of kin, successors, assigns, and anyone else who might claim or sue on my behalf, and I expressly acknowledge that it is my intent to take these actions: 1. I waive, release, and discharge from any and all claims losses, personal injury, property damage, medical or hospital bills, accidents, theft or damage of any kind, including economic losses, which may arise out of or relate to my or my child or children participating in the Program, anyone associated with Corwith’s Farmstand and its respective heirs, executors, administrators, legal representatives, successors, and assigns, including employees, directors, and trustees. 2. I acknowledge that there may be risks associated with participation in The Program and I hereby assume those risks. All such risks being known and appreciated by me. 3. I indemnify and hold harmless Corwith’s Farmstand from any and all claims made or liabilities assessed against them as a result of a. my actions or inactions, and b. the actions or inactions of others including those parties hereby indemnified. I hereby affirm that I am eighteen (18) years or old or older, I have read this document, and I understand its contents. I agree that my child has permission to take part in any and all activities. I agree to complete and promptly return to Corwith’s Farmstand any additional information, releases, and/or medical forms regarding my enrolled camper(s).
I agree that Corwiths Farmstand may use the camper's portrait, likeness, artwork, written work, or electronic media that he or she develops in connection with Corwiths Farmstand activities or in publicizing Corwiths Farmstand, and that, except as prohibited by law, Corwiths Farmstand may use my camper's information and records at its sole discretion. All programs are contingent on minimum enrollment. The viability of any given week will be determined by the Program Director, with 2 weeks notice given if any changes are to be made to the program.