Emergency and Permission Form
Please fill out a separate emergency form for each child.
In case of an emergency we will always try to contact parents/guardians first. Should we be unable to reach you, please give us the name and phone number of one other person we should be able to reach during the hours your child is at the farm:
Please list the first and last names and phone numbers of everyone who has permission to pick up your camper, including yourself. Anyone picking up for the first time should be prepared to show a photo ID.
Under North Carolina law, there is no liability for an injury to or death of a participant in an agritourism activity conducted at this agritourism location if such injury or death results from the inherent risks of the agritourism activity. NC G.S. 99E-30-31
I certify that the above information is correct