Organic Farm Stay Activity Consent Form

Participant Information

Full Name Date of Birth Address Contact Number Email Emergency Contact Name Emergency Contact Number

Medical Information

Relevant Medical Conditions, Allergies, or Dietary Restrictions Current Medication (if any)

Activities

Please select the activities you will participate in:

Consent & Acknowledgement

I acknowledge that participating in farm activities may involve certain risks, including but not limited to physical injury and exposure to animals or equipment. I understand and accept these risks and agree to follow all safety instructions provided.