By checking this box I acknowledge that injuries and accidents may occur during my activities or the activities of a minor I am responsible for at 21 Acres. I release and discharge, and hold harmless and indemnify, 21 Acres and its directors, officers, employees, and volunteers from any and all claims, damages, losses and lawsuits, including attorney fees, by or to myself or any minors for whom I am responsible, regardless of any party’s negligence or lack thereof, arising out of my activities or the acts or omissions of any minors for whom I am responsible.

I give permission for representatives of 21 Acres to provide or arrange emergency medical care for me or any minors for whom I am responsible, and to arrange for transport to an emergency center for treatment. I consent to medical treatment deemed immediately necessary or advisable by a physician if I am unable to act on my own behalf. I further understand that 21 Acres is not responsible for payment for such medical treatment. If I or a minor for whom I am responsible is injured, I will notify 21 Acres personnel and fill out an accident/injury report.

I agree that 21 Acres is not responsible for personal property lost, damaged or stolen while participating in activities with or at 21 Acres.