Allergies? (medication, foods, etc.)  Yes    No     We will be trying goat's; milk, ice cream, and cheese, chicken eggs or duck eggs, and ostrich peperoni.

Is your child currently on any medication that needs to be taken during camp, including EpiPen or inhalers? Yes      No

If yes, written permission from a parent or guardian will be necessary to accompany the medication and the medications must be self-administered. 

My child may be given non-prescribed medication as indicated on the container, including sunscreen (please pack their own if they have sensitive skin), anti-bacterial first aid cream, insect sting/bite cream.  Yes    No

Emergency Release: Parent/Guardian Signature I give permission, in the event of an emergency, for first aid to be administered to my child and emergency medical treatment including transportation by ambulance to the nearest hospital, should it be necessary. I understand that every effort will be made to contact me.

Being a functioning farm, we do have live animals, equipment, and tools. Although we take precautions and much care, accidents could occur. I am aware of this and assume the risk. 

ORS 30.677 Notice

Under Oregon law, there is no liability for an injury to or the death of a participant in an agri-tourism activity conducted at this agri-tourism location if the injury or death results from the inherent risks of the agri-tourism activity. Inherent risks of agri-tourism activities are risks of injury inherent to land, equipment and animals, as well as the potential for you to act in a negligent manner that may contribute to your injury or death. You are assuming the risk of participating in this agri-tourism activity.