NaturalAnnie Essentials Sip & Pour Disclaimer
Please complete this form before your scheduled sip & pour session.
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Email *
FULL NAME *
I CONFIRM I AM 21+ *
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I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT. SIP & POUR WITH NATURALANNIE ESSENTIALS *
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I ACKNOWLEDGE THAT NATURALANNIE ESSENTIALS HAS NOT AND WILL NOT ISSUE ALCOHOL ON PREMISES. THEREFORE ALL ALCOHOL AT THIS EVENT IS BYOB. *
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I AGREE THAT I WILL NOT SERVE ALCOHOL TO ANYONE WHO IS A MINOR, WHO IS PRIOR TO THE EVENT UNDER THE INFLUENCE OF ALCOHOL, WHO IS DISORDERLY, WHO IS ADDICTED TO THE EXCESSIVE USE OF ALCOHOL, OR WHO WILL CONSUME IN ANY VEHICLE ON THE PREMISE *
I ACKNOWLEDGE THAT CONSUMING ALCOHOL IS HIGHLY ADDICTIVE, AND CAN AND WILL IMPAIR COGNITION, JUDGEMENT, VISION, MOTOR SKILLS, THE ABILITY TO SPEAK AND WILL ENHANCE AGGRESSION, AGITATION, AND PROMOTE COMPULSIVE BEHAVIOR *
I ACKNOWLEDGE THAT CONSUMING EXCESSIVE ALCOHOL CAN AND WILL LEAD TO VARIOUS HEALTH ISSUES LIKE NAUSEA, VOMITING, DROWSINESS, DIARRHEA, UPSET STOMACH, HEADACHES, AND BREATHING DIFFICULTIES *
I ACKNOWLEDGE THAT NATURALANNIE ESSENTIALS IS NOT HELD LIABLE FOR ANY PROPERTY DAMAGE, CHARGES, INJURIES, OR DEATHS THAT MAY OCCUR DUE TO THE CONSUMPTION OF ALCOHOL DURING THE SCHEDULED EVENT *
I ACKNOWLEDGE THAT NATURALANNIE ESSENTIALS AND THEIR DIRECTORS, OFFICERS, VOLUNTEERS, REPRESENTATIVES, AND AGENTS ARE NOT RESPONSIBLE FOR ERRORS, OMISSIONS, ACTS OR FAILURES TO ACT OF ANY PARTY OR ENTITY CONDUCTING A SPECIFIC ACTIVITY ON THEIR BEHALF *
I HEREBY CONSENT TO RECEIVE MEDICAL TREATMENT WHICH MAY BE DEEMED ADVISABLE IN THE EVENT OF INJURY, ACCIDENT, AND OR ILLNESS DURING THIS ACTIVITY.  THE ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM SHALL BE CONSTRUED BROADLY TO PROVIDE A RELEASE AND WAIVER TO THE MAXIMUM EXTENT PERMISSIBLE UNDER APPLICABLE LAW *
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I UNDERSTAND WHILE PARTICIPATING IN THIS ACTIVITY, I MAY BE PHOTOGRAPHED & RECORDED ON VIDEO. I AGREE TO ALLOW MY PHOTO, VIDEO, OR FILM LIKENESS TO BE USED FOR ANY SOCIAL MEDIA MARKETING, WEBSITE MARKETING, & OTHER LEGITIMATE PURPOSE BY THE ACTIVITY HOLDERS, PRODUCERS, SPONSORS, ORGANIZERS, AND ASSIGNS. *
 I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. *
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Therefore, in consideration of my application and permitting myself and party to participate in this activity, I hereby take action for myself, my group, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: NaturalAnnie Essentials and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers. (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. *
PLEASE E-SIGN YOUR NAME BELOW AND SUBMIT *
A copy of your responses will be emailed to the address you provided.
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