ACCIDENT WAIVER AND RELEASE OF LIABILITY

TIDEWATER BEEKEEPERS ASSOCIATION APIARY

I acknowledge that this Accident Waiver and Release of Liability form will be used by the TIDEWATER BEEKEEPERS ASSOCIATION and that it will govern my actions and responsibilities at said events at 322 Mount Pleasant Road, Chesapeake, VA 23322.

In consideration of my application and permitting me to participate in the beekeeping programs, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns to (A) waive, release and discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me, including as to my traveling to and from this event, the following entities and persons: Tidewater Beekeepers Association and its elected and appointed officials, employees, volunteers, representatives, agents, property owners and others working or acting on behalf of the Tidewater Beekeepers Association and to the extent permitted by law (B) Indemnify and hold harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by myself or other individuals or entities as a result of or relating to my attendance at or participation in this program for the calendar year of 2023.

Authorization for Emergency Medical Treatment

In the event medical aid/treatment is required due to illness or injury during the process of participating, volunteering, or while on the property of 322 Mount Pleasant Road, Chesapeake, VA 23322, I authorize a representative of Tidewater Beekeepers Association to secure emergency medical treatment and/or transportation. Please come prepared for known medical conditions (i.e bring epi-pen, Benadryl or other medications as needed)

I hereby certify that I have read this document and understand and agree to its content. *