WAIVER, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
*Completion of this form by the Participant is mandatory for each session*
BROWN AND BROWN FARMS, LLC, a Florida limited liability company (hereinafter
referred to as “BROWN & BROWN FARMS”), is a farming operation offering fresh quality
produce, farm goods, seasonal festivals, agritourism, and family friendly activities including
barnyard basketball, slides, barrel cart rides, swings, jumping pillows, wall climbing, and other
similar activities (the “ACTIVITIES”) to its customers participating in the ACTIVITIES or
customers accompanying those engaged in the ACTIVITIES (the “PARTICIPANTS”) at its
facilitates located at 13992 N. US 301, Oxford, Florida 34484 (the “FARM”). 13441 N. US 301
PROPERTY HOLDINGS, LLC, a Florida limited liability company (hereinafter referred to as
“13441 N. US 301”) is the owner of the FARM.
The PARTICIPANT acknowledges and fully understands: (1) the inherent danger of the
ACTIVITIES; (2) that participating in or observing the ACTIVITIES may result in injury or illness
including, but not limited to bodily injury, strains, factures, death or other ailments that could
cause serious disability and the PARTICIPANT is not relying on BROWN & BROWN FARMS
and/or 13441 N. US 301 to list all of the potential associated risks; (3) the risk for injury may be
caused by the negligence of the PARTICIPANT, other participants at the FARM, BROWN &
BROWN FARMS, 13441 N. US 301, or employees of either BROWN & BROWN FARMS and/or
13441 N. US 301; (4) the risk of transmission/contraction of illness or other harms involved in
participating in group activities (including, but not limited to transmission of infectious diseases
or viruses, including COVID-19 or similar contagious illness); and (5) the PARTICIPANT
understands the potential impacts of the risks on his/her well-being and mental health.
The PARTICIPANT hereby asserts that participation is voluntary and that PARTICIPANT
knowingly assumes all inherent risks and incidental risks which may occur at the FARM,
including but not limited to injury as a result of slip and falls, both known and unknown, while
on the FARM.
IN CONSIDERATION for permission to participate in the ACTIVITIES on the FARM,
the PARTICIPANT on behalf of himself/herself, and their spouse, heirs, personal representatives,
assigns, or others making a claim on behalf of the PARTICIPANT, does hereby voluntarily
release, waive, discharge, and covenant not to sue BROWN & BROWN FARMS and/or 13441 N.
US 301, or either company’s owners, directors, officers, employees, members, lessors, lessees,
volunteers, independent contractors, equipment providers, and agents (hereafter referred to,
collectively, as “PROTECTED PARTIES”) from liability from any and all claims or demands
thereof arising on account of bodily injury, illness (including, but not limited to
transmission/contraction of contagious infectious diseases or viruses, including COVID-19),
property damage, wrongful death, loss of services or the negligence of any of the PROTECTED
PARTIES.
Electronic signature, whether digital or encrypted, are intended to authenticate this Agreement
and to have the same force and effect as manual signatures.
IN SIGNING THIS AGREEMENT, I HAVE CAREFULLY READ IT AND UNDERSTAND
THAT THE TERMS HEREOF SERVE AS A RELEASE, WAIVER AND ASSUMPTION OF
RISK, AND THAT, BEING AT LEAST 18 YEARS OF AGE AND FULLY COMPETENT, SIGN
IT VOLUNTARILY AND INTELLIGENTLY AND FOR ADEQUATE CONSIDERATION
INTENDING TO BE FULLY BOUND.
I UNDERSTAND THAT THE PROTECTED PARTIES ARE RELYING UPON MY
WARRANTIES, INDEMNIFICATION, WAIVER AND RELEASE, WHEN ACCEPTING MY
PARTICIPATION IN THE ACTIVITIES.
I UNDERSTAND THAT BY SIGNING THIS DOCUMENT I GIVE UP SUBSTANTIAL
LEGAL RIGHTS I WOULD OTHERWISE HAVE.
PARENT OR GUARDIANS FOR MINORS (UNDER 18 YEARS OF AGE)
The undersigned parent and/or natural guardian or legal guardian does hereby represent that
he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify
each and all of the parties referred to above from all liability, loss, cost, claim or damage
whatsoever which may be imposed upon said parties because of any defect in or lack of such
capacity to so act and release said parties on behalf of the minor(s) and the parent or legal
guardian.