October 9, 2026 | Hazel In Bloom Flower Farm | 860 Hartman Station Road, Lancaster, PA

AGREEMENT AND WARNING: I understand and acknowledge that, except for limited circumstances listed below, an agritourism activity provider is not liable for any injury to or death of a participant resulting from an agritourism activity. I understand that I have accepted all risk of injury, death, property damage and other loss that may result from an agritourism activity. I understand that an agritourism activity provider is not protected from liability if the provider:

(1) Performs an act in a grossly negligent manner and causes injury or damages to a participant.

(2) Purposefully causes a participant’s injury

(3) Acts or fails to act in a way that constitutes criminal conduct.

(4) Recklessly fails to warn or guard against a dangerous condition that causes injury or damages to a participant. A dangerous condition is a condition that creates an imminent and substantial risk of injury or damages to a participant.

I understand that Remember & Bloom takes place on an active agricultural property and includes farm-related activities and equipment, including walking through flower-growing areas and participating in U-pick flower harvesting. I voluntarily choose to participate in these activities and agree to follow event rules, posted warnings and instructions provided by the event staff.

Please review the complete agreement above before acknowledging and signing below

Participant Acknowledgement & Signature