Form FDACS-01999 "Fdacs Teaching Garden Activity Waiver and Release of Liability" - Florida

What Is Form FDACS-01999?

This is a legal form that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2019;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FDACS-01999 by clicking the link below or browse more documents and templates provided by the Florida Department of Agriculture and Consumer Services.

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Download Form FDACS-01999 "Fdacs Teaching Garden Activity Waiver and Release of Liability" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Food, Nutrition and Wellness
FDACS TEACHING GARDEN
NICOLE “NIKKI” FRIED
ACTIVITY WAIVER AND RELEASE OF LIABILITY
COMMISSIONER
Name of Student
Name of School
I, the undersigned parent/guardian, give permission for the above-named student to consume
produce used in taste tests or activities harvested from the FDACS Teaching Garden. By signing
below, I acknowledge that the above-named student’s participation in taste tests or other activities
may involve contact with ingredients including but not limited to eggs, wheat, nuts, spices, milk
and other items. I understand that the FDACS Teaching Garden follows accepted food safety
practices, has a food safety plan to reduce the risk of foodborne illnesses and can assure that
ingredients will be free from cross-contamination. I understand that as a condition of participation,
students must not have a known allergy to any food items.
I hereby release and agree not to bring suit against the Florida Department of Agriculture and
Consumer Services or any agency, employee, agent or representative of the Florida Department
of Agriculture and Consumer Services in regard to any and all claims, liabilities, suits or expenses
(hereafter collectively “claims”), including claims caused or alleged to be caused by negligence,
for any injury, illness, medical condition, damage or other loss to me or my child in any way
connected with my child’s consumption of produce from the FDACS Teaching Garden.
I have carefully read, understand and voluntarily sign this document and acknowledge that it shall
be effective and binding upon me, my child and other family members, my heirs, executors,
representatives and estate.
Name of Parent/Guardian
Signature of Parent/Guardian
Date
FDACS-01999 Rev. 11/19
Florida Department of Agriculture and Consumer Services
Division of Food, Nutrition and Wellness
FDACS TEACHING GARDEN
NICOLE “NIKKI” FRIED
ACTIVITY WAIVER AND RELEASE OF LIABILITY
COMMISSIONER
Name of Student
Name of School
I, the undersigned parent/guardian, give permission for the above-named student to consume
produce used in taste tests or activities harvested from the FDACS Teaching Garden. By signing
below, I acknowledge that the above-named student’s participation in taste tests or other activities
may involve contact with ingredients including but not limited to eggs, wheat, nuts, spices, milk
and other items. I understand that the FDACS Teaching Garden follows accepted food safety
practices, has a food safety plan to reduce the risk of foodborne illnesses and can assure that
ingredients will be free from cross-contamination. I understand that as a condition of participation,
students must not have a known allergy to any food items.
I hereby release and agree not to bring suit against the Florida Department of Agriculture and
Consumer Services or any agency, employee, agent or representative of the Florida Department
of Agriculture and Consumer Services in regard to any and all claims, liabilities, suits or expenses
(hereafter collectively “claims”), including claims caused or alleged to be caused by negligence,
for any injury, illness, medical condition, damage or other loss to me or my child in any way
connected with my child’s consumption of produce from the FDACS Teaching Garden.
I have carefully read, understand and voluntarily sign this document and acknowledge that it shall
be effective and binding upon me, my child and other family members, my heirs, executors,
representatives and estate.
Name of Parent/Guardian
Signature of Parent/Guardian
Date
FDACS-01999 Rev. 11/19