Wagon/Pumpkin Train Wagon Ride & Pumpkin Train Tickets Name(Required) First Last Email(Required) Purchase Tickets InstructionsPlease enter the quantity/total number of tickets you want to purchase. Make sure that your total is correct before making the purchase.Hayride Tickets Quantity Price: $11.00 Quantity Enter quantity of tickets, not the price.Pumpkin Train Quantity Price: $7.00 Quantity Enter quantity of tickets, not the price.Total Verify if your total is correct(Required) Yes This must be checked to verify your total is correct before purchase.Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit Card Cardholder Name Card Details Consent(Required) I agree to the WAIVER.Please read the terms and conditions of this WAIVER, agreement to this WAIVER is required for access to Johnson Vegetable Farms and permission to enter can be revoked for any reason I agree to the terms of this posted WAIVER I, hereby knowingly and voluntarily agree to act as the representative for my party and to agree to the following Waiver of Liability, Assumption of Risk and Indemnity Agreement (“Agreement”) with Estate of Walter Johnson D.B.A. Johnson Vegetable Farms (“Company”), as a condition for allowing me and my party to be present on the Premises and participate in all or any of the activities offered by Company which may include but are not limited to, pumpkin patch, hayride/wagon ride, obstacle maze, dining, or other special events or activities (the “Activities”) located on the Company’s premises located generally at 89733 Armitage Rd. Eugene, OR 97408 (the “Premises”). I acknowledge that there are known, unknown, or unanticipated risks involved in my presence as well as the people within my party on Premises and participating in the Activities, and I hereby assume all risk of injury, harm, damage or death in connection with participation in the Activities. I willingly assume the risks associated with participation and accept that there are also risks that may arise due to other participants. I agree that I shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions as conditions for participation in any activity offered by the Company. It is my responsibility to notify the Company of any medical concerns that may impact my well-being and my party’s well-being during the Activities. I agree that the Company shall not be liable in any way for damages, injuries, sickness or loss to any person or property as a result of my participation and my party’s participation in the Activities. To the fullest extent permitted by law, I agree to release, indemnify, defend and hold Company, its officers, directors, owners, affiliates, successors, assigns and subsidiaries harmless from any loss, expense, liability, claim or injury, including but not limited to attorney’s fees, arising out of my participation and my party’s participation in activities and classes offered by Company. This release, indemnification, defense and hold harmless obligations shall apply regardless of whether said accident, loss, liability, expense, claim or injury is the result of negligence, recklessness, or otherwise, to the fullest extent permitted by law. I understand and agree I will be held financially responsible for all damages to property and equipment resulting from my participation and my party’s participation in the above, and I knowingly and voluntarily agree to assume such responsibility as a condition to participating in the Activities. I acknowledge that I have read the posted WAIVER thoroughly and in its entirety and fully understand that it is a release of liability, and I hereby execute this agreement without coercion. By signing this Agreement, I am waiving any right I have to bring a legal action or claim of any kind against the Company, its officers, directors, owners, affiliates, successors, assigns and subsidiaries as a result of participation of any program through Company. I understand that participation in Company’s Activities and execution of this form constitutes consent for Company to use any film, video, or likeness of participants for any purpose whatsoever, without payment to the participant. I expressly agree that this Agreement is intended to be as broad and inclusive as permitted by the laws of the State of Nebraska and that the Agreement shall be governed by, and interpreted in accordance with, the laws of the State of Nebraska. Any claim or cause of action arising under this Agreement may be brought only in the federal and state courts located in Nebraska, and I hereby consent to the exclusive jurisdiction of such courts. The invalidity or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision of this Agreement, which shall remain in full force and effect. BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS AGREEMENT AND THAT IT APPLIES TO ME, MY CHILDREN, MINOR GUESTS, AND ANYONE ELSE INVOLVED IN MY PARTY. I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANY.