Peace & NatureParticipation Agreement Form
Peace & Nature (P&N) will make the utmost effort for all participants to enjoy a safe andworthwhile activity. We ask participants to read the following conditions and submit thisParticipation Agreement Form. Please understand and agree to these conditions andtake responsibility for your participation so that participants and children can all continue
to enjoy these activities together in the future.

Conditions
1. Our activities take place in nature, and we sometimes use tools. Please understandthat injuries, accidents, animal hazards, and natural disasters (lightning, heavy rain,heavy wind, etc.) may occur, and please assume responsibility for your own
participation in the unlikely event that an injury or accident should occur.

2. Parents or guardians of small children must keep an eye on their children to prevent
accidents. Please remain with your children at all times during the activity. We cannot
assume responsibility for injuries.

3. We sometimes use sharp farming tools or scissors during our activities. Family
members must watch and assist children who take part in these activities, especiallysmall children.

4. Small animals, snakes, bees, and other living things may suddenly appear during
activities in nature. Please be cautious. If you discover an animal, do not touch, andinform a nearby staff member.
(The yamakagashi [Rhabdophis tigrinus] snake is poisonous. These snakes aredifficult to identify. Do not touch any snakes.)

5. Summer activities occur in hot weather. Please take small amounts of fluid regularly
to prevent heat stroke.

6. We sometimes serve food in our workshops. Individuals (or family members) areresponsible for making decisions on food allergies and acting accordingly.

7. Staff take photos and videos during our activities, which may be posted on ourwebsite, Facebook, or print flyers. Please let us know in advance if you do not wish to
appear in these media.

8. Road is narrow, and parking spaces are limited. Please be careful to make sure thatno children are nearby when moving your car.

9. Do not eat vegetables or plants without confirming their safety.
10. You are responsible for taking care of your own belongings and valuables.
11. Please take home your own garbage.
12. All events and workshops are non-smoking.
13. Please be considerate of our neighbors and local farmers during our activities.

14. Our workshops have a limited number of participants. Please avoid cancellation if at
all possible. The cancellation fee will be 50% on the previous day and 100% on theday.

P&N hopes to continue enjoying our activities with all of you, and we need yourunderstanding and help. We encourage you to think for yourself and make an effort sothat all our members and participants can have a great time together! Thank you.

Please sign this Participation Agreement Form.
I have read and agree to the above conditions to participate in Peace & Nature events. If
I am a minor, I am signing with the agreement of my parent or guardian.

Event name
Event date
Organization
Organization
representative
Participant name
Guardian name
Address
Phone / Mobile

Email*Personal information: Peace & Nature will manage personal information received on thisform in a responsible manner, and will not provide it to a third party without the consent of theparticipant.

NPO Hojin Peace & Nature OZO base47 Hisaihara OZO-cho Kita-ku, Kobe 651-1525
Phone/fax: 078-779-7474
Email: info@peace-and-nature.com
www.peace-and-nature.com