The Gardens of Dorset and Thames Valley with Jane Pepper
June 8 - 18, 2008

Please PRINT OUT and mail this completed form to: Betsie Blodgett, PHS, 100 N. 20th Street, Philadelphia, PA 19103-1495

I/we, the undersigned member(s)/guests(s) of the Pennsylvania Horticultural Society, do desire and intend to participate in one of more trips and/or events as the Pennsylvania Horticultural Society may, from time to time, arrange for members and/or guests.

I/we hereby authorize the Pennsylvania Horticultural Society, and such officers, employees and agents thereof as may be appropriate, (a) to enter into and execute such arrangements, applications and contacts for the charter of buses, vans, automobiles, boats and other means of transportation as may, in their opinion, be required in connection with such trips and/or events, and (b) to make such arrangements or decisions as may be required or deemed appropriate by the Pennsylvania Horticultural Society or any of them in connection with such charters and such trips and/or events.

In consideration of my/our agreement to participate in such trips and/or events and undertaking of such arrangements on my behalf, I/we hereby release and discharge the Pennsylvania Horticultural Society and each of its directors, officers, employees and agents from all suits, causes, claims of any kind that might arise as a result of or in the course of or in connection with any such trip and/or events, such and charters or arrangements. I/we understand, of course, that this agreement will in no way effect any liability that may arise on the part of any third party.

This release and discharge shall remain in effect until revoked by me/us in writing.

Please sign and date this Waiver and Release Form. Upon registration for this trip, PHS will send you a separate form from the Pasadena Tournament of Roses (TOR). Receipt of a completed TOR waiver from each guest is a condition of travel.