In consideration for receiving permission to BE ON PREMISES at THE SACRED HOUSE OF EDEN, I hereby acknowledge and agree to the following:1. I understand the hazards of the novel coronavirus (“COVID-19”) and am familiar with the Centers for Disease Control and Prevention (“CDC”) guidelines regarding COVID-19. I acknowledge and understand that the circumstances regarding COVID-19 are changing from day to day and that, accordingly, the CDC guidelines are regularly modified and updated and I accept full responsibility for familiarizing myself with the most recent updates.2. I attest that I am not within any of these high-risk categories:• 65 years or older• Living in a nursing home or long-term care facility• People of all ages with underlying medical conditions including: People with chronic lung disease or moderate to severe asthma• People who have serious heart conditions• People who are immunocompromised - Many conditions can cause a person to be immunocompromised, including cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV or AIDS, and prolonged use of corticosteroids and other immune weakening medications• People with severe obesity (body mass index [BMI] of 40 or higher)• People with diabetes• People with chronic kidney disease undergoing dialysis• People with liver disease3. Notwithstanding the risks associated with COVID-19, which I readily acknowledge, I hereby willingly choose to participate in Retreat Activities and agree to follow the guidelines from The Sacred House of Eden.4. I acknowledge and fully assume the risk of illness or death related to COVID-19 arising from my being on the premises and participating in the Retreat Activities and hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Stefanie Bernritter (AKA: Dr. Stefanie Kleine), Douglas Miller, The Sacred House of Eden, LLC, their owners, officers, directors, agents, employees and assigns (the “RELEASEES”) from any liability related to COVID-19 which might occur as a result my being on the premises and participating in the Retreat Activities.5. I shall indemnify, defend and hold harmless the RELEASEES from and against any and all claims, demands, suits, judgments, losses or expenses of any nature whatsoever (including, without limitation, attorneys’ fees, costs and disbursements, whether of in-house or outside counsel and whether or not an action is brought, on appeal or otherwise), arising from or out of, or relating to, directly or indirectly, the infection of COVID-19 or any other illness or injury.6. It is my express intent that this Waiver and Hold Harmless Agreement shall bind any assigns and representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. This Agreement and the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of Colorado. I HEREBY KNOWINGLY AND VOLUNTARILY WAIVE ANY RIGHT TO A JURY TRIAL OF ANY DISPUTE ARISING IN CONNECTION WITH THIS AGREEMENT. I ACKNOWLEDGE THAT THIS WAIVER WAS EXPRESSLY NEGOTIATED AND IS A MATERIAL INDUCEMENT THE PERMISSION GRANTED BY RELEASEES TO BE ON PREMISES AND PARTICIPATE IN THE ACTIVITIES.IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT I have read the foregoing Waiver of Liability and Hold Harmless Agreement, understand it and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.
By signing this form, I First Name Last Name confirm to The Sacred House of Eden (FKA: Eden Experiences) that I am blank* years old, and that I am physically capable of participating in the experiences provided by The Sacred House of Eden (FKA: Eden Experiences). I understand and agree that it is my sole responsibility to consult a physician or other qualified health care provider with regard to my ability to participate in this experience. I further understand that my participation in the experience and all activities during the experience are at my own risk and responsibility.