I confirm and agree to the following terms and conditions:
PEACEFUL REMEDIES WAIVER, RELEASE and INDEMNIFICATION FORM For myself, my executors, administrators, heirs, next of kin, successors and assigns.
Waive and release any and all claims that I may have against Peaceful Remedies, their directors, employees, staff, volunteers, agents and any one or more of them or their executors, administrators, heirs, next of kin, successors and assigns ("the releases") including any and all claims for damage caused by the negligence of any of them, arising out of my participation in any and all events, services, programs and its related activities, together with any costs including lawyers' fees that may be incurred as a result of any such claim whether valid or not.
Indemnify and hold harmless the releasees and each of them against any such claim that I or my executor, administrator, heirs, next of kin, successors and assigns may have or assert and against any costs including lawyers' fees with respect thereto.
I hereby acknowledge that participation in Peaceful Remedies events, services, programs and its related activities carries with it potential hazards. I therefore release Peaceful Remedies, their directors, employees, staff, volunteers, agents and sponsors of any liability resulting from injury or death during related activities.
I, the undersigned, hereby represent and agree for myself, my heirs, assigns, executors and administration as follows:
I am in good physical health or have received a doctor’s permission to participate in my chosen event, service, program and related activities.
I acknowledge the contagious nature of the Coronavirus/COVID-19.
I further acknowledge that Peaceful Remedies, its directors, employees, staff, volunteers, agents cannot guarantee that I will not become infected with the Coronavirus/Covid-19.
I voluntarily seek services provided by Peaceful Remedies and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending a Peaceful Remedies activity.
I hereby release and agree to hold Peaceful Remedies harmless from, and waive on behalf of myself, my heirs, assigns, executors, administration and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of Peaceful Remedies, or that may otherwise arise in any way in connection with any services received from Peaceful Remedies.
I understand that this release discharges Peaceful Remedies from any liability or claim that I, my heirs, or any personal representatives may have with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Peaceful Remedies. This liability waiver and release extends to participants and all those associated with Peaceful Remedies.
This release extends to every event, service, program, activity attended.