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  • SGC Release of Liability Waiver

  •  

    Accident Waiver & Release of Liability Form
    for Sacred Garden Community Events

    (updated version as of October 20, 2022) 

    SACRED GARDEN COMMUNITY CHURCH | 3051 ADELINE STREET | BERKELEY, CA 94703

  • I HEREBY CONFIRM THAT I ASSUME ANY AND ALL RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH SGC EVENTS, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective materials, practices, equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I certify that I am physically and mentally fit, am not taking any contraindicated medications, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity. I assume full responsibility for obtaining medical clearance (if necessary) for this activity. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the meditation and / or ceremony holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity. In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: The Sacred Garden Community Church and any and all of their associates, staff, support staff, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers in both their organizational and individual capacities; (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.

    I acknowledge that Sacred Garden Community Church and any and all of their associates, staff, support staff, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I acknowledge that although Sacred Garden Community Church performs an indepth health and safety screening, the state of science and medical understanding is limited and still in its early stages. The Sacred Garden Community Church screening protocol and guidelines are based on the best current available information to which we have access. Additionally, individual responses vary widely. In other words - recommendations are not definitive. Unknown risks remain and guarantees of complete safety can not be given. I acknowledge that this activity may involve a test of a person's physical and/or mental limits and carries with it the potential for property damage or loss, persistent mental or emotional harm, serious injury, and death. The risks include, but are not limited to, those caused by physical stress, mental or emotional stress, facilities, temperature, weather, terrain, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity.

    I understand the COVID-19 virus has an incubation period during which carriers of the virus may not show symptoms yet are still highly contagious. It is impossible to determine who has COVID-19 and who does not given the current limitations and availability in COVID-19 viral testing. I understand that due to the nature of this ceremonial event, the characteristics of the virus, and the characteristics of our shared space, that I may have an elevated risk of contracting the virus. I acknowledge that there is no reasonable method to social distance at this event and have been given the opportunity to withdraw from participation at any time. I voluntarily assume any and all medical risks, including the substantial and significant risk of serious harm, if any, which may be associated with any phase of this event and as a result of the COVID-19 pandemic.

  • The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. This agreement is governed by California law, without regard to its conflicts of laws principles. Any dispute arising hereunder will be decided by the American Arbitration Association in San Francisco - unless all parties agree upon another method.

    I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTANDITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.

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    Names and signatures of family members/caretakers/individuals with power of attorney if needed

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