ACCIDENT WAIVER AND RELEASE OF LIABILITY AWAKEN YOUR SOUL RETREAT
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN
ANY/ALL ACTIVITIES ASSOCIATED WITH THE AWAKEN YOUR SOUL RETREAT.
I accept personal responsibility for any liability, injury, loss, or damage in any way connected with my participation in the Event, and acknowledge that this is not an Assisi Institute Event.
I certify that there are no health-related reasons or problems which preclude my participation in this event.
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders and organizers of the event in which I am participating, and that it will govern my actions and responsibilities at said event.
In consideration of my application and permitting me to participate in this event, 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: Maureen Law, Dana Gamache, and/or their volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers.
(B) I 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 event, whether caused by the negligence of release or otherwise.
(C) I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THIS EVENT. I understand that my participation in the event may involve risk of injury and loss, both to person and to property. I understand that I should leave all valuable items at home.
(D) As part of this agreement, I acknowledge and agree that the facility is a non-smoking facility and that burning candles or incense in the rooms or within the premises is strictly prohibited. I understand that failure to comply with this policy may result in additional charges, penalties, and liability for any damages caused.
I understand that this Agreement is intended to address all the risks of any kind associated with my participation in any aspect of the Event, including, particularly, such risks, if any, created by actions, inactions, or negligence on the part of Maureen Law and Dana Gamache, or their volunteers, including, but not limited to, risks created by the following: those caused by weather, condition of participants, equipment, 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 CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. I CERTIFY THAT I AM ABOVE 18-YEARS-OLD AND AM AUTHORIZED TO SIGN THIS DOCUMENT.
AND,
I authorize Maureen Law and Dana Gamache’s assigns, and designees to record my name, likeness, image, voice, and performance on film, tape, or otherwise (the "Recording"), and edit such Recording as they may desire.