• Liability Waiver

    Kelly Minor, Ph.D.
  • Purpose

    This form describes some of the risks associated with attending an event at my home. It provides you an opportunity to consider those risks before registering for the event. Once signed, it effectively shifts responsibility for injuries from me (referred to below as the Company) to you (referred to below as the undersigned). The purpose of this legal contract is to prevent any visitor from opening a lawsuit against me in the event of foreseeable or unforeseeable personal injury, damage, or loss. It applies to the following services: Daylong Workshop, Weekend Retreat, and Private Retreat.

    Foreseeable Risks: General Information

    In person events take place on a small hobby farm populated with flowers, grasses, vegetables, and trees (including oak, cedar, olive, and fruit). Chickens, cats, and dogs reside on the property, however, they may not be present during your visit. The uneven terrain is covered with wood chips (as a fire retardant) and divets (as a result of foraging chickens). For these reasons, it is advised that you wear closed-toe shoes if you intend to wander the property (as well as long pants if you plan to hike).

  • Liability Waiver

    This Liability Waiver (the "Waiver") is made by the undersigned for the purpose of utilizing the facilities and premises managed by Kelly Minor, Ph.D., Psychologist Inc. (the "Company"), with the location at 211 Kilkare Road, California, 94586, and in the acknowledgment that in the utilization of the premises and facilities of the Company, occupies risk of personal injury that may arise or happen at any time. In consideration of the Company allowing the undersigned to make use of the venue and its facilities and equipment for the relevant purpose by which the Company allows, the undersigned agrees to assume the foreseeable and unforeseeable risk of personal injuries related to the activity, and agrees to release, discharge, and hold harmless the Company, its owner(s) and employees free from any and all liabilities, claims, cause of action, damages, or losses, which may be incurred by the undersigned in using said premises and its equipment and/or facilities, and which may arise from any reason whatsoever, specifically including, but not limited to, any negligence on the part of the owners, its employees, or losses arising from theft or for any other reason whatsoever. This Waiver shall be binding upon the parties, their respective heirs, representatives, successors, and assigns. In case any part of this Waiver be construed as improper or invalid, such invalidity will affect only that part of this Waiver and the rest shall remain valid and enforceable. Any alteration, modification, or amendment to this Waiver shall not be considered as valid unless otherwise written and signed by the undersigned herein.

  • By my signature below, I indicate that I have read carefully and understand the Liability Waiver Form and that I agree to the terms and conditions stated above.

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