Medical Form & Liability Waiver

In consideration of being permitted to participate in any plant medicine ceremony or related activities, I hereby agree to the following terms:

1. Acknowledgment of Risk:
   I understand that the activities involved in this program carry a significant risk of injury. While adherence to rules and personal discipline can mitigate some of these risks, the potential for serious injury, disability, or even death does exist.
   
   
2. Assumption of Risk:
   I knowingly and voluntarily assume all risks associated with my participation in this event, both known and unknown, regardless of whether such risks arise from the negligence of the "Releasees" or others. I accept full responsibility for any injury or harm that may occur.
   
   
3. Compliance with Terms:
   I agree to comply with all stated and customary terms and conditions for participation. Should I observe any unusual or significant hazards during my participation, I will immediately remove myself from the situation and bring it to the attention of the nearest event personnel.
   
   
4. Release of Liability:
   On behalf of myself, my heirs, assigns, and personal representatives, I hereby release and hold harmless the event organizers, facilitators, their officers, officials, agents, employees, other participants, and, if applicable, owners and lessors of the premises used for the event (collectively, the "Releasees") from any and all claims, demands, damages, or causes of action arising out of or related to any injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the Releasees or otherwise, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND ACKNOWLEDGE THAT I AM VOLUNTARILY WAIVING CERTAIN LEGAL RIGHTS BY SIGNING IT.