Participation Waiver And Release Form
  • Participation Waiver And Release Form

  •  - -
  • Acknowledgment and Assumption of Risk
    I understand that my participation in this retreat may involve physical, emotional, and environmental activities, which could carry inherent risks. These may include, but are not limited to: exposure to natural elements, movement-based practices, group experiences, outdoor terrain, uneven ground, and travel to and from the retreat site.


    I acknowledge that participation is entirely voluntary, and I assume full responsibility for any injury or harm that may result from my preparation for, travel to or from, or participation in the retreat.


    Release of Liability
    In consideration of being permitted to participate in this retreat, I, the undersigned, hereby release and hold harmless the following parties:

    • Nicole Alcyon
    • Triniti Healing
    • All those associated with Wooden Bridge Retreat and Community Center
    • Any volunteers, facilitators, or affiliated agents     

    from any and all liability, claims, demands, causes of action, or damages arising out of or relating to my participation in the retreat, including any injury, illness, loss, or property damage, whether caused by negligence or otherwise.

    This waiver includes all aspects of the retreat experience—before, during, and after the event—including travel, accommodations, preparation, and post-retreat activities.


    Health and Responsibility
    I affirm that I am physically, mentally, and emotionally capable of participating in this retreat. I am responsible for my own health and safety throughout the experience and will communicate any relevant needs or limitations in advance.
    I understand that I am responsible for my transportation to and from the retreat site, including navigating rural or rough terrain.

     

    Signature & Acknowledgment
    By submitting this form, I confirm that I have read, understood, and voluntarily agree to the terms of this waiver and release of liability.

     

  •           
    Enter your Emergency Contact Name & Phone Number

  • Powered by Jotform SignClear
  •  - -
  • Should be Empty: