Event Liability Waiver
For the Cinch India Retreat. Please complete all required details and acknowledgments before participating in the event.
Participant Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact and Health Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dietary Requirements / Food Intolerances / Allergies
Pre-existing Medical Conditions or Limitations
Required Legal Confirmations and Consents
Confirmation of Age 18+ and Capacity to Enter This Agreement
*
I confirm that I am 18 years of age or older and legally able to enter into this agreement.
Consent to Use of Content (Photos, Video, Audio and Event Media)
*
I consent to the use, reproduction, and publication of any audio recordings, video, digital images, photography, behind-the-scenes footage, and other content captured or provided at the event.
Acceptance of Behaviour and Conduct Requirements
*
I agree to follow all event rules, safety instructions, and conduct requirements set by the organizers.
Assumption of Risk and Release of Liability
*
I understand and accept the inherent risks of participation and release the organizers, venue, and related parties from liability to the fullest extent permitted by law.
Indemnity and Limitation of Liability
*
I agree to indemnify the organizers and accept any limitation of liability described in this agreement.
Acknowledgment of Refund Policy
*
I acknowledge that I have read and accept the refund policy for this event.
Acknowledgment of Governing Law and Jurisdiction
*
I acknowledge that this agreement is governed by the law and jurisdiction stated by the organizers.
By checking this, I agree to the Terms and Conditions
*
I agree
Terms and Conditions
Signature and Date
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: