Agreement of Release and Waiver of Liability
I hereby agree to the following:
- I am participating in the Return to Balance and Self Retreat offered by Dr. Julie Hutsell-Starling/Beacon of Light Spiritual Community, and Amanda Todd, Ph.D., LLC/dba Sacred Way Ceremonies during which I will partake in yoga, qigong, nature walking/hiking and other physical activities. I recognize that yoga and activities within the retreat require physical exertion that may be strenuous and may cause physical injury to myself and others, and I am fully aware of the risks and hazards involved.
- I understand that it is my responsibility to consult with a physician prior to and regarding my participation in this Retreat. I represent and warrant that I am physically fit and I have no medical conditions that would prevent my full participation in the Retreat and activities related.
- I understand that if I am pregnant, I will take necessary steps to ensure my doctor and health care providers know I am participating in this Retreat. I assert that I am of fit health to participate in the Retreat.
- I acknowledge that the risks associated with the practice of yoga and excursions are increased when impaired or under the influence of medication, prescription or otherwise, and I hereby agree not to participate if I am impaired in any way.
- In consideration of being permitted to participate in the Retreat, I agree to assume full
responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the retreat, including any and all activities done with the Return to Balance and Self Retreat group, or as an individual at the rented VRBO retreat house. - I acknowledge that Dr. Julie Hutsell-Starling, Beacon of Light Spiritual Community, Amanda Todd, Ph.D., LLC/dba Sacred Way Ceremonies and its respective employees, agents, directors and officers, helpers and assistants and each of them and their respective insurers, heirs, successors, assigns, administrators and executors (the “Releasees”) are not responsible for any loss, damage, personal injury or death to me arising from my participating in or merely attending the Return to Balance Retreat for any reason whatsoever, including without limitation, negligence on the part of the Releasees or any of them.
- I hereby remise, release, discharge, waive, indemnify and save harmless the Releasees and each of them from any and all liability, costs (including without limitation, legal costs), claims, demands, damages, actions and causes of action at law and/or equity arising as a result of any loss, damage, personal injury or death suffered by me or any third party as a
result, directly or indirectly, of my participating in, and/or merely attending the Soul Magic Retreat for any reason whatsoever, including without limitation, negligence or partial negligence on the part of the Releasees of any of them.
I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree and confirm being invited to consult legal counsel before signing below.