I, (print name) ______________________________________________, hereby agree to the following:
- That I am participating in an at-home retreat offered by The Well Writing Retreats, during which I will receive information and instruction about yoga, mindfulness and meditation and I may go on walks or pursue other self-directed physical activity. I recognise that some of these activities require physical exertion that may be strenuous and may cause physical injury, 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 the 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 activities.
- I will inform The Well Writing Retreats in email of any health related issues I have that may affect me whilst participating in the Retreat.
- 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 and will alert all teachers whose sessions I participate in that I am pregnant.
- 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 any or all activities done with the The Well Writing Retreats group, or as an individual.
- In further consideration of being permitted to participate in the Retreat, I knowingly, voluntarily and expressly waive any claim I may have against The Well Writing Retreats and contracted facilitators for injury or damages that I may sustain as a result of participating in the retreat. I, my heirs and legal representatives forever release, waive, discharge and covenant not to sue The Well Writing Retreats and asosciated facilitators for any injury or damages sustained during the Retreat.
I have read the above release and waiver of liability and fully understand its contents.
I acknowledge that I have had ample opportunity before signing this Form to get independent legal advice about it.
Signature of Participant Date