PLEASE FILL OUT AND SUBMIT THIS FORM ALONG WITH YOUR REGISTRATION FORM
Gentle Somatic Yoga® events have been created for you to connect with yourself through movement, breath, and activities designed for personal growth and adventure. The primary goal is to provide you with an opportunity to seek a deeper understanding of Self through exploration and discovery. In doing so, we seek to offer activities and experiences that are open to most ages and abilities. However, these events may involve risks and uncertainties. For example, some may face physical/emotional challenges, extreme weather events, and even possible injury.
Thus, we require that you read and sign this waiver of liability. Your signature confirms your understanding of the potential for risks involved with your participation, and that you take ultimate responsibility for your physical and emotional well-being. We expect that if an issue arises for you during this event that you will communicate your need for assistance. From our experience with past events, most challenges or accidents can be avoided when participants stay grounded in their body and seek assistance before the issue escalates into a larger problem.
ASSUMPTION OF RISK
I acknowledge that I have voluntarily applied to participate in this Gentle Somatic Yoga event, referred to below as “this event”.
In consideration of Gentle Somatic Yoga accepting my application for participation in this event, I agree to this release of claims, waiver of liability and assumption of risks.
On behalf of myself, my heirs, executors, successors, administers and any other person who may have an interest at common law or by operation of statute, I hereby waive any and all claims I or such parties may have now or in the future. I release from liability Gentle Somatic Yoga (including James Knight, his co-facilitators, assistants, and any employee, guide, agent or representative – "the releasees") for any personal injury, death, property damage or loss of any nature suffered by me as a result of my participation in any activity related to this event. I release from liability Gentle Somatic Yoga for any cause whatsoever including those arising out of, or in any way connected to or occasioned by the negligence of the releasees.
Terrain: Natural areas, including the ocean, are subject to environmental forces that can result in obstacles and hazards. In some instances activities that contain water can be cold and/or turbulent and extended immersion can be life threatening.
Isolation: This event may be in a third world country. We may be in wilderness and natural areas that are not regularly patrolled and communication may be difficult. Rescue and medical treatment may not be available for hours or even days.
Animals: Activities in natural areas may result in encounters with wild animals and insects that could be life threatening.
Weather: Weather conditions may change rapidly and may be extreme, presenting significant challenges.
I am medically, physically, emotionally and in all respects fit and able to participate in this event. I have no medical requirement or condition except what I have outlined in the medical section of this event's Registration Form (separate copy).
I agree I will be fully and financially responsible for my own physical condition and well-being during this event. I will follow the safety precautions and instructions outlined by the facilities where we reside and/or participate in activities, and by Gentle Somatic Yoga staff and/or its hired operators.
I acknowledge that Gentle Somatic Yoga staff may make suggestions from time to time that are intended to help me and my well-being. However, I take ultimate responsibility for my choices and realize that the Gentle Somatic Yoga staff are not acting as professionally-licensed health care providers and that I am responsible for consulting with my personal medical physician or health care provider.
If I experience pain or discomfort during the event, I will communicate to the event facilitator(s) instructions to suit my individual needs. I will not hold Gentle Somatic Yoga responsible for any pain or discomfort I experience during or after the retreat. I understand that the activities offered on this retreat are not a substitute for medical care. I understand that Gentle Somatic Yoga staff are not qualified to perform spinal or skeletal adjustments, nor diagnose, prescribe, or treat physical or mental illness.
I have carefully read and understand this agreement with Gentle Somatic Yoga. I sign this waiver of my own free will.