Sacred Earth Healing Arts
Barefoot hiking/Nature Meditation Liability Waiver and Release Form
I do hereby affirm and acknowledge that I have been fully informed of the inherent hazards and risks associated with hiking, transportation of equipment related to the activities, and travelling to and from activity sites, in which I am about to engage in.
I, the undersigned, in exchange for being permitted to participate in barefoot hiking activities, or guided outdoor nature meditations and classes, led by Sacred Earth Healing arts, LLC(the “Organization), I hereby represent and agree to the following:
I acknowledge that outdoor activities in natural areas may expose me to known and unanticipated risks that could result in potential injury or illness to myself, my property, or a third party. These risks may include exposure to heat, wind, rain, insect bites, slippery or uneven terrain, wild animals, hazardous plants or my own physical condition. I understand that these risks cannot be eliminated without jeopardizing the essential qualities of barefoot hiking and nature meditation experience. I accept and assume all risks existing in this activity listed above but not limited to. My participation in these activity is pure voluntary and I elect to participate in spite of the risks.
I am in good health and physical condition to participate in the activity. If I have a medical condition or health concern that I think the Organization should be aware of, I will verbally inform them before the activity begins.
I am solely responsible for my own well-being and safety at all times during the activity. I understand that at any time I may opt to not participate in any part of the activity should I feel it is unsafe or simply that I do not want to participate or any other reason.
I have provided the Organization with complete and accurate information of myself, my contact information and my emergency contact information. In the event of my illness or injury, I grant the Organization the full authority to take whatever action it deems warranted under the circumstances regarding my health or safety in connection with my anticipation in the activity, to include rendering first aid, medication, or medical treatment. This authority shall permit the Organization to contact emergency personnel at it’s discretion for medical services and treatment at my sole expense.
I acknowledge and agree that the Organization is not responsible for lost, stolen or damaged personal property. I further acknowledge that I should keep any valuables with me at all time while participating in the activity. I agree that I assume full responsibility for my own property.
I grant and convey to the Organization all rights, title and interest in any and all photographic images and video or audio recording made by the Organization during the activity, to include any royalties, proceeds or other benefits derived from such photographs and recordings. This includes digital images, which may be posted to the Organizations website, social media page or on it’s promotional materials.
Following the pronouncements above I hereby declare:
I am fully and personally responsible for my own safety and actions while and during my participation in the activity and I recognize that I may be at risks for injury or illness to myself and others while participating in the activity. With full knowledge of the risks involved, on behalf of myself, my heirs, personal representatives and assigns, I hereby release, waive, discharge the Organization, it’s members managers, officers, independent contractors, affiliates, employees, representatives, successors and assigns from any and all liabilities, claims, demands, actions and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me while participating in the activity.
I further agree to indemnify, defend and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits and/ or liabilities or claims arising directly or indirectly from or related to any and all claims made by or against any of the released party due to injurt, loss, or death from or related to my participation in the activity.
By signing below I acknowledge that I have read the foregoing Liability Release and Wavier and understand its contents; that I have been sufficiently informed of the risks involved and give my voluntary consenting signing this Liability Release and Wavier as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation; and that I have the authority to sign this Liability Release Waiver and acknowledge that it will be binding on my heirs, representatives, successors and assigns. If I am under 18 years of age, my parent or legal guardian must sign on my behave.
Date………………………..
Printed Name…………………………………………………………………….
Legal Guardian if under 18 years of age………………………………..
Signature…………………………………………………………………………..
Emergency Contact Name…………………………………………………..
Emergency Contact Number………………………………………………….
