Please read, THEN CHECK THE BOX BELOW to confirm your agreement.
I understand that accurate reporting of the above information is necessary to help ensure that I have a safe and beneficial experience. I realise that failure to provide accurate information may compromise my experience, and I have answered this form truthfully to the best of my ability.
I am responsible for my health and I understand that my participation in this event may pose some risks. To the best of my knowledge, I am in good physical condition and I am not aware of any physical or psychological infirmity, which would place me at risk to participate in any way. In the event of a medical emergency, I agree to seek emergency medical care and give permission to initiate contact with emergency medical providers. I will utilise appropriate support so that I may optimise the benefit of this experience, and reduce any risks.
In consideration of being allowed to participate in this event, I hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the event’s leader, organizers, hosts and participants from any and all liability, claims, demands, or course of action whatsoever arising out of, or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me whether caused by the negligence of release, or otherwise, while participating in this event, or while in, on or upon the premises where the event is being conducted. I agree to indemnify and hold harmless those with whom I engage this work.
I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or damage to property owned by me as a result of being engaged in the event's activities whether caused by the negligence of release, or otherwise.
In signing this release, I acknowledge and represent that I have read, understood and signed the form voluntarily; I am an adult, of at least eighteen years of age or older, and fully competent; and I execute this release for full, adequate and complete considerations fully intending to be bound by same. This waiver applies to all present and future work with this event leader.