Earthkeepers Foundation
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| Please select your choices below to pay & reserve your space. In the event you wish to pay by check, please email Kathryn@earthkeepersfoundation.com for instructions. Your payment is your full consent to the participation agreement, at the bottom of this page, and to our financial policies. In the event you have special needs please email at kathryn@earthkeepersfoundation.com and we will see if we can accommodate you. For THE TWINS Fall 2011 Visit, If you are doing more than -1- program with them, then select your choice from the packages option for saving. If you are doing a stand alone, then make your selection from there. Please make sure you email me first to confirm we still have private session and/or Sacred Mesada ceremony times available before paying. I will email you back with what is available. Once your time/day is confirmed, please make your payment as soon as possible to reserve your space, as the TWINS sell out quickly. Email me at : info@earthkeepersfoundation.com or kathryn@earthkeepersfoundation.com |
Participant Agreement
Release of Liability and Assumption of Risk
I, the participant, in making payment, understand that the Shamanic Workshops/Andean Healings/Readings/
Ceremony/Mesada Ceremony/and Private Sessions (hereafter referred to as Experience) are powerful. I understand
that the experience is powerful and, at times, may be a physically and emotionally intense experience. I also
understand that I will not be asked to do anything illegal, immoral, or against my will. I have chosen to participate in this
Experience out of my own free will and without coercion. I recognize and understand that this
Experience is a spiritual and healing experience, and not a form of mental, psychological, or medical therapy. My
payment is my agreement. I also state that I have disclosed any and all medical conditions before registering hat are
pertinent to participating in the Experience. If I have anyconcern about the effect that this Experience might have on
my physical, mental, or emotional condition, I understand that it is recommended that I consult a licensed physician
and/or psychotherapist prior to participating. I understand I may be offered herbal tea or homeopathic remedies as part
of the Experience. I accept complete and sole responsibility for taking these legal substances. I understand that this
Program may involve shamanic journeying, altered states of consciousness, trance, and healings by shamans and that I
will be taking physical, emotional, psychological, and other risks that may positively transform my life. However, in the
event they result in any serious or fatal physical, emotional, or mental injury, I accept complete responsibility for such
risks and dangers.I accept complete responsibility for this Experience. I do not hold Kathryn Flynn
Michaels/,Earthkeepers Foundation,Earthkeepers LLC, APROSSEC, Ysabel Chingel, Olivia Pintado, Garson
Management, All Souls Unitarian Church,, and their support staff, their stockholders, officers, directors, employees,
consultants, and the Experience leaders, (hereafter referred to as Facilitators) responsible or liable in any way for
damages, injuries, accidents,diseases or problems that result or may result directly or indirectly from the experience
or from any other experiences or aspects of the Experience. That includes but is not limited to any and all damages
prior to, during, or subsequent to said Experience.I take full responsibility for all my actions, conscious or
unconscious, and, therefore, completely release the Facilitators collectively from all medical and legal responsibility
and liability forever with respect to these Experiences.I have read the financial terms and agree to them completely.
I understand that participation in this program is at the discretion of the facilitators and I
agree to this completely. My payment indicates that I have given serious consideration to this commitment, and it
represents my intention to participate deeply and fully in this important medicine work.
PAYMENT IS PER PERSON & NON REFUNDABLE
(I will send you further instructions and what to bring to workshop/retreat/ceremony when I receive your deposit).
REFUNDS (NOT including $25 processing fee) are ONLY given if event is cancelled or in the event of medical or family
emergency. Please contact us in these cases. Tickets are transferable only on a case by case basis.
Release of Liability and Assumption of Risk
I, the participant, in making payment, understand that the Shamanic Workshops/Andean Healings/Readings/
Ceremony/Mesada Ceremony/and Private Sessions (hereafter referred to as Experience) are powerful. I understand
that the experience is powerful and, at times, may be a physically and emotionally intense experience. I also
understand that I will not be asked to do anything illegal, immoral, or against my will. I have chosen to participate in this
Experience out of my own free will and without coercion. I recognize and understand that this
Experience is a spiritual and healing experience, and not a form of mental, psychological, or medical therapy. My
payment is my agreement. I also state that I have disclosed any and all medical conditions before registering hat are
pertinent to participating in the Experience. If I have anyconcern about the effect that this Experience might have on
my physical, mental, or emotional condition, I understand that it is recommended that I consult a licensed physician
and/or psychotherapist prior to participating. I understand I may be offered herbal tea or homeopathic remedies as part
of the Experience. I accept complete and sole responsibility for taking these legal substances. I understand that this
Program may involve shamanic journeying, altered states of consciousness, trance, and healings by shamans and that I
will be taking physical, emotional, psychological, and other risks that may positively transform my life. However, in the
event they result in any serious or fatal physical, emotional, or mental injury, I accept complete responsibility for such
risks and dangers.I accept complete responsibility for this Experience. I do not hold Kathryn Flynn
Michaels/,Earthkeepers Foundation,Earthkeepers LLC, APROSSEC, Ysabel Chingel, Olivia Pintado, Garson
Management, All Souls Unitarian Church,, and their support staff, their stockholders, officers, directors, employees,
consultants, and the Experience leaders, (hereafter referred to as Facilitators) responsible or liable in any way for
damages, injuries, accidents,diseases or problems that result or may result directly or indirectly from the experience
or from any other experiences or aspects of the Experience. That includes but is not limited to any and all damages
prior to, during, or subsequent to said Experience.I take full responsibility for all my actions, conscious or
unconscious, and, therefore, completely release the Facilitators collectively from all medical and legal responsibility
and liability forever with respect to these Experiences.I have read the financial terms and agree to them completely.
I understand that participation in this program is at the discretion of the facilitators and I
agree to this completely. My payment indicates that I have given serious consideration to this commitment, and it
represents my intention to participate deeply and fully in this important medicine work.
PAYMENT IS PER PERSON & NON REFUNDABLE
(I will send you further instructions and what to bring to workshop/retreat/ceremony when I receive your deposit).
REFUNDS (NOT including $25 processing fee) are ONLY given if event is cancelled or in the event of medical or family
emergency. Please contact us in these cases. Tickets are transferable only on a case by case basis.