Participant Agreement Release of Liability and Assumption of Risk I, the undersigned participant, understand that the Andean Healings/Readings (hereafter referred to as Experience) are powerful. 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. In signing this agreement I also state that I have disclosed any and all medical conditions on my registration form that are pertinent to participating in the Experience. If I have any concern 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 a homeopathic remedy as part of the Experience. I accept complete and sole responsibility for taking this rememdy. I accept complete responsibility for this Experience. I do not hold Kathryn F. Michaels/The Earthkeepers Foundation, Shamanic Traditions, Brian Osborne, and Frontier Expeditions and their support staff, their stockholders, founders, officers,directors, employees, consultants, and the Experience leaders, (hereafter referred to as Facilitators) responsible or liable in any way for damages, injuries, 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 this ceremony. I have read the financial terms and agree to them completely. My signature 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. __________________________________ ________________________________ (signature) (printed name) (today’s date) |
Workshop Agreement Release of Liability and Assumption of Risk I, the undersigned participant, understand that the Workshop (hereafter referred to as Program), is a powerful and, at times, physically and emotionally stressful 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 Program out of my own free will and without coercion. I recognize and understand that this Program is a spiritual and healing experience, and not a form of mental, psychological, or medical therapy. In signing this agreement I also state that I have disclosed any and all medical conditions on my registration form that are pertinent to participating in the experience. If I have any concern 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 that this Program may involve shamanic journeying, altered states of consciousness, , homeopathic remedies, trance and out-of-body experiences, healings by shamans and that I will be taking physical, emotional, psychological, and other risks that, although rarely, may result in serious or fatal physical, emotional, or mental injury. I accept complete responsibility for such risks and dangers. I do not hold Kathryn F. Michaels, The Earthkeepers Foundation, Shamanic Traditions, Brian Osborne and Frontier Expeditions and their support staff, their stockholders, founders, officers,directors, employees, consultants, and the workshop leaders, (hereafter referred to asFacilitators) responsible or liable in any way for any damages, injuries, diseases or problems that result or may result directly or indirectly from the Program or from any other experiences or aspects of the Program. That includes but is not limited to any and all damages prior to, during, or subsequent to said Program. 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 this Program. My signature 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. I understand that participation in this program is at the discretion of the facilitators and I agree to this completely. I have read the financial terms and agree to them completely. My signature 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. __________________________________ ________________________________ (signature) (printed name) (today’s date) |