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Lady Jane Society Weekend Retreat Waiver

 

 

Non-Disclosure/Release of Liability 

 

The Rules and Regulations of participating in a Lady Jane Society event include:

At all times at the Lady Jane Society weekend event women are expected to be kind and positive towards each other. 

The following are not permitted on the grounds of BellaForrset or at the LJS Weekend:

*No Illicit/illegal drugs allowed

*No outside food or alcohol 

*No leaving trash behind (pick up after yourselves)

*No selling of Cannabis or Cannabis products

*No agression or agressive behavior towards any staff or guests

*Smoking is in designated areas only with the utmost respect for the venue and guests

I acknowlege that any violations of the terms above will result in my Lady Jane Society Weekend ticket being revoked without refund immediately!

 

Bella Forrest is an outside venue with uneven grounds and natural landscape. All guest are expected to wear appropriate footwear/attire. Any and all guests are to participate in the LJS weekend and its activites at their own risk and judgement.

Bella Forrest LLC., and Lady Jane Society are in no way shape or form liable or to be litigated/arbitrated againts for any accidents or inccidents inccuring while guest/individuals are participating in any/all of the weekend activites.

Please wear comfortable shoes

*High heels or wedges  are not reccommended footware (due to uneven ground and for accidental purposes). 

Today's Date: June 24, 2019

First LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
First LJS Event Guests Date of Birth*
First LJS Event Guests Signature*
Second LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
Second LJS Event Guests Date of Birth*
Third LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
Third LJS Event Guests Date of Birth*
Fourth LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
Fourth LJS Event Guests Date of Birth*
Fifth LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
Fifth LJS Event Guests Date of Birth*
Sixth LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
Sixth LJS Event Guests Date of Birth*
Seventh LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
Seventh LJS Event Guests Date of Birth*
Eighth LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
Eighth LJS Event Guests Date of Birth*
Ninth LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
Ninth LJS Event Guests Date of Birth*
Tenth LJS Event Guests Name

First Name*

Middle Name

Last Name*

Phone*
Tenth LJS Event Guests Date of Birth*
LJS Event Guests Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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