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Cristina Schooler Holdings LLC

DBA The Rooted Method

Informed Consent

and Liability Waiver Release for Participation in

Your True Essence Costa Rica Retreat

December 10th-16th 2023




Agreements: 

I agree and consent to the following:

I am voluntarily participating in the outdoor recreation program, event,retreat or other activity conducted by Cristina Schooler Holdings, LLC. 

I recognize that the program may require physical exertion outdoors and that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved.

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any physical activity.

I represent and warrant that I have no medical condition that would prevent my participation in this program.

I agree to assume full responsibility for any risks, injuries or damage known or unknown which I might incur as a result of participating in the program. Such injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, animal attacks, muscle tears, broken bones, shin splints, heat prostration, injuries to knees, injuries to back, injuries to foot, or any other illness or soreness, including death.

I knowingly, voluntarily and expressly waive any claim I may have against Cristina Schooler Holdings LLC or Emily Hart Coaching LLC for injury or damages that I may sustain as a result of participating in the recreation program and any transportation involved.

I, my heirs or representatives forever release waive, discharge and covenant not to sue Cristina Schooler Holdings, LLC or Emily Hart Coaching LLC or any of their staff for any injury or death caused by their negligence or other acts.

If I am on a payment plan, I agree to make payments on allotted schedule that was designed for me upon signing up. 

I agree that my photo or video may be used for marketing purposes for The Hart School.

Group Agreements: 

I am ready to show up and be a present, active participant throughout this retreat.

I agree to stretch myself, learn new things and get outside of my comfort zone. 

I am willing to be an active helper and community member to other participants throughout the retreat experience. 

Attendance Agreements: 

I agree to the zero refund policy of the retreat due to the intimate nature and planning of this experience.

I agree to be present and engaged throughout all activities. 

I agree to all of the terms and conditions above. 




First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

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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