Loading...

RETREAT WAIVER

PATH OF THE EARTHKEEPERS

RELEASE OF LIABILITY, ASSUMPTION OF RISK & CEREMONY WAIVER

I hereby acknowledge that I am voluntarily participating in the Path of the Earthkeepers retreat in Brazil from February 26-March 7 2026, including but not limited to yoga classes, movement practices, meditation, breathwork, workshops, ceremonies, excursions, travel, transportation, and related activities (collectively referred to as “the Program”).

I understand that participation in the Program may involve inherent risks, including but not limited to:

  • Physical exertion or injury from yoga, movement, or outdoor activities
  • Travel in unpredictable conditions, including remote or undeveloped areas
  • Exposure to natural elements, insects, wildlife, and weather conditions
  • Travel by boat, automobile, van, or other means of transportation
  • Limited or delayed access to medical facilities or emergency evacuation
  • Emotional or psychological experiences arising from ceremony or personal growth work

I acknowledge that these risks may result in physical injury, illness, emotional distress, property damage, permanent disability, or death.

ASSUMPTION OF RISK

I understand that yoga, movement, breathwork, and ceremony practices may be physically and emotionally demanding. I affirm that I am physically, mentally, and emotionally capable of participating.

I agree that it is my responsibility to:

  • Consult with a physician or healthcare provider prior to participation if necessary
  • Inform the organizers of any relevant medical or psychological conditions
  • Modify or refrain from participation as needed
  • Listen to my body and exercise personal discernment

I voluntarily assume full responsibility for any and all risks associated with my participation.

RELEASE OF LIABILITY

In consideration of being permitted to participate in the Program, I hereby release, waive, discharge, and covenant not to sue Supersoul.Yoga and its founders, facilitators, teachers, assistants, contractors, partners, venues, agents, and representatives (collectively referred to as “the Released Parties”) from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, illness, emotional trauma, or death that may be sustained by me, whether caused by negligence or otherwise, while participating in the Program.

I further agree to indemnify and hold harmless the Released Parties from any claims brought by me or on my behalf.

This agreement is binding upon me, my heirs, assigns, personal representatives, and next of kin.

CEREMONY WAIVER

I understand that the Program may include participation in ceremonial practices, which may involve meditation, breathwork, ritual, sound, prayer energy work, or other traditional or spiritual practices and plant medicines.

I acknowledge that:

  • Ceremonial experiences may evoke emotional, psychological, or spiritual responses.
  • These practices are not a substitute for medical or psychological treatment.
  • I am solely responsible for my decision to participate in any ceremony.
  • I may choose not to participate.
  • In the instance where any plant-based or traditional sacramental elements are included, I confirm that I will fully disclose any relevant medical conditions, medications, or psychological history that may affect my safety.

I accept full responsibility for my participation in any ceremony and release the Released Parties from liability related to ceremonial activities.

MEDICAL AUTHORIZATION

In the event of illness or injury, I authorize the organizers to secure medical treatment on my behalf if necessary. I understand that I am financially responsible for any medical care or emergency transport.

PHOTO & MEDIA RELEASE

I grant Supersoul.Yoga permission to use photographs, video recordings, or audio recordings taken during the Program that may include my image, likeness, voice, or participation for educational, promotional, or organizational purposes, without compensation.

If I do not wish to be photographed or recorded, it is my responsibility to notify the organizers in writing prior to the Program.

ACKNOWLEDGMENT

By signing below, I acknowledge that:

  • I have read and fully understand this agreement.
  • I understand that I am giving up substantial legal rights.
  • I am signing this agreement voluntarily and without coercion.
First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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*
Phone*
Parent or Guardian's Date of Birth*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!