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WARNING: THIS AGREEMENT WILL AFFECT LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT. READ CAREFULLY.


TO: The Hygge Wellness Company (“Hygge Company”) and Hygge in a Box (“Hygge Box” together with Hygge Company collectively referred to herein as “HyggeWellness”) and their affiliates, subsidiaries, owners, directors, officers, employees, instructors, guides, agents, representatives, independent contractors, subcontractors, suppliers, hosts, volunteers, successors and assigns (collectively, the “Releasees”).

DEFINITION: in this Agreement, activities shall include all activities, events, retreats or services provided, food provided, arranged, organized, conducted, sponsored or authorized by the Releasees (collectively, the “Activities”).

GENERAL

1. I certify that I am 18 years of age or older, and/or that I am signing in my capacity as a parent/guardian for a participant who is under the age of 18 (the “Minor”) with the intent that this Agreement be binding on myself and such Minor for all legal purposes.

2. I certify that I am, or the Minor is, in good health and do not suffer from a heart condition or other ailment which could be exacerbated by the exertion involved in participating, observing or otherwise engaging in the Activities.

3. I expressly give Hygge Wellness permission to use photographs and/or video of me taken in and during the retreat for the purposes of advertising and/or promoting Hygge Wellness. If uncomfortable, please notify Hygge Wellness.

In consideration of participating in the Activities, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:

ASSUMPTION OF RISKS

I am aware that participation, observation and/or other engagement in the Activities involves many risks, dangers and hazards including, but not limited to: broken bones, injuries related to exposure to natural elements, severe injuries to the head, neck, and back, allergic reactions or other bodily injuries that may result in permanent disability or death.  

I am aware that potential causes of injury include, but are not limited to: negligence on part of the participants; and NEGLIGENCE ON THE PART OF THE RELEASEES INCLUDING THE FAILURE ON THE PART OF THE RELEASEES TO SAFEGUARD OR PROTECT ME FROM THE RISKS, DANGERS AND HAZARDS AS A RESULT OF MY PARTICIPATION, OBSERVATION AND/OR OTHER ENGAGEMENT IN THE ACTIVITIES. 

Iunderstand that this description of potential risks and the list of potential causes of injury are not complete and that unknown or unanticipated risks or causes of injury may result in injury, illness, or death.

I am aware of the risks, dangers and hazards associated with the Activities and I freely accept and fully assume all such risks, dangers and hazards and the possibility of personal injury, death, property damage or loss resulting therefrom. 

I understand that Hygge Wellness may be using or recommending the services of certain hotels, organizers, facilities or other agencies not directly controlled by Hygge Wellness (in this paragraph, a "Third Party"). I further understand that Hygge Wellness accepts no responsibility for any acts or omissions of, or for any breach of contract, misrepresentation, negligence or error of such Third Parties, with respect to all matters in connection with the Activities including, but not limited to, the nature, or extent of the Activities, the lodging, food, transportation or other facilities provided or to be provided in conjunction with the Activities and any acts of such parties which may lead to the cancellation or curtailment of the Activities any other material changes to the Activities. I agree that I will not hold Hygge Wellness responsible for any such cancellation, curtailment, or material changes to the Activities by any Third Party, and in particular, I agree to release and hold harmless Hygge Wellness from, and will not bring legal action against it for, any claims, demands, expenses, costs (including legal costs), suits, debts, liabilities and causes of action which may arise out or of be connected to any act or omission by any Third Party.

I also acknowledge, agree and am aware that alcohol may be consumed by myself or by other participants and I accept the risks and dangers inherent in consuming alcohol myself or being in the company of persons consuming alcohol and I acknowledge that consumption of alcohol is NOT part of the Activities.

RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT

TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have AGAINST THE RELEASEES, and to release the Releasees from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation, observation and/or other engagement in the Activities, DUE TO ANY CAUSE WHATSOEVER, INCLUDING NEGLIGENCE, BREACH OF CONTRACT OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER APPLICABLE OCCUPIERS” LIABILITY LEGISLATION, INCLUDING, THE OCCUPIERS’ LIABILITY ACT, R.S.O. 1990, c. O.2, AND THE OCCUPIERS’ LIABILITY ACT, R.S.M. 1987, c. O8.

To hold harmless and indemnify the Releasees for any and all liability for any property damage, loss or personal injury to any third party resulting from my participation, observation and/or other engagement in the Activities.

This Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives in the event of my death or incapacity.

This Agreement and any rights, duties and obligations as between the parties to this Agreement shall be governed by and interpreted solely in accordance with the laws of the province of Manitoba and no other jurisdictions.

Any litigation involving the parties to this Agreement shall be brought solely within the province of Manitoba and shall be within the exclusive jurisdiction of the Courts of Manitoba.

MISC.

Confidentiality

The content of all sessions is considered to be confidential. Both verbal information and written records about a client cannot be shared with any other party without the written consent of the client. There are exceptional situations where I am ethically, professionally, and/or legally required to share information about you and/or your situation without your written consent. These situations include the following:

1. If I have information about the abuse or risk of abuse and/or neglect to a child then I must report this information to the appropriate authorities. Abuse includes but is not limited to physical violence, sexual violence, emotional violence, and/or neglect.

2. If I have concern about any risk that you may harm another person or yourself then I am obligated to ensure your safety and the safety of others by informing the appropriate services and/or individuals.

I confirm that I have had sufficient time to read and understand this Agreement in its entirety, and have agreed to the terms freely and voluntarily without inducement. I understand that by signing this Agreement I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators, assigns and representatives may have against the Releasees. 

January 17, 2025




First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
Third Participant's Name

First Name*

Middle Name

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

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
Fourth Participant's Name

First Name*

Middle Name

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

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
Fifth Participant's Name

First Name*

Middle Name

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

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
Sixth Participant's Name

First Name*

Middle Name

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

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
Seventh Participant's Name

First Name*

Middle Name

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

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
Eighth Participant's Name

First Name*

Middle Name

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

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
Ninth Participant's Name

First Name*

Middle Name

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

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
Tenth Participant's Name

First Name*

Middle Name

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

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
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*
Parent or Guardian's Information

EMERGENCY CONTACTS: "I acknowledge that in the event of an emergency that necessitates medical treatment, I authorize Hygge Wellness to contact emergency medical providers for me. The following names and contact information of two individuals who can be reached in case of an emergency: NAME/RELATIONSHIP/PHONE NUMBER/EMAIL - PLEASE INCLUDE 2 EMERGENCY CONTACTS *
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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