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Tides of Transformation Retreat

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Release of Liability Form(Required)
4SRetreats, LLC Liability & Waiver Form By signing below, I acknowledge and agree to the following: 1. I am fully aware that it is my responsibility to consult with a physician before and regarding my participation in any physical activity. I affirm that I am physically fit and have no medical condition that would hinder my full participation in the activities at or with 4SRETREATS, LLC. A licensed physician has thoroughly verified my good health and physical condition so that I can participate in activities offered by 4SRETREATS, LLC. 2. I play a crucial role in maintaining my own safety. It is my duty to recognize and respect my personal limits, and to cease physical activity before it leads to illness or injury. While 4SRETREATS, LLC representatives may offer hands-on assistance and adjustments, I am responsible for clearly communicating if I prefer not to receive such assistance. 3. I fully understand and accept that engaging in practices and activities at or with 4SRETREATS, LLC carries inherent risks. By participating, I acknowledge and agree to assume all risks arising from apparent carelessness, negligence, or gross negligence of 4SRETREATS, LLC, myself, or any other party. I know these activities involve physical exertion, which can be strenuous and may lead to physical injury. 4. I fully understand that Yoga and other offered activities are not substitutes for medical attention, examination, diagnosis, or treatment. 5. I hereby release 4SRETREATS, LLC from any and all liabilities, claims, demands, legal actions, or rights of actions for damages, personal injury, or death in connection with participation in activities with or by 4SRETREATS, LLC. This extends to any and all of the 4SRETREATS, LLC teachers, instructors, affiliates, independent contractors, lease facilities, retreat venues, event venues, and their respective representatives, directors, officers, sponsors, agents, employees/staff, volunteers, contractors, or representatives. 6. I knowingly, voluntarily, and expressly waive all claims I may have against 4SRETREATS, LLC, its owners, sponsors, staff, volunteers, and contractors for any injury or damages that I may sustain as a result of participating in programs or activities offered by 4SRETREATS, LLC. 7. I, my heirs and/or legal representatives, forever release, waive discharge and covenant negligence and/or other acts that may arise against 4SRETREATS, LLC, its owners, directors, officers, sponsors, agents, employees/staff, volunteers, contractors, or representatives. 8. I grant my permission to 4SRETREATS, LLC and any transferee or licensee of them to utilize any photographs, motion pictures, video, recordings, and other references or records of activities with and at 4SRETREATS, LLC that may depict, record, or refer to me for any purpose (“likeness”), including commercial use by the released parties, their sponsors and their licensees. 9. All payments are non-refundable and non-transferable for any reason, including but not limited to extenuating circumstances, illness, and injury. The scheduling and content of activities are subject to change as necessitated by schedule and availability based on the mandate of owners, management, and contractors of 4SRETREATS, LLC. I have fully read and understood the above release and waiver of liability. I fully understand its contents and that by signing it, I am obligated to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. By signing this agreement, I am waiving certain legal rights I or my heirs, next of kin, executors, administrators, and assigns may have against 4SRETREATS, LLC or its owners. I am signing this agreement voluntarily and recognize that my signature serves as a complete and unconditional release of all liability to the greatest extent allowed by law in Florida. Signing also provides consent for 4SRETREATS, LLC to email me with reminders and offers.

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Wine & Dine Weekend

Contact Info

MM slash DD slash YYYY
Address(Required)

Emergency Contact Info

Name(Required)

Info About Your Stay

Release of Liability Form(Required)
4SRetreats, LLC Liability & Waiver Form By signing below, I acknowledge and agree to the following: 1. I am fully aware that it is my responsibility to consult with a physician before and regarding my participation in any physical activity. I affirm that I am physically fit and have no medical condition that would hinder my full participation in the activities at or with 4SRETREATS, LLC. A licensed physician has thoroughly verified my good health and physical condition so that I can participate in activities offered by 4SRETREATS, LLC. 2. I play a crucial role in maintaining my own safety. It is my duty to recognize and respect my personal limits, and to cease physical activity before it leads to illness or injury. While 4SRETREATS, LLC representatives may offer hands-on assistance and adjustments, I am responsible for clearly communicating if I prefer not to receive such assistance. 3. I fully understand and accept that engaging in practices and activities at or with 4SRETREATS, LLC carries inherent risks. By participating, I acknowledge and agree to assume all risks arising from apparent carelessness, negligence, or gross negligence of 4SRETREATS, LLC, myself, or any other party. I know these activities involve physical exertion, which can be strenuous and may lead to physical injury. 4. I fully understand that Yoga and other offered activities are not substitutes for medical attention, examination, diagnosis, or treatment. 5. I hereby release 4SRETREATS, LLC from any and all liabilities, claims, demands, legal actions, or rights of actions for damages, personal injury, or death in connection with participation in activities with or by 4SRETREATS, LLC. This extends to any and all of the 4SRETREATS, LLC teachers, instructors, affiliates, independent contractors, lease facilities, retreat venues, event venues, and their respective representatives, directors, officers, sponsors, agents, employees/staff, volunteers, contractors, or representatives. 6. I knowingly, voluntarily, and expressly waive all claims I may have against 4SRETREATS, LLC, its owners, sponsors, staff, volunteers, and contractors for any injury or damages that I may sustain as a result of participating in programs or activities offered by 4SRETREATS, LLC. 7. I, my heirs and/or legal representatives, forever release, waive discharge and covenant negligence and/or other acts that may arise against 4SRETREATS, LLC, its owners, directors, officers, sponsors, agents, employees/staff, volunteers, contractors, or representatives. 8. I grant my permission to 4SRETREATS, LLC and any transferee or licensee of them to utilize any photographs, motion pictures, video, recordings, and other references or records of activities with and at 4SRETREATS, LLC that may depict, record, or refer to me for any purpose (“likeness”), including commercial use by the released parties, their sponsors and their licensees. 9. All payments are non-refundable and non-transferable for any reason, including but not limited to extenuating circumstances, illness, and injury. The scheduling and content of activities are subject to change as necessitated by schedule and availability based on the mandate of owners, management, and contractors of 4SRETREATS, LLC. I have fully read and understood the above release and waiver of liability. I fully understand its contents and that by signing it, I am obligated to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. By signing this agreement, I am waiving certain legal rights I or my heirs, next of kin, executors, administrators, and assigns may have against 4SRETREATS, LLC or its owners. I am signing this agreement voluntarily and recognize that my signature serves as a complete and unconditional release of all liability to the greatest extent allowed by law in Florida. Signing also provides consent for 4SRETREATS, LLC to email me with reminders and offers.

Payment Information

This field is hidden when viewing the form
Are You a Local?
Retreat Payment(Required)
Price(Required)
This field is hidden when viewing the form
Price(Required)
$1500 Or $500 Deposit
This field is for validation purposes and should be left unchanged.