Shamanic Living Center Waiver And Release Form

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SHAMANIC LIVING CENTER
WAIVER AND RELEASE FORM
Release executed on the ______________ (date) by ____________________ (name)
of _____________ (city, state) to Kokopelli Ranch, LLC, Shamanic Living Center, The
Morning Sun Community, et. Al..
I, the Releasor, being of lawful age, in consideration of being permitted to participate in
the Sweatlodge Ceremony, scheduled for _________________, and run and/or
operated by the Releasee, WAIVE, RELEASE and DISCHARGE the Releasee, its
owners, officers, directors, employees, members, agents, assigns, legal representatives
of the above noted activity and each of them their owners, officers and employees, from
all liability for or by reason of any damage, loss or injury to person and property, even
injury resulting in the death of the Releasor, which has been or may be sustained in
consequence of the Releasor’s participation in the activity described above, and
notwithstanding that such damage, loss or injury may have been caused solely or partly
by the negligence of the Releasee.
I hereby acknowledge and agree that I have carefully read the Sweat lodge
Information Sheet provided _____ (initial), this Waiver and Release agreement, that I
fully understand same, and that I am freely and voluntarily executing it.
By signing this release I will be forever prevented from suing or otherwise claiming
against the Releasee for any property loss or personal injury that I may sustain while
participating in or preparing for the above noted activity.
I have been given the opportunity and have been encouraged to seek independent legal
advice prior to signing this Waiver and Release agreement.
I understand that I would not be permitted to participate in the above noted actively
unless I have read the Sweat lodge Information Sheet and signed this Waiver and
Release agreement.
I understand that this Waiver and Release agreement is binding on me, my spouse, my
heirs, my executors, administrators, personal representatives and assigns.
I acknowledge that I do not have any physical limitations, medical ailments, physical or
mental disabilities that would limit or prevent me from participating in the above
mentioned activity, and, if required, will obtain a medical examination and clearance. If I
have any such physical or mental disabilities that I am aware of that I will inform the
Releasee in writing before participating in such activities.
This release contains the entire agreement between the parties to this release and the
terms of this release are contractual and not a mere recital.

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