Retreat Waiver & Release

Retreat Waiver & Release
Name of Retreat: 3rd Annual Silent Retreat
Type of Retreat: Spiritual Yoga Retreat
Retreat Activities:
Yoga
Massage
Foot zoning
Meditation
Sound therapy
Hiking
Somatic Breath-work
Cold Plunge

Location:
Fruitland UT

Organizer Name: Floating Sensations (the “Organizer”)

Business Address:
277 N Spring Creek Parkway Providence Utah 84332

Business Contact Number: 435-265-2417

I, (enter name), hereby agree that by signing this document, I
consent to waive certain legal rights, including the right to sue the Organizer named
above, and, if applicable, its employees, owners, officers, directors, representatives,
agents, volunteers and facilitators from any physical, material, tangible or intangible, loss
or damages that may happen to me during my participation in the Retreat.
I will be voluntarily participating in the Retreat that will be conducted by the Organizer.
The Retreat may include, but is not limited to, the “Retreat Activities” described above.
The following is the identifying and contact information for me, the Guest (“Guest”):

Guest Legal Name:

Guest Address:

Guest Phone Number:
Guest Date of Birth:
This Retreat Waiver will bind and be enforceable against me and all of my personal
representatives. I agree that this Retreat Waiver should be enforceable to the fullest
extent of the law, and if any portion is held invalid, the remainder should continue in full
legal force and effect.

I specifically acknowledge and agree that this document is not intended to be a general
release, which would be limited under some state and local laws.

This Retreat Waiver shall be construed and interpreted as broadly as possible in the
applicable jurisdiction.

ASSUMPTION OF RISK. I understand and am aware that my participation in the Retreat
involves risks. These risks may lead to tangible or intangible harm, and I agree that they
may result not only from my own actions but also from the actions of others. With the
knowledge and understanding of these risks, I choose, of my own will and volition, to
participate in the Retreat.

I am also aware that there are risks that I may not have considered, yet I waive my right
to any claims that may occur from these unconsidered risks and I choose, of my own will
and volition, to participate in the Retreat.

COVENANT NOT TO SUE. I will not start any lawsuit or other court action against the
Organizer, nor will I join any such proceeding, including any claim for money damages. I
acknowledge and agree that I am entering a covenant not to sue the Organizer in any
capacity, including to hold the Organizer liable for any injury, loss, or damage sustained
by me or my property, even if it is due to the Organizer’s negligence or omission. I also
waive the right of any of my insurers’ to make any such claim.

INDEMNIFICATION: I agree to defend and indemnify the Organizer and any of its
affiliates (if applicable) and hold them harmless against any and all legal claims and
demands, including reasonable attorney’s fees, which may arise from or relate to my
participation in the Retreat or my conduct or actions. I agree that the Organizer shall be
able to select its own legal counsel and may participate in its own defense, if desired.

REPRESENTATION: I am over 18 (eighteen) years of age, and am emotionally,
medically, and physically able to participate in the Retreat.
GOVERNING LAW: This Retreat Waiver shall be governed by and construed in
accordance with the internal laws of Utah without giving effect to any choice or conflict of
law provision or rule. Each party irrevocably submits to the exclusive jurisdiction and
venue of the federal and state courts located in the following county in any legal suit,
action, or proceeding arising out of or based upon this Retreat Waiver: Cache county.
I have read the above Retreat Waiver fully and I understand and agree to its contents. I
understand and agree that by signing this Retreat Waiver I forfeit any right, claim, or
ability to hold the Organizer responsible for any tangible or intangible damages, loss of
property, or loss of life that may occur during or after my use of the facilities and
participation in the Retreat.

Your Email (Required)

Emergency Contact Name (Required)

Emergency Contact Phone Number (Required)

By clicking the checkbox below, you agree to the terms mentioned above. (Required)
I agree

Please type in your full name here. This is your electronic signature.

Your name (Required)