ENCHANT & Love Therapy Center, LLC
Risk Waiver & Release Agreement
This form must be signed for admittance to this workshop. Please read this agreement and sign and date at the bottom to indicate that you have read and fully understand it.
1. Consent to Participate.
I am fully aware and willingly agree to participate in this workshop, ENCHANT retreat. I understand the ENCHANT retreat is experiential and philosophical in nature and intended as education for getting results in your life and relationship. The retreat consists of practical tools for communication, sharing, experiential exercises for connection and transformation, fun experiences and occasional guest speakers. I understand I have the responsibility to leave at any time if i do not wish to participate any further. It is not intended to be psychotherapy or medical therapy or a substitute for either one. I understand that I will have the opportunity to engage honestly, directly and effectively with issues at the heart of my life related to achieving my own goals. I understand that the group retreat may include close physical contact, such as mingling, dancing or hugging as participants willingly choose. If I do not consent to this I will take responsibility for choosing my participation and I will tell the facilitator that I object before or at the time the contact occurs. I further understand that several of the activities in the course involve open communication and sharing, and I may experience excitement, deep emotions and possibly emotional stress, anxiety, tears, physical discomfort, or tiredness.
2. Photography/Video/Audio Release.
I give permission to ENCHANT & Love Therapy Centers, LLC and its director Yaji Tramontini for the free use of any recording of this event for training, media, promotional material, video documentary creation or social media purposes in which my picture and/or name may appear. I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area. By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio or video recordings collected as part of the ENCHANT retreats.
3. Self responsibility and assumption of risk.
I am aware that due to the experiential nature of the course I may have thoughts, feelings, sensations or understandings that have not been fully explored. I understand that my experiences may vary in levels of comfort depending on the activity at hand, and there will be an array of discussions and interactions that may contribute to my creating maximum value or results. I am responsible for my own choices and experiences in the course. I understand I am free to leave the course at any time for any reason. If I need assistance from anyone, professional or otherwise, I take full responsibility for leaving the course and obtaining it for myself and at my own expense. I am fully aware that participating in ENCHANT retreats may contain risks of physical, emotional, and psychological injury. I know and understand the scope, nature and extent of the risks involved in the program and activities contemplated by this Agreement. I voluntarily and freely choose to incur and assume any and all such risks and dangers.
4. Exemption from Liability and indemnity.
I hereby fully and forever discharge and release ENCHANT, Love Therapy Centers, LLC, and its presenters and Directors from any and all liability, claims, demands, actions and causes of action whatsoever arising out of any damages, both in law and equity, in any way resulting from personal, physical, psychological or emotional, injuries, distress or death sustained that I claim out of this course or any of its associated activities. This includes loss, damage or injury resulting from the negligence of ENCHANT & Love Therapy Centers, LLC, conducted by Yaji Tramontini and affiliated staff, its course participants, or from any other cause or causes. I agree not to institute, initiate or assist the prosecution of any suit, claim or action at law or equity, or otherwise, against Yaji Tramontini or ENCHANT, Love Therapy Centers, LLC or its course participants for damages which I or my heirs, executors, administrators or assigns hereafter may have arising from this course or any of its associated activities. This includes reimbursement of all legal costs and reasonable counsel fees incurred by ENCHANT & Love Therapy Centers, LLC, conducted by Yaji Tramontini or other indemnified parties for the defence of any such actions which may arise directly or indirectly from my participation in this course. I agree to indemnify and hold harmless ENCHANT & Love Therapy Centers, LLC, conducted by Yaji Tramontini and its facilitators and coaches, and its course affiliates and participants from any and all losses, claims, actions or proceedings of any kind which may be based on my participation in the course and which may be initiated by me and/or any other person or organisation on my behalf, or by any other person or third parties (including other participants of the course) on their own behalf.
5. Insurance Disclaimer.
I understand ENCHANT & Love Therapy Centers, LLC, conducted by Yaji Tramontini does not provide any insurance, either medical or liability, for any incident occurring as a result of my participation in the course or its associated activities, and if I want insurance of any kind, I must seek and use my own. I acknowledge ENCHANT & Love Therapy Centers, LLC, conducted by Yaji Tramontini that due to dramatic increases in the cost of liability insurance it is not practical for it to obtain this type of coverage for its courses and participants. By acknowledging and initializing this provision and signing this form I am agreeing to assume full responsibility for my participation in the course, agreeing not to sue
ENCHANT, Love Therapy Centers, LLC, conducted by Yaji Tramontini or its affiliates for injury or threats to my safety or well-being.
While every care has been taken to ensure the accuracy of the material presented, no employees, presenters nor any representatives will bear any responsibility or liability for action taken by any person on the basis of the information contained in this seminar. The content is for education and information purposes only. It is recommended that no person make a decision until such time as their individual needs, desires and situation have been assessed by a qualified professional of legal, medical or financial position. The presenter or presenters are not providing advice but merely expressing their personal opinions and experience. Nothing in the presentation is to be constituted in any way as advice.
7. Contract and Signature.
I hereby recognise that this Agreement is a Contract and I have released any and all claims against the indemnified parties resulting from my participation in ENCHANT & Love Therapy Centers, LLC, or any of its associated activities, including any claims caused by the negligence of the indemnified parties.
I agree to the above 7 conditions of Participation. By entering my name below, I acknowledge that I have completely read and fully understand the above waiver and release and agree to be bound thereby. I hereby release any and all claims against any person or company.