Please read the entire waiver before signing. Each adult attendee must sign separately. For attendees under 18, the retreat committee will verify the appropriate parent\/legal guardian documentation. Use your legal name and the same email address used for registration so the committee can match records.<\/p>\n
THE ABSOLUTION SOLUTION<\/p>\n
Area 60, District 5 | AA Group #000456374<\/p>\n
Connections: The Heart of Recovery | May 7\u201314, 2027 | Fall Creek Falls State Park, Spencer, TN 38585<\/p>\n\n
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY\/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault.<\/p>\n
I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate, and that it will govern my actions and responsibilities at said activity.<\/p>\n
In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows:<\/p>\n
(A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: The Absolution Solution and\/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers;<\/p>\n
(B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise.<\/p>\n
I acknowledge that The Absolution Solution and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf.<\/p>\n
I acknowledge that this activity may involve a test of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and\/or producers of the activity. These risks are not only inherent to participants, but are also present for volunteers.<\/p>\n
I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and\/or illness during this activity.<\/p>\n
The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.<\/p>\n
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.<\/p>\n
Participant acknowledgment and signature<\/p>\n
Participant full legal name: _____________________________________________<\/p>\n
Participant email: _____________________________________________<\/p>\n
Participant age: _____________________________________________<\/p>\n
Electronic-signature consent (for online registration): By checking the electronic-consent box and applying my electronic signature, I agree to sign this agreement electronically and intend my signature to have the same effect as a handwritten signature, to the extent permitted by applicable law. I may request a paper version before signing.<\/p>\n
Participant signature (handwritten or authenticated electronic): _____________________________________________<\/p>\n
Date signed: _____________________________________________<\/p>\n
If participant is under 18: parent\/guardian name, signature and date:<\/p>\n
Parent\/guardian name: _____________________________________________<\/p>\n
Parent\/guardian signature: _____________________________________________<\/p>\n
Date: _____________________________________________<\/p>\n\n