leaves of change: a healing arts practice

nurturing growth healing and transformation

Workshop Waiver and Release of Liability

Leaves of Change, LLC Workshop Waiver and Release of Liability
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Acknowledgment and Assumption of Risk

By signing below, I acknowledge that I have voluntarily chosen to participate in the workshop provided by Leaves of Change, LLC, or have authorized my child/ward to participate. I understand and accept that participation in this workshop involves activities that may include physical movement, creative expression, and emotional engagement, which carry inherent risks of injury, both physical and emotional. I fully accept and assume all risks associated with participation, including but not limited to injury, emotional distress, or unforeseen incidents. I acknowledge that I am responsible for assessing my own or my child/ward’s physical and emotional readiness to participate.

Release and Waiver of Liability

In consideration of the opportunity to participate in the workshop, I, on behalf of myself, my child/ward (if applicable), and any heirs, representatives, or assigns, hereby release, discharge, and hold harmless Leaves of Change, LLC, its owners, employees, contractors, agents, and representatives (collectively, "the Released Parties") from any and all claims, liabilities, demands, actions, or causes of action arising out of or related to participation in the workshop, whether caused by negligence or otherwise. This waiver includes, but is not limited to, any claims for physical injury, emotional distress, loss, or damage of any kind.

Medical and Emergency Authorization

I understand that Leaves of Change, LLC does not provide medical services or insurance coverage. I acknowledge that I am solely responsible for any medical expenses incurred as a result of participation. In the event of a medical emergency, I authorize Leaves of Change, LLC to seek emergency medical treatment on my behalf or on behalf of my child/ward, and I agree to assume all costs associated with such treatment.

Minors

If the participant is under the age of 18, this waiver must be signed by a parent or legal guardian. By signing below, I confirm that I am the legal guardian of the minor participant and have the authority to grant permission for their participation.

Photo and Media Release (Optional)

By initialing here: ________, I consent to the use of photographs, videos, or recordings of myself or my child/ward taken during the workshop for promotional purposes by Leaves of Change, LLC. I understand I will not receive compensation for such use.

Acknowledgment of Understanding

I have read and understand this waiver and release of liability. I fully acknowledge and agree that by signing below, I am waiving certain legal rights, including the right to sue the Released Parties.

Emergency Contact Information