Evolve Wellness Retreats - Waiver & Release Form 

Please fill out the following form.

I acknowledge that I have voluntarily enrolled to participate in this retreat with Evolve  Wellness Retreats (EWR). In consideration of The Host, EWR, allowing me to participate, I  agree to this release of claims, waiver of liability and assumption of risks. I hereby waive any  and all claims I may have now or in the future. I release from liability The Host and any  teachers, employees, guides, agents or representatives (“the releasees”) for any personal  injury, death, property damage or loss or any nature suffered by me as a result of  participation in any activity on the retreat. I release from liability The Host for any cause  whatsoever including those arising out of, or in any way connected to or occasioned by the  negligence of the releasees. 

PHYSICAL TRAINING RELEASE OF LIABILITY 

Express Assumption of Risk  I, the undersigned, am aware that there are significant risks involved in physical training,  including but not limited to, the physical training inherent to all yoga exercise activities, and  thatmy participation in any such physical training program carries with it the potential for  death, injury, and/or property damage. The risks include, but are not limited to, falls which  can result in serious injury or death; injury or death due to negligence on the part of myself,  my training partner, or other people around me; injury or death due to improper use or failure  of equipment; strains and sprains; those risks caused by terrain, facilities, temperature,  weather, condition of athletes, equipment, vehicular traffic, actions of other people including,  but not limited to, participants, volunteers, spectators, coaches, and trainers and lack of  hydration. These risks are not only inherent to physical training and athletics, but are also  present for volunteers and spectators. I am aware that any of these above mentioned risks  may result in serious injury or death to myself and or my partner(s). I willingly assume full  responsibility for the risks that I am exposing myself to and accept full responsibility for any  injury or death that may result from participating, volunteering or watching in any physical  training, including this yoga program. I realize that liability may arise from negligence or  carelessness by 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. I acknowledge that I have no physical impairments, injuries, or illnesses  that will endanger me or others. 

I acknowledge that I am willingly participating in these activities and that I have assumed all  risks as described above. In consideration for my being allowed to participate in the activities  offered, I, the undersigned hereby release The Host, their principals, teachers, agents,  employees, and volunteers from any and all liability, claims, demands, actions or rights of  action, which are related to, arise out of, or are in any way connected with my participation in  this activity, including those allegedly attributed to the negligent acts or omissions of the  above mentioned parties. This agreement shall be binding upon me, my successors,  representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is  held invalid, I agree that the remainder of the agreement shall remain in full legal force and  effect. If I am signing on behalf of a minor child, I also give full permission for any person  connected with the hosting organization to administer first aid deemed necessary, and in  case of serious illness or injury, I give permission to call for medical and or surgical care for  the child and to transport the child to a medical facility deemed necessary for the well being  of the child. 

Indemnification: The participant recognizes that there is risk involved in the types of activities  offered. Therefore the participant accepts financial responsibility for any injury that the  participant may cause either to him/herself or to any other participant due to his/her  negligence. Should the above mentioned parties, or anyone acting on their behalf, be  requiredto incur attorney’s fees and costs to enforce this agreement, I agree to reimburse  them for such fees and costs. I further agree to indemnify and hold harmless The Host and  the hosting organization, their principals, agents, employees, and volunteers from liability for  the injury or death of any person(s) and damage to property that may result from my  negligent or intentional act or omission while participating in activities offered. This includes  but is not limited to recreational areas, and/or any area selected for training. 

MEDIA - Permission for Capture and Use 

Media is defined as photography, video, written or verbal testimonial, or any other form of  capturing likeness. For valuable consideration received, I grant to The Host the absolute and  irrevocable right and unrestricted permission concerning any captured media that she/he has  taken or may take of me or in which I may be included with others, to use, reuse, publish,  and republish in whole or in part, individually or in connection with other material, in any and  all publishing platforms now or hereafter known, including the Internet, and for any purpose  whatsoever, specifically including illustration, promotion, art, editorial, advertising, and trade,  without restriction as to alteration; and to use my name in connection with any use if she/he  so chooses. I release and discharge The Host from any and all claims and demands that  may arise out of or in connection with the use of the media, including without limitation any  andall claims for libel or violation of any right of publicity or privacy.  

Release and Waiver of Liability 

I hereby agree that I, my assignees, heirs, distributees, guardians, and legal representatives  will not make a claim against, sue or attach the property of The Host, their affiliates,  teachers, employees, agents or volunteers or any of their affiliated organisations for injury or  damage resulting from acts, howsoever caused, by any employee, agent, or contractor, or  any of their affiliated organisations, as a result of my participation in The Host’s retreats. I  hereby release The Host, and any of their agents or affiliated organisations from all actions,  claims or demands that I, my assigns, heirs, distributes, guardians, and legal representatives now have or may hereafter have for injury, damage, or death resulting from my participation in The Host’s retreats 

I am medically, physically, emotionally and in all respects fit and able to participate in The  Host’s retreats. I agree I will be fully and financially responsible for my own physical condition and well-being during the retreat and will follow the safety precautions and  instructions prescribed by The Host. I acknowledge that The Host may make suggestions  from time to time that are intended to help me and my well-being. However I take ultimate  responsibility for my choices and realise that The Host is not licensed medical provider and  that I must consult my doctor. 

If I experience pain or discomfort during the retreat, I will modify The Host’s instruction to suit  my individual needs. I will not hold The Host responsible for any pain or discomfort I  experienceduring or after the retreat. I understand that the activities offered on this retreat  are not a substitute for medical care. I understand that The Host is not qualified to perform  spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness. 

By agreeing to the terms outlined here and elsewhere on the The Host’s website I hereby  release and discharge my rights and claims for damages or liabilities that may occur as a  resultof participation on a The Host’s retreat. 

I am signing this agreement voluntarily and recognize that my signature serves as complete  and unconditional release of all liability to the greatest extent allowed by law in the Province of Ontario.