I agree, and acknowledge that I am fully aware that participation in the retreat activities with Erin Hudson, DBA Wild Zen Living, involves risks and I accept all the risks of participating and do so at my own will. I agree and acknowledge that Erin Hudson, DBA Wild Zen Living, or any of its affiliates, respective representatives, employees or volunteer staff, will be released from any and all liabilities, claims, demands, legal actions, rights of actions for damages, personal injury or death in connection with participation in activities. I understand my physical limitations and am sufficiently self-aware to stop physical activity before I become ill or injured. I understand that it is always advisable to consult a physician prior to engaging in activities, and should take their advice/recommendations. I understand that during any retreat stay, I am free to come and go freely, and I carry the responsibility of any and all risks that are unrelated to the scheduled retreat activities. Should I become ill, unwell, or injured, I will advise Erin Hudson as soon as possible with the best interest of the group’s health in mind. I understand that it is my responsibility to inform Erin Hudson or any concerns regarding allergies, illness, or physical limitations. I have fully read and understand this agreement. I am aware that by agreeing to the terms herein, I am waiving certain legal rights I or my heirs, next of kin, executors, administrators and assigns may have against Erin Hudson, DBA Wild Zen Living. I understand and agree that I have been encouraged to explore travel insurance options to protect my investment in the event of unforeseen circumstances that may prevent me from attending my scheduled trip. * Known Allergies, Dietary restrictions, Known Injuries/Physical Limitations: * Health Insurance Information * Emergency Contact * Date of Birth * Please enter date of birth MM DD YYYY Email Address * Phone (###) ### #### Electronic Signature * By entering my first and last name below, I agree to and acknowledge all terms and conditions herein, and understand that this serves as my electronic signature. Please enter first and last name: Today's Date * MM DD YYYY Thank you! Retreat WaiverMust be completed prior to attending and engaging in Wild Zen Living retreat activities.
