SayPro Waiver and Consent Form: A form for participants to provide consent for their participation, acknowledging the nature of the retreat and any health or safety risks.

SayPro Waiver and Consent Form

Retreat Participant Waiver and Consent Form

This Waiver and Consent Form (the “Form”) is required to be completed by all participants (the “Participant”) in the SayPro Retreat (the “Retreat”), organized by SayPro (the “Organizer”). By signing this Form, the Participant acknowledges and agrees to the terms outlined below regarding the nature of the Retreat, potential health or safety risks, and the Participant’s voluntary consent to participate.

Please read carefully before signing.

1. Voluntary Participation

I, the undersigned, understand that my participation in the SayPro Retreat is completely voluntary. I acknowledge that the Retreat is intended to provide participants with opportunities for personal growth, skill-building, and enjoyment. By signing this Form, I confirm my decision to voluntarily participate in the Retreat and engage in any and all activities associated with it.

2. Acknowledgment of Retreat Nature and Scope

I understand that the Retreat may involve a variety of activities, including but not limited to workshops, group discussions, physical exercises, outdoor activities, and social interactions with other participants. The nature of these activities may vary and can sometimes involve physical and/or emotional challenges.

I acknowledge that participation in some activities may carry inherent risks, including but not limited to physical injury, emotional stress, or discomfort. These risks are associated with the activities themselves, as well as potential interactions with other participants.

3. Health and Safety Considerations

I affirm that I am in good physical and mental health and am capable of participating in the activities offered at the Retreat. If I have any pre-existing medical conditions, physical limitations, or emotional concerns that may impact my participation, I will provide full disclosure to the Organizer before the Retreat begins. This includes, but is not limited to, conditions such as allergies, asthma, mental health conditions, heart conditions, or any other health-related issues that may require special attention.

I acknowledge that the Organizer may request additional medical information to ensure the safety of all participants, and I agree to provide such information if required.

In the event of an emergency during the Retreat, I consent to receiving medical treatment as deemed necessary by healthcare professionals. This may include the administration of first aid, medical transportation, or emergency care.

4. Assumption of Risk

I acknowledge and understand that participation in certain Retreat activities may involve physical, mental, or emotional risks. These risks may include, but are not limited to:

– Physical injury (e.g., muscle strain, falls, sprains, etc.)
– Psychological stress (e.g., anxiety, emotional discomfort, etc.)
– Allergic reactions or adverse responses to food, insect bites, or environmental factors
– Travel-related risks such as transportation, weather-related disruptions, or other unforeseen circumstances.

I voluntarily assume all risks associated with my participation in the Retreat and agree to release the Organizer, its employees, contractors, agents, and affiliates from any and all liability for injuries, damages, or losses that may occur during the Retreat, whether arising from negligence, accidents, or any other cause.

5. Waiver of Liability

I, the undersigned, hereby release, discharge, and hold harmless the Organizer, its officers, directors, agents, contractors, employees, and any other persons or entities associated with the Retreat from any and all claims, demands, causes of action, or liabilities of any kind, including but not limited to personal injury, death, property damage, or financial loss, arising out of or related to my participation in the Retreat.

This release includes any claims arising from negligence on the part of the Organizer, its employees, or agents, and applies to both physical and emotional injuries that may occur during the Retreat, whether in the course of scheduled activities or due to unforeseen events.

6. Confidentiality and Respect for Others

I agree to respect the privacy and confidentiality of fellow participants and to honor the shared trust established during the Retreat. Any personal or sensitive information that is shared during group discussions, workshops, or other activities will be treated with the utmost respect, and I will refrain from sharing others’ personal information outside of the Retreat context without their explicit consent.

I understand that all materials shared during the Retreat, whether verbal or written, may be considered private or proprietary to SayPro, and I agree not to use or distribute such materials without prior approval from the Organizer.

7. Photo and Video Consent

I understand that the Organizer may take photographs, videos, or recordings of participants during the Retreat for promotional or marketing purposes. By signing this Form, I give consent to the Organizer to use my image, voice, or likeness in any such materials, including but not limited to websites, social media platforms, and print publications, without compensation or prior notice.

If I do not wish to be photographed or filmed, I will notify the Organizer in writing prior to or during the Retreat.

8. Cancellation, Refunds, and Refund Policy

I acknowledge that there may be circumstances where I am unable to attend or need to cancel my participation in the Retreat. The Organizer will provide a clear refund policy at the time of registration, outlining any applicable fees or deadlines for cancellation. I agree to adhere to the cancellation policy as set forth by the Organizer.

9. Acknowledgment of Understanding

I acknowledge that I have read this Waiver and Consent Form in its entirety, understand the nature of the Retreat, and have been given the opportunity to ask questions and seek clarification. I fully understand the risks involved and voluntarily agree to participate in the Retreat, assuming all responsibility for my own health, safety, and well-being.

By signing below, I confirm that I am legally competent to provide this consent, and I accept the terms of this agreement.

Participant’s Full Name: ______________________________________

Date of Birth: _____________________________________________

Address: _________________________________________________

Phone Number: ___________________________________________

Email Address: ____________________________________________

Emergency Contact Name: __________________________________

Emergency Contact Phone Number: ___________________________

Signature of Participant: ___________________________________

Date: ______________________________________

FOR ORGANIZER USE ONLY:

Retreat Date: _____________________________________

Staff Member Processing: ___________________________

Date Form Received: _______________________________