SayPro Waiver and Consent Form Template: A template for participants to acknowledge and accept any risks associated with the retreat and give their consent.

SayPro Waiver and Consent Form Template

WAIVER AND CONSENT FORM FOR PARTICIPATION IN THE SAYPRO RETREAT

IMPORTANT: Please read this document carefully. By signing below, you acknowledge and accept the risks associated with participation in the SayPro Retreat and consent to the terms set forth in this agreement.

PARTICIPANT INFORMATION

Full Name: __________________________________________

Date of Birth: ________________________________________

Email Address: ________________________________________

Phone Number: _______________________________________

Emergency Contact Name: ________________________________

Emergency Contact Phone: ______________________________

Retreat Dates: _______________________________________

Retreat Location: _____________________________________

SECTION 1: ACKNOWLEDGEMENT OF RISKS

By signing this form, I, the undersigned participant, acknowledge that I am voluntarily participating in the SayPro Retreat, and I understand that certain inherent risks are associated with the activities involved in the retreat. These risks may include, but are not limited to:

– Physical injury or harm as a result of exercise, outdoor activities, or other physical engagements
– Emotional or psychological stress during self-development, group activities, or workshops
– Accidents or incidents involving transportation to or from retreat locations
– Exposure to weather-related elements, including heat, cold, and unexpected natural occurrences
– Illness or injury due to food, allergens, or environmental factors
– Interaction with other participants or staff that may lead to misunderstandings or conflicts

I am fully aware of these potential risks and accept them willingly in order to participate in the activities provided.

SECTION 2: PERSONAL HEALTH AND WELL-BEING

I confirm that I am in good health and have no known medical conditions that would prevent me from fully participating in the retreat. I agree to disclose any relevant medical history, conditions, or special needs to the organizers of the retreat, including any medications I am currently taking, allergies, or medical treatments required.

If I require any special accommodations, I will notify the organizers prior to the retreat start date to allow them to make reasonable arrangements.

SECTION 3: RELEASE OF LIABILITY

I, on behalf of myself, my heirs, executors, and assigns, hereby release and hold harmless SayPro Retreat, its organizers, facilitators, staff, volunteers, and agents from any and all liability for any injury, loss, damage, or harm (whether physical, emotional, or psychological) that may arise from my participation in the retreat. This includes any injuries sustained during travel to and from the retreat, while on retreat grounds, and during any activities or programs offered.

In case of an emergency or injury, I authorize the SayPro Retreat staff or medical personnel to take appropriate action, including administering first aid or obtaining medical treatment. I agree to bear any and all costs associated with such emergency care.

SECTION 4: CONSENT TO PHOTOGRAPHY AND MEDIA RELEASE

I consent to the use of photographs, videos, or other media taken during the retreat, which may include images or recordings of me. I understand that these materials may be used for promotional purposes, advertising, social media, or other publications related to SayPro Retreat.

I understand that I will not receive compensation for the use of these materials and waive any claims for the use of my image or likeness in such media.

SECTION 5: COVID-19 WAIVER (if applicable)

I acknowledge that the ongoing COVID-19 pandemic may present risks to my health and well-being, as well as the health of others. By signing this waiver, I agree to follow all COVID-19-related protocols set forth by the retreat organizers, which may include wearing masks, maintaining physical distance, and undergoing temperature checks or other health screenings.

I also confirm that I am not currently experiencing any symptoms of COVID-19 and have not had close contact with anyone who has tested positive or exhibited symptoms within the 14 days prior to the retreat.

SECTION 6: AGREEMENT AND UNDERSTANDING

I confirm that I have read and fully understand the contents of this Waiver and Consent Form. I am aware that by signing below, I am voluntarily and knowingly assuming all risks related to my participation in the retreat, and I am releasing SayPro Retreat and its affiliated parties from any liability arising from any injuries or damages I may sustain.

I agree to abide by all rules, guidelines, and instructions provided by SayPro Retreat, including those concerning safety, conduct, and behavior during the event.

By signing below, I consent to participate in the SayPro Retreat and acknowledge that I have had the opportunity to ask questions and clarify any doubts regarding this form or the activities involved.

Participant Signature:______________________________
Date:__________________________________________

Parent/Guardian Signature (if under 18):_________________
Date:__________________________________________

For Retreat Organizers Only

– Date Received: _____________________________
– Organizer’s Signature: ________________________

Disclaimer: This Waiver and Consent Form is not intended to replace professional legal advice. Participants should consult a lawyer for advice on their legal rights and obligations related to this form.

This form should cover the basic needs for a waiver and consent in a retreat setting while addressing risks, health conditions, and media consent. Adjustments may be made depending on the specific activities or retreat setting.