Soul Intensive Waiver
Welcome! I am so excited you are choosing to join me for a Soulful Practice Building Intensive Experience by Path to Growth, LLC created and facilitated by Keri Nola. I am looking forward to offering you support through a variety of means throughout the Experience.
I request that you participate in only those activities that you are physically, mentally, emotionally, and spiritually able to do, and that you notify me of any restrictions you have regarding any of the activities, and I will do my best to accommodate them. Your safety and comfort is of the utmost importance to me.
Please read the following information carefully and let me know if you have any questions before checking the box in agreement.
RELEASE AND WAIVER
I voluntarily desire to participate in the Practice Building Experience (“PBE”) organized by Keri Nola of Path to Growth, LLC (the “Facilitator”). I understand that the PBE will involve an in-person, live consultation and mentorship experience, including a virtual eCourse component and possible Facebook group interactions and/or follow up phone or video support, for the purposes of facilitating professional and personal growth, healing and transformation experiences using holistic methods. In exchange for participation in the PBE and/or use of the property, facilities, meal/s and services provided during the PBE, I agree to the following:
I take full and sole responsibility for my life, business and well-being and all decisions made before, during and after the PBE.
I acknowledge that I am choosing to participate voluntarily in various activities at the PBE and I recognize that these activities may contain certain inherent risks. These activities may include, but are not limited to: arts and crafts (creativity), self exploration, meditation, breathing exercises, guided imagery, spiritual work, journaling, marketing activities, including but not limited to branding, website, and blog support, nature activities, beach visits, meditative walks, physical activities, aromatherapy, energy work, appropriate physical contact for the purposes of facilitating healing, intuitive readings, and other activities provided by the Facilitator, Event Sponsors, or others (collectively “Program Activities”).
I expressly assume the risks of the PBE and all Program Activities. I understand that I am responsible for my own transportation for the PBE, including any transportation during the PBE and that all transportation are at my own risk and liability, even if the Facilitator provides suggestions, recommendations, discounts or offers related to transportation, hotels, and/or other accommodations.
I agree to observe and obey all posted and announced rules and warnings, and further agree to follow any instructions or directions given by the Facilitator, or her employees, representatives or agents. Specifically, I agree to refrain from consuming any alcohol or drugs of any kind during the duration of the PBE at any time, unless prescribed by a medical or mental health practitioner and consumed appropriately in accordance with the prescription dosage.
I understand that payment for PBE is non-refundable and possibly transferable at the facilitator's discretion in certain circumstances.
I realize there are no guarantees of income or of any kind as a result of participating in the PBE and related Program Activities. I agree that the Facilitator is not responsible for the success or failure of my business decisions, the increase or decrease of my finances or income level, or any other result of any kind that I may have as a result of information presented to me before, during or after my participation in the PBE. I am solely responsible for my results.
I understand that the information provided at or in conjunction with the Program Activities and the PBE is not intended to be a substitute for legal or financial advice that can be provided by my own attorney, accountant, and/or financial advisor. Although care will be taken in preparing the information provided to me, I realize the facilitator cannot be held responsible for any errors or omissions, and that the facilitator accepts no liability whatsoever for any loss or damage howsoever arising. I understand that the law varies by state and it is constantly changing, and therefore it affects each individual and business in different ways. As a result, it is recommended to seek outside financial and/or legal counsel relating to my specific circumstances as needed. I realize that I am hereby advised to consult with my tax consultant, accountant or lawyer for any and all questions and concerns I have, may have, or hereafter have regarding any and all information discussed during my PBE pertaining to my specific financial situation.
I understand that the information provided at or in conjunction with the Program Activities and the PBE is not professional medical advice, diagnosis or treatment that can be provided by my own physician, therapist, licensed dietitian or nutritionist, or any other licensed or registered mental or physical health care professional. I understand that the Facilitator and their employees, representatives and agents are not acting in any capacity as a medical or mental health care provider, unless you are currently in an established therapeutic relationship with Keri Nola which is bound by informed consent. I understand she is not providing health care, medical or nutrition therapy services or attempting to diagnose, treat or cure in any manner whatsoever any disease, condition or other physical or mental ailment of the human body during the course of the PBE. Rather, she is serving in her capacity as a Facilitator, coach, mentor and guide, unless you are currently in an established therapeutic relationship with Keri Nola which is bound by informed consent.
I understand that I may be provided with meals, snacks, and other products or services provided by or through the Facilitator, Event Sponsors or others while at the PBE and I agree to disclose to the Facilitator in advance any known or suspected food allergies or sensitivities, any physical limitations that may impact my breathing or movement, or any other health or mental condition that may be affected during the PBE. If I suspect that I have a medical or mental health problem, I agree to inform the Facilitator and their agents immediately.
I agree to seek the advice of my physician or another qualified health care professional prior to and during the PBE regarding any questions or concerns I have about my specific health situation, possible or actual pregnancy, known or suspected food sensitivities or allergies, dietary restrictions, or any medications I am currently taking. I understand that I am advised to speak with my own physician or mental health provider before attending the PBE or implementing any Program Activities. I agree to not disregard or delay seeking professional medical advice or stop taking any medications without speaking to my own physician or mental health care professional.
I consent to the application of first-aid or other medical or mental health services to be applied if needed in connection with an emergency health problem or potentially harmful situation during the PBE, and I agree to hold the Facilitator harmless as a result of any such injury or damage I may suffer due to the application of medical or mental health services or treatment. I also agree and consent that the Facilitator may contact my Emergency Contact that I list on my registration if they deem it necessary.
I release the Facilitator and Event Sponsors from any and all liability, damages, causes of action, allegations, suits, sums of money, claims and demands whatsoever, in law or equity, which I have ever had, now have or will have in the future against the Facilitator or Event Sponsors, arising from my past or future participation in, or otherwise with respect to, anything related to and including the PBE, including transportation to, from and during the PBE, unless arising from the gross negligence of the Facilitator.
In no event will the Facilitator or Event Sponsors be liable to any party for any direct, indirect, special, incidental or consequential damages for any use of, non-use, or reliance on this PBE, its information, programs, meals/snacks/food, products and/or services, including, without limitation, personal injuries, accidents, misapplication of information, or any other loss, malady, disease or difficulty, or otherwise, even if I am expressly advised of the possibility of such damages or difficulties, whether caused by the fault of myself, the Facilitator, Event Sponsors, other attendees or other third parties. I agree to pay for all damages to the facilities caused by any negligent, reckless, or willful action that I may take.
By participating in this PBE, I consent to photographs, videos, and/or audio recordings that may be made that may contain me, my voice and/or my likeness. I understand that I release all rights and you reserve full rights to use these photographs, videos, and or/audio recordings and/or any other materials submitted by me to you in connection with my participation in the PBE in any way related to your business and/or your current or future marketing or promotional efforts, without compensation to me at any time, now or at any time in the future.
Any dispute concerning this release, the Facilitator or any aspect of my participation in the PBE or Program Activities shall be governed by the laws of the State of Florida and brought in the state or federal courts of Florida.
I have carefully read this document and by checking this box, I consent to all parts of it. I understand that by checking the box for this Release, I voluntarily surrender certain legal rights.