Liability Waiver Form - PaigewLee.com

Waiver of Liability & Medical Treatment Authorization

All guests must digitally sign this waiver to attend any retreats or any in-person events with Paige W Lee LLC and/or Kat Baillie (Including Trancending Grief events).

Date Executed

Location of Execution of this Release

First Name

Last Name

Address

Street Address

Street Address Line 2

City

State/Province

Zip/Postal

Assumption of Risk

I voluntarily agree to participate in activities with Paige W Lee LLC and/or with The MomChild Reunion. I have read information describing programs at The MomChild Reunion and this retreat in particular. I understand that all activities at The MomChild Reunion are voluntary and undertaken entirely at my own discretion. I am aware that my participation at The MomChild Reunion may involve strenuous physical activities, such as dance, movement or yoga, as well as risks associated with hiking in a rural setting. including contact with poison ivy, deer ticks, mosquitoes and wildlife. I am participating in The MomChild Reunion activities with knowledge of such risks, and I hereby assume all risk of injury to me which may be sustained while participating in The MomChild Reunion activities.

Waiver of Liability

As consideration for being permitted to participate in The MomChild Reunion activities, I hereby agree to release Paige W Lee LLC, The MomChild Reunion, The Orval and June Hansen Irrevocable Trust, their employees, officers and agents, and any affiliated organization from any claim for injury, illness, or damage caused by my participation, unless caused by the gross negligence or intentional act by an employee or agent of Paige W Lee LLC. and The MomChild Reunion, in a manner likely to lead to my being harmed. I further agree that neither I nor any assignees, heirs, guardians, or legal representative will make a claim against or attach the property of Paige W Lee LLC, The MomChild Reunion, The Orval and June Hansen Irrevocable Trust, their employees, officers, and agents and any affiliated organization for injury, illness, or damage caused by my participation, unless caused by the gross negligence or intentional act by an employee or agent of Paige W Lee LLC., in a manner likely to lead to my being harmed. I further agree to release Paige W Lee LLC, The MomChild Reunion, and The Orval and June Hansen Irrevocable Trust, their employees, officers and agents, and any affiliated organization from liability for any of my property that may be lost, stolen, or damaged while staying at the event venue.

Medical Treatment Authorization

I agree that in the event of a medical or mental health emergency, Paige W Lee LLC and The MomChild Reunion have the authority and sole discretion to contact 911 emergency services. I understand that The MomChild Reunion is a spiritual retreat and is not expected to provide medical and/or mental health care. Any costs incurred for the provision of health services are my responsibility and not the responsibility of The MomChild Reunion or Paige W Lee LLC. I further understand that participation in MomChild Reunion programs is at the discretion of Paige W Lee LLC and The MomChild Reunion administration at all times. If, in the opinion of Paige W Lee LLC and/or The MomChild Reunion administration, I am unable to participate appropriately in any MomChild Reunion activities, I may be asked to leave.

Smoking & Candles

I agree not to use open flames, candles, incense/sage, or other flammables inside any MomChild Reunion accommodations/venues, and understand that I am liable for any costs and damages caused by doing so. I agree that there is absolutely no smoking/vaping inside any building and that the only smoking/vaping area on any premises is outside.

Final Consent

I have read this liability form and fully understand its contents. I have reported correct information in all fields. I sign this Online Liability Form of my own free will. I am of full age and accept the disclaimers and authorizations.

Signature

Clear

Date signed by Guest

Captcha

If you are human, leave this field blank.

Waiver of Liability & Medical Treatment Authorization

All guests must digitally sign this waiver to attend any retreats or any in-person events with Paige W Lee LLC and/or Kat Baillie (Including Trancending Grief events).

Support

Company

Newsletter