Waiver

RELEASE, INDEMNIFICATION AND WAIVER FORM

(This is a release – please read it carefully)

I, for myself and my estate, heirs, administrators, executors, and assigns, hereby release, discharge and hold harmless Rivers Wellness LLC, Sacred Grove LLC, Brittany Rivers LMHC their officers, directors, employees, representatives, agents and volunteers (collectively, the “Releases”), for, from and against any and all liability and responsibility whatsoever, however caused, for any and all damages, claims, or causes of action that I, my estate, heirs, administrators, executors, or assigns may have for any loss, personal injury, death, or property damage arising out of, connected with, or in any manner pertaining to my activities on the property/park, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES or otherwise.

As a participant, I understand and agree that I am fully responsible for my wellbeing during the sessions, including my decisions and choices. I may discontinue my session at any time. I know that climate cafes are not psychotherapy, counseling or any medical alternative. Meetings are meant to provide individuals with information and personal support. There will be an informal, open, respectful space at which participants may reflect on and share their emotional responses. Our facilitators, who may be licensed mental health professionals, will assist participants in exploring their thoughts, feelings and experiences and in doing so will at times provide general information about psychological and emotional issues. The facilitators do not provide medical, mental health or any other type of health care service. No diagnosis or treatment of, or advice regarding, any medical or mental health condition or illness of any participant can or will be offered. I understand these gatherings are not a substitute for counseling, psychotherapy, mental health and will not use it in place of any form of therapy or medical advice. I acknowledge that I am emotionally and physically well enough to participate in this wild grief experience. It is my responsibility to consult my health care provider prior to participating if needed. If during participation, you realize that you would like to seek professional services, the facilitators can provide you with resources for locating professional services. You can also contact the Alachua County Crisis Center if you need immediate support at 352-264-6789. 

I, the undersigned, hereby acknowledge that I have been advised and fully understand that certain elements of danger are inherent in the activities, and that participation by myself in any nature activities may entail unavoidable risk of personal injury, death, and loss of or damage to property. These risks include, but are not limited to insect and animal bites and stings, forces of nature such as but not limited to lightning and unexpected extreme weather conditions, any hazard present in natural settings, such as but not limited to low lying branches, sharp objects, and slippery surfaces. I may be interacting with, or coming in contact with persons that are not associated with or under the control or supervision of the Releasees.

I agree to comply with all laws, orders and regulations of any governmental authorities having jurisdiction over the subject property, including, without limitation, any law, statute, rule, regulation, ordinance, code, or policy now or hereafter in effective relating to the environment, health and safety. I further agree to comply with any rules that the (selected natural area/park) may impose regarding my activities on the property. Further, I agree to take all reasonable steps to protect the subject property from any damage other than ordinary wear and tear caused by my activities thereon.

I agree to defend, indemnify, and hold harmless the Releasees from any judgment, settlement, loss, liability, damage, or costs, including court costs and attorney fees for both the trial and appellate levels, that Releasees may incur as a proximate result of any negligent or deliberate act or omission on my part during my activities on the property.

In signing this agreement, I acknowledge and represent that I have read and understand it; that I sign it voluntarily and for the full and adequate consideration, I fully am intending to be bound by the same, and that I am at least eighteen (18) years of age and fully competent.