Schedule Appointment with Kacy's Sacred Space

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Item	Quantity	Total
Star Island Retreat Payment SHARED		$772.00
Total: $772.00	Coupon:

WAIVER OF PARTICIPATION

I understand that it is my responsibility to consult a physician regarding my participation in all programs offered by Kacy Harnedy, the retreat staff, and the retreat center prior to attending the retreat.

I understand that all payments sent are nonrefundable and that it is my responsibility to obtain travel insurance in case of cancelation (see below).

I understand that it is my responsibility to inform each teacher of any injuries and/or limitations that might affect my practice before each class I attend.

I understand that I am participating in programs that may involve hands-on adjustments to my body. I am permitting all teachers and assistants from Kacy Harnedy and the yoga retreat staff to touch and adjust my body in accordance with professional standards.

I acknowledge and understand that participation in some movement and circus arts classes entails known and unanticipated risks that could result in physical or emotional injury, paralysis, or death or damage to myself, to property, or to third parties. I understand that such risks cannot be eliminated without jeopardizing the essential qualities of the activities. Without a certain degree of risks, students would not improve their skills and the enjoyment of activities would be diminished.

I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation is purely voluntary, and I elect to participate in spite of the risks.

In consideration of being permitted to participate in the programs from Kacy Harnedy, the yoga retreat staff, and the retreat center I assume full responsibility for any risks, injuries, or damages, known or unknown, which might incur as a result of my participation in the program. I release and agree to indemnify and hold harmless Kacy Harnedy, the yoga retreat staff, and the retreat center and their representatives and officers to the fullest extent permitted by law. It is expressly agreed that all use of the facilities and premises (including but not limited to stairs, parking areas, and walkways) shall be undertaken at my sole risk.

I may occasionally be photographed while taking classes. The photographs are property of Kacy Harnedy and no compensation will be given to me if Kacy Harnedy, the yoga retreat staff, or the retreat center uses these photos for promotional purposes. If I do not want my picture taken, it is my responsibility to let the photographer know.

I agree to research and obtain travelers insurance prior to the scheduled event in cases such as illness, emergency, force majeure, or viral outbreak, as all expenses are nonrefundable.