PTSD Retreat Application Form
I have enrolled in a retreat of physical activity including but not limited to yoga, hiking, and meditation, by Inner North Star (dba Inner North Star LLC), hereafter referred to as "Inner North Star."
In consideration of my participation in the retreat program, I, for myself, my heirs and assigns, hereby release Inner North Star and its agents from any claims, demands and causes of action arising from my participation in the program.
I fully understand that I may injure myself as a result of my participation in the Inner North Star program. I recognize and acknowledge that there are certain risks of physical injury when participating with Inner North Star and I agree to assume the full risk of any injuries, including very rare instances of heart attack or even death, damages or loss regardless of severity which I may sustain as a result of participating in any and all activities connected with or associated with Inner North Star. I hereby release Inner North Star and its agents, from any liability now or in the future including but not limited to heart attacks, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries and any other illness, soreness or injury however caused, occurring during or after my participation in the program.
I fully understand that Inner North Star is located in a mountain environment with uneven terrain and natural surroundings. There are many wild animals, snakes, and insects. I will not hold Inner North Star responsible if I trip and fall or get stung or bit by an insect or animal.
I fully understand that depending on the time of year - trails, walkways, paths, and decks at Inner North Star may be uneven, icy, muddy, wet, slippery and/or sandy.
I fully understand Inner North Star Retreat Center does not have a certified gluten free kitchen and cannot guarantee that the food prepared at Inner North Star is free of gluten, nuts or any other allergen.
Conclusion
I acknowledge and agree no warranties or representations have been made to me regarding the results I will achieve from this program. I acknowledge I have thoroughly read this waiver and release and fully understand it is a waiver and release of liability. By signing this document, I am waiving any right I, or my heirs and/or assigns, may have to bring any and all legal actions or assert any and all claims against Inner North Star, its respective representatives, executors and/or assigns.
*I have carefully read, fully understood and agreed to the above.