In consideration of being allowed to participate in this activity and other good and valuable consideration, the receipt of which is hereby acknowledged, you (the “Participant”) agree with Catherine (Cathy) Kostendt of 41314 Fulton Bridge Line, St Thomas, in Southwold Township, Ontario, Canada, N5P 3S9 ( the “Activity Provider”) of A Place in the Woods to the following through the year of 2026:
DETAILS OF ACTIVITY
1. The participant will be participating in the following activity/activities individually or in combination: day or evening yoga, meditation, sound baths, guided forest bathing, cacao ceremony, drumming, art workshops, etc..(the “Activity”) provided by the Activity Provider.
CONSIDERATION
2. Being of lawful age and in consideration of being permitted to participate in the Activity, the Participant releases and forever discharges the Activity Provider, the Activity Provider’s spouse, heirs, executors, administrators, legal representatives, and assigns from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the Participant’s participation in the Activity, and not withstanding that such damage, loss, or injury may have been caused solely or partly by the negligence of the Activity Provider.
3. The Participant understands that the Participant would not be able to participate in the Activity unless the Participant signed this Waiver.
CONCURRENT RELEASE
4. The Participant acknowledges that this Waiver is given with the express intention of effecting the extinguishment of certain obligations owed to the Participant by the Activity Provider, and with the intention of binding the Participant’s spouse, heirs, administrators, legal representatives and assigns.
FITNESS TO PARTICIPATE
5. The Participant acknowledges to the Activity Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity. If required, the Participant will obtain a medical examination and clearance.
FULL AND FINAL SETTLEMENT
6. The Participant acknowledges and agrees with the Activity Provider that: (1) The Activity Provider has given the Participant sufficient time to carefully read this Waiver, (2) the Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Waiver, (3) the Participant fully understands the risks and claims that the Participant is waiving to participate in the Activity, (4) the Participant is freely and voluntarily executing this Waiver, and (5) the Participant is forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury the the Participant may sustain while participating in or preparing for the Activity.
GOVERNING LAW
7. This Waiver will be governed by and construed in accordance with the laws of the Province of Ontario.
HEALTH & SAFETY WAIVER AND RELEASE OF LIABILITY OF A PLACE IN THE WOODS
Acknowledgement of Risk
By signing this document, I acknowledge and accept that participating in activities at or organized by Cathy Kostendt at A Place in the Wood, located in a forested natural environment, involves inherent risks that could result in injury, illness or other harm. These risks include but are not limited to:
falling branches, debris or trees
uneven terrain, exposed tree roots and other tripping hazards
exposure to poison ivy, poison oak, thorns or similar plants
insect bites or stings (i.e. mosquitos, bees, wasps etc)
tick exposure and potential tick borne illnesses
slipping or falling into or near the creek or other bodies of water
weather related hazards, such as sudden storms or heat exposure
Health and Physical Condition
I affirm that I am in good physical condition and am capable of participating in outdoor activities in a natural forest environment. I understand that it is my responsibility to be adequately prepared and dressed for such conditions.
Release of Liability
In consideration for being allowed to participate in activities provided by or on the property of Cathy Kostendt of A Place in the Wood, I hereby voluntarily release, waive, discharge and hold harmless the owner(s), employees, volunteers, agents, and affiliates from any and all claims, liabilities, demands, actions or causes of action whatsoever arising out of or related to any loss, damage, or injury that may be sustained by me, whether caused by negligence or otherwise.
Assumption of Responsibility
I accept full responsibility for my safety. I agree to take appropriate precautions, including wearing suitable footwear, checking for ticks, avoiding poisonous plants, and being cautious around creeks and uneven ground.
Medical Treatment
I authorize A Place in the Woods and it's representatives to seek emergency medical treatment on my behalf if necessary. I understand that I am solely responsible for any related costs.
EMERGENCY CONTACT
8. The Participant must provide emergency contact details.