I agree as a church member, being at least 18 (eighteen) years of age, to uphold the highest standards for myself and others, to be respectful to all members of the community and church, to honor the universal truths in all religions and cultures and respects each individual’s right to choose their own spiritual path. I am attending church ceremonies to deepen my connection to spirit and open my heart to being a healthier and more loving individual. I fully honor and respect the sacraments given during ceremony and will adhere to all safety and dietary restrictions. I will remain drug and alcohol free during any and all church events and come with a willingness to surrender grow and learn.
I have answered all health history and medication questions during signup truthfully and completely and are free from any known or unknown heart, physical, mental, drug or any other health problems that could prevent them from participating or cause complications during their participation. I understand that my safety is primarily dependent upon taking proper care of myself during the church retreat /ceremony, and in following all pre and post ceremony / retreat, dietary and health guidelines, including abstaining from medications and drugs. Members should consult their health care providers prior to starting any new healing activity/program.
I am freely signing this agreement. I have read this form and fully understand that by signing this form I understand that participation in a ceremony / retreat of Ayahuasca might present a risk of injury or harm to myself, and I agree that this risk is fully borne myself. In addition, I hereby releases and agree to waive liability, from and against any and all damages and claims of any kind, known or unknown, that may be connected, are the result of, or arising from consideration, preparation, implementation or participation in the aforementioned ceremony/retreat of Ayahuasca, against Two Birds Church. This includes, but is not limited to, claims involving economic loss, illness or medical condition, injury or accidental death. I acknowledge having read and understood this Release of Liability. I agree with this Release of Liability and precisely express full understanding and it has not been modified orally or in writing.
I hereby release, waive, and discharge my right and ability to sue the property owners or the facilitators of this event. I release the property owner and all facilitators from any and all liability, claims, demands, actions and causes whatsoever arising from the participation in this retreat.