Retreat Waiver
Personal Responsibility, Disclaimer & Release of Claims:
Release of Liability, Promise Not to Sue, Assumption of Risk, Agreement to Pay Claims and to Maintain Confidentiality
In consideration for being allowed to participate in this Workshop, on behalf of myself, my next of kin, my heirs and representatives hereby enter into this Agreement:
Definitions and Descriptions:
The word (I) and participant refers to YOU the signee of this document, the participant of the retreat.
The word “Facilitators: refers to Jennifer Mons of Jennifer L Mons LLC
The word “Volunteers: refers to all contractors, volunteers and helpers associated with Jen Mons and Jennifer L Mons LLC for this retreat to includes: Maile Buck and her chefs, Talea, Photographer, Kristen with Kosmic Sounds, and all other volunteers or contractors that are a part of this retreat experience that may show up to help in the event that the listed person cannot come to the event or extra support is needed.
“Workshop and/or Retreat Location” refers to the Frank Lloyd Wright house via South Kohala Management, Volcano hike, swimming, hiking and all spaces where the retreat is taking place on the Big Island as we travel for hikes, to the beach and our accommodations.
The “WELLNESS RETREAT PARTIES” refers to the “Facilitators”,, “Volunteers” “Contractors” “Helpers”, the retreat location and all parties involved with property management,, including South Kohala Management and associated parties and the location of the house for the retreat and all people part of retreat Locations in Waimea and on the Big Island of Hawaii ” ,hikes, beach, snorkeling, water activities serving the community for the support of our retreat.
*If you would like a personal copy of this waiver, please inform your facilitators and a copy will sent to email following retreat or you may take a screenshot.
Participants are only allowed to participate in retreat upon the signature of the following waiver and agreement. All questions must be asked before signing. A signature at the end of the form indicates you have read and agree to ALL conditions mentioned on pages 1-7 of this legal document. Read carefully before signing. Please initial each page.
Your acceptance of these terms signifies that you have read through this document in its entirety and agree to terms and conditions.
You as the participant agree to the following:
I release from all liability and promise not to sue Retreat Facilitators Jennifer Mons of Jen Mons Coaching and Jennifer L Mons, LLC and her associated volunteers, contractors, chefs, from any and all claims, including claims of negligence of Jen Mons Coaching and Jennifer L Mons LLC, and workshop/retreat location via South Kohala Management, Ouli Street Frank lloyd Wright House in Waimea, Big ISland 96743 resulting in any physical, emotional, mental, or psychological injury (including paralysis and death) illness, damages or economic or emotional loss I may suffer because of my participation in this Retreat Experience, including travel to, from and during the Workshop.
You as the participant agree to the following:
I am voluntarily participating in this Workshop. I am aware of the risks associated with traveling to/from and participating in this Workshop, which include but are not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability, economic or emotional loss and/or death. I understand that these injuries or outcomes may arise from my own or other’s actions, inaction or negligence; conditions related to travel; or the condition of the Workshop location(s). Nonetheless, I assume all related risks, both known or unknown to me, of my participation in this Workshop, including travel to, from and during the Workshop.
I acknowledge that during or after the course of the Workshop/retreat, the facilitators may refer me to other professionals. It is my decision whether or not to obtain the services of these other professionals. I accept all responsibility for my association with other professionals and agree that in no way shall I seek to hold the facilitators, volunteers or workshop location liable for any injury, claim or right of action arising out of my association with other professionals referred to me by the facilitators.
I agree to hold Jennifer Mons of Jen Mons Coaching and Jennifer L Mons, LLC, all contractors, volunteers and helpers associated with Jen Mons and Jennifer L Mons LLC for this retreat to includes: South Kohala Management, Maile Buck and her chefs, Talea, Photographer, Kristen with Kosmic Sounds, and all other volunteers or contractors that are a part of this retreat experience that may show up to help in the event that the listed person cannot come to the event or extra support is needed harmless from any and all claims, including attorney’s fees or damage to my personal property, that may occur as a result of my participation in this Workshop, including travel to and from, and during the Workshop. If Jennifer Mons of Jen Mons Coaching and Jennifer L Mons, LLC Jennifer Mons of Jen Mons Coaching and Jennifer L Mons, LLC, all contractors, volunteers and helpers associated with Jen Mons and Jennifer L Mons LLC for this retreat to includes: South Kohala Management,, Maile Buck and her chefs, Talea, Photographer, Kristen with Kosmic Sounds, and all other volunteers or contractors that are a part of this retreat experience that may show up to help in the event that the listed person cannot come to the event or extra support is needed incurs any of these types of expenses, I agree to reimburse Jennifer Mons of Jen Mons Coaching and Jennifer L Mons, LLC Jennifer Mons of Jen Mons Coaching and Jennifer L Mons, LLC, all contractors, volunteers and helpers associated with Jen Mons and Jennifer L Mons LLC for this retreat to includes: South Kohala Management, Maile Buck and her chefs, Talea, Photographer, Kristen with Kosmic Sounds, and all other volunteers or contractors that are a part of this retreat experience that may show up to help in the event that the listed person cannot come to the event or extra support is needed. If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.
I understand that the processes and materials of the Workshop belong to Jen Mons Coaching and Jennifer L Mons LLC and are proprietary. My exposure to these processes and materials does not give me ownership in them and I understand that disclosure to third parties would cause economic damage to Jen Mons Coaching and Jennifer L Mons LLC. Therefore I agree that I will not directly or indirectly disclose any details of the Workshop processes or materials to anybody.
I am 18 years of age or older. I understand the legal consequences of signing this document, including
releasing the WELLNESS RETREAT PARTIES listed above from all liability,
promising not to sue Jen Mons Coaching and Jennifer L Mons LLC, all contractors, volunteers and helpers associated with Jen Mons and Jennifer L Mons LLC for this retreat to includes: South Kohala Management, Maile Buck and her chefs, Talea, Photographer, Kristen with Kosmic Sounds, and all other volunteers or contractors that are a part of this retreat experience that may show up to help in the event that the listed person cannot come to the event or extra support is needed and assuming all risks of participating in this Workshop, including travel to/from andduring the Workshop.
I understand that this document is written to be as broad and inclusive as legally permitted by the State of Florida. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms.
I have read this document and understand it. I am signing it freely. No other representations concerning the legal effect of this document have been made to me. I am the listed “participant “or “client” in the document.
Confidentiality
Confidentiality is important. The participant understands that all information exchanged between us during the Workshop is confidential. As the participant, I understand the Jen Mons Coaching and Jennifer L Mons LLC all contractors, volunteers and helpers associated with Jen Mons and Jennifer L Mons LLC for this retreat to includes:, Maile Buck and her chefs, Talea, Photographer, Kristen with Kosmic Sounds, and all other volunteers or contractors that are a part of this retreat experience that may show up to help in the event that the listed person cannot come to the event or extra support is needed will not disclose any information that shared during the Workshop to anyone else unless: (1) they have a legitimate reason to know such information as a member the team or staff, (2) when required by law, or (3) you have given me prior written permission.
As the participant, I understand that it is important for me to protect the privacy of other participants in the Workshop and therefore agree that I will not disclose the names or other means of identification of any other participant in the Workshop to any third party.
Disclaimers
Disclaimer: The participant understands that workshop materials are being provided as self-help tools for personal use and for informational and educational purposes only. There are many factors that influence results, so no guarantees can be made as to the results you will experience through this Workshop. I agree that Jen Mons Coaching and Jennifer L Mons LLC all contractors, volunteers and helpers associated with Jen Mons and Jennifer L Mons LLC for this retreat to includes: South Kohala Management and associated parties, ,Maile Buck and her chefs, Talea, Photographer, Kristen with Kosmic Sounds, and all other volunteers or contractors that are a part of this retreat experience that may show up to help in the event that the listed person cannot come to the event or extra support is needed are not responsible for my physical, mental, emotional and spiritual health, for financial earnings or losses, or for any other result or outcome that I may experience through this Workshop/Retreat. The participant understands that nothing related to this Workshop is intended to be considered medical, mental health, legal, financial, or religious advice in any way. For specific questions related to a medical or mental health situation, consult your own medical or mental health professional. For specific questions related to my financial, legal or tax situation, I agree to consult my own attorney, accountant, and/or financial advisor. For specific questions related to religion, spirituality, or faith, consult my own clergy member. I agree not to stop taking any medications because of anything I have read or received through this Program. Any recommendation of any doterra, essential oil, nutrition, support, workshop materials and handouts or herbal products is simply offered for educational purposes, and I will check with my own medical professional before using any of these products on, in or near your body in any way. By signing this Agreement, I agree that I consent to the full Disclaimer which may be found on my website.www.jenmons.com/dislcaimer
Professional Disclaimer: Please Read Carefully
The participant understands that the role of the Coach, Yoga Teacher and Retreat Facilitator is not to prescribe or assess micro- and macronutrient levels; provide health care, medical or nutrition therapy services; or to diagnose, treat or cure any disease, condition or other physical or mental ailment of the human body. Rather, the Coach and Retreat Facilitator is a mentor and guide who has been trained in holistic health and life coaching coaching to help clients reach their own health goals by helping clients devise and implement positive, sustainable lifestyle changes. The Participant understands that the Coach/Retreat Facilitator is not acting in the capacity of a doctor, licensed dietician-nutritionist, psychologist, financial advisor, therapist, or other licensed or registered professional, and that any advice given by the Coach/Facilitator is not meant to take the place of advice by these or any other professionals. If the Client is under the care of a health care professional or currently uses prescription medications, the Client should discuss any dietary changes or potential dietary supplements use with his or her doctor, and should not discontinue any prescription medications without first consulting his or her doctor and and licensed professional..
The Participant has chosen to work with the Coach and led by the Retreat Facilitators and understands that the information received should not be seen as medical, psychological, financial, nursing advice or any professional advise and is not meant to take the place of seeing licensed health professionals, therapists or other professional advisors. .
● As the Participant, I assert that I am of fit health to participate in the Retreat/Event. In consideration of being permitted to participate in the Retreat, I agree to assume full responsibility for any risks,injuries or damages, known or unknown, which I might incur as a result of participating in the retreat, including any and all activities done with the Retreat group, or as an Individual.
● The Participant understands and agrees to take responsibility for reactions to foods served during the retreat. If eating food and drinking water and beverages that may make me ill, sick and may cause death I agree to release the Facilitators, Volunteers and Kashi. I freely accept and fully assume all such risks and take responsibility to inform The Retreat Location and Facilitators of any known food allergies, conditions or sensitivities to make sure that I can accommodate or choose to bring food for myself.
● The Participant agrees to inform the facilitator of any food allergies/sensitivities and assumes responsibility for health.
● The Participant agrees to inform the facilitator of any bodily, medically injuries and assumes responsibility for physical body health.
● The Participant agrees to inform the facilitator of any previous trauma and assume responsibility for mental well-being.
● The Participant understands that all experiences during the workshop/retreat are voluntary and assume self responsibility based on professional medical/therapist advice.
● The Participant agrees to take self responsibility while participating in yoga instruction or any type of movement offered during the retreat. I understand that I will receive instruction about yoga, exercise, meditation, and health. I recognize that these activities require physical exertion that may be strenuous and may cause physical injury, and
● The Participant is fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Retreat/Event. I represent and warrant that I am physically fit and I have no medical conditions that would prevent my full participation in yoga, movement, dance, fire ceremony, goddess ceremony and additional retreat activities not listed.
● The Participant agrees that if I am pregnant, I will take necessary steps to ensure my doctor and health care providers know I am participating in this Retreat.
● In consideration of THE WELLNESS RETREAT PARTIES agreeing to provide me with possible transportation (by land, foot, air, or water), lodging accommodations, dining,surfing, zip-lining,snorkeling, scuba, dancing, repelling, hiking, yoga instruction, supervision and training, and any other services provided, whether provided directly by THE WELLNESS RETREAT PARTIES or third parties with whom THE WELLNESS RETREAT PARTIES have contracted (which together are referred to as “Provided Services”), as part of the retreat I have applied for with THE WELLNESS RETREAT PARTIES, I freely accept and fully assume all such risks, dangers and hazards and the possibility of personal injury, death, property damage or loss resulting from such risks, dangers, and hazards for all activities during this retreat. I understand that I am volunteering to participate in each of the activities as part of the retreat.
I freely accept and fully assume all such risks, dangers and hazards and the possibility of personal injury, death,property damage or loss resulting from such risks, dangers, and hazards. The undersigned also agrees as follows:
1. TO ASSUME AND ACCEPT ALL RISKS, DANGERS AND HAZARDS in connection with my use of any and all services provided by “WELLNESS RETREAT PARTIES
2. TO WAIVE ANY AND ALL CLAIMS that I may have against WELLNESS RETREAT PARTIES , its owners, principals, agents, employees and representatives.
3. TO RELEASE WELLNESS RETREAT PARTIES from any and all liability for any loss, damage, injury or expense that I, or my next to kin, may suffer or incur as a result of
my use of the Services due to any cause whatsoever, INCLUDING NEGLIGENCE ON THE PART OF WELLNESS RETREAT PARTIES
4. TO HOLD HARMLESS AND INDEMNIFY WELLNESS RETREAT PARTIES from any and all liability for property damage, personal injury or death suffered by myself or by a third party as a result of my use of the provided Services;
5. THAT THIS RELEASE AND INDEMNITY AGREEMENT shall be effective and binding on my heirs, next to kin, executors, administrators, and assigns, in the event of my death;
6. TO OBEY all warnings, safety instructions, cautions and other notices provided to me by WELLNESS RETREAT PARTIES ;
7.WELLNESS RETREAT PARTIES representatives, have the right to refuse to provide me with Provided Services related to surfing or participating in activities in the ocean, if, in the opinion of WELLNESS RETREAT PARTIES , the undersigned’s swimming abilities, health or the prevailing weather conditions could render it dangerous or unsafe to use such Services;
8. Force Majeure Clause and Trip Insurance: We will not pay you compensation if we have to cancel or change your travel arrangements in any way because of unusual or unforeseeable circumstances beyond our control. These include war, riot, industrial
dispute, terrorist activity and its consequences, natural or nuclear disaster, fire, adverse weather conditions, epidemics and pandemics, unavoidable technical problems with transport, changes to entry regulations and similar events outside our control. In the event of a retreat cancellation due to a force majeure event, Jen Mons Coaching and Jennifer L MonsLLC all contractors, South Kohala Management and associated parties,,volunteers and helpers associated with Jen Mons and Jennifer L Mons LLC for this retreat to includes: Maile Buck and her chefs, Talea, Photographer, Kristen with Kosmic Sounds, and all other volunteers or contractors that are a part of this retreat experience that may show up to help in the event that the listed person cannot come to the event or extra support is needed will make a good faith effort to recover funds that have already been paid to the Retreat Location; however we assume no liability for payments (including but not limited to the deposit) that cannot be recovered. Please consider purchasing trip cancellation insurance as additional protection.
COVID-19 Policy Update (2023)
9. I as a participant am aware of the risks due to Coronavirus (COVID 19) and take full responsibility for my health and wellbeing. I understand that masks and vaccines are optional for participants and all WELLNESS PARTIES listed above. I understand fully that I am responsible for my choices around my wellbeing around COVID -19 and release all participants and members of WELLNESS PARTIES listed above should I contract COVID-19 and any symptoms, health complications both short and long term injury, bodily harm or death. I fully release all parties involved at this retreat and any and all complications associated with COVID-19.
10. I as a participant am not experiencing any symptoms such as cough, fever, shortness of breath, stuffy nose, muscle pain, headache, sore throat or loss of smell or taste.
I have read the Embodied Feminine Event Waiver with Jen Mons Coaching and Jennifer L Mons LLC and all associated Wellness Retreat Parties listed above and
Release of Liability, Promise Not to Sue, Assumption of Risk, Agreement to Pay Claims and to Maintain Confidentiality form and fully understand its contents. I am aware that this is a release of liability and assumption of risk by me. I sign this document of my own free will. I am over 18 years of age and competent to execute this document. I also understand that my signature below means that I have read this document in its entirety and serves as initials to each page of this document, Pages 1-7.
Your agreement to theses terms serves as your signature and indicates you fully understand this document is its entirety. Please also initial each page.
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