Santuario Huishtin Waiver/Release Form

 Santuario Huishtin – Arkana Peru

Waiver/Release Form


I, the Releasor, being of lawful age and sound mind in consideration of being permitted to participate in Traditional Amazonian Plant Medicine Ceremonies and related activities and programmes run and/or operated by the Releasees and partake of Traditional Amazonian Plant Medicines administered by the Releasees, and/or any organized activities and programming on site or in the region and associated properties of said Releasees do WAIVE, RELEASE and DISCHARGE the Releasees (Santuario Huishtin,, Arkana Peru), its owners, officers, directors, employees, representatives, associates, members, agents, facilitators, assigns, legal representatives of the above noted activity and each of them their owners, officers and employees, from all liability for or by reason of any damage, loss, or injury to person and property, even injury resulting in the death of the Releasor, which has been or may be sustained in consequence of the Releasor’s participation in the activities described above or sustained on the grounds and property of the Releasees or during organized programming in regions conducted by the Releasees, and notwithstanding that such damage, loss or injury may have been caused solely or partly by the negligence of the Releasee.

I hereby acknowledge and agree that by signing this release I have read the information sheet and acknowledge the risks and responsibilities of my participation in the above stated activities to others and myself. I also acknowledge that by signing this release, I will be forever prevented from suing or otherwise claiming against the Releasees for any property loss or personal injury that I may sustain while participating in or preparing for the above noted activity. I have been given the opportunity and have been encouraged to seek independent legal advice prior to signing this Waiver and Release agreement.

I understand that this Waiver and Release agreement is binding on me, my spouse, my heirs, my executors, administrators, personal representatives and assigns. I acknowledge that I do not have any physical limitations, medical ailments, physical or mental disabilities that would limit or prevent me from participating in the above mentioned activity, and, if required, will obtain a medical examination and clearance.  If I have any such physical or mental disabilities that I am aware of that I will inform the Releasee in writing before participating in such activities.

This release contains the entire agreement between the parties to this release and the terms of this release are contractual and not a mere recital.

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