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Liability Waiver

I herby acknowledge that I have voluntarily applied to participate in a retreat I have chosen with the Nimea Kaya Healing Center under the Selva Spirit Associacion. I understand that by signing this document I accept and assume responsibility for any and all risks, whether or not specifically itemized herein, to include travel to and from activities and facilities. I hereby irrevocably release Selva Spirit, its employees, associates, board members, property owners, family of the same and any organization that Selva Spirit represents or contracts with.  They shall be held harmless and blameless in the event of any mishap. I understand that the retreat and recreation activities which are a part of the retreats at Selva Spirit may involve some risk of injury or death from various hazards, both obvious and obscure, including but not limited to, injury by falling, being struck by falling objects, jungle fauna and flora, acts of other group participants and other risks or occurrences not set forth in this agreement. I am prepared and aware of the possibilities of risks and will not look to any entity or individual nor hold them responsible for my well being or the protection from such risks whether or not those risks are known or unknown by those organizations or individuals.

I am also aware that there is a medical clinic 30 minutes from the Retreat Center in Pucallpa in case of emergency.  I agree that Associacion Selva Spirit, its principals, guides and agents are not liable for the adequacy or availability of any equipment or supplies that may be provided in conjunction with the retreat, or for the adequacy or availability of any first aid or medical care, or the negligent provision of first aid or medical care by it or by its guides or agents, participants, or by any physician, emergency care facility or any other person.

I agree to disclose in my application all truthful information relating to my medical history, current medications and dosages, vitamins or supplements being taken as well as allergies to medications or environmental substances.  I agree to disclose any changes made in my dosages of medications to the Nimea Kaya Staff before the retreat begins.  If I am on an anti-depressant medication or any substance that is contraindicated with the use of plant medicines, I agree to discontinue it’s use no less then three weeks before the retreat begins.

I further agree to respect the person and property of others, and to abide by the rules of the Nimea Kaya Retreat. I understand that violation of those rules may lead to my expulsion from the retreat and facility without refund.

BY CLICKING THE INDICATED BOX ON THE APPLICATION FORM, I AGREE THAT I HAVE READ CAREFULLY THIS LIABILITY WAIVER AND FULLY UNDERSTAND AND AGREE WITH THEIR CONTENTS. I AM AWARE THAT THEY CONTAIN RELEASES, EXEMPTIONS AND LIMITATIONS OF LIABILITY, AND ARE PART OF THE CONTRACT BETWEEN MYSELF AND ASOCIACIÒN SELVA SPIRIT.

 

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