I am participating in an event offered by or in conjunction with the Still Water Mindfulness Practice Center (“Still Water”). I understand that it is my responsibility for any risks, injuries, or damages, known or unknown, that I might experience as a result of participating in the event. I agree that any inquiry by any event facilitators or leaders as to my physical and emotional condition and my informing the facilitators and leaders as to my physical and emotional condition is simply to enable the facilitators and leaders to provide optimal instruction and in no way absolves me of this responsibility. Therefore, on my own behalf and that of my heirs and representatives, I release and waive any claim that I may have against Still Water and any event facilitator, leader, and representative of any of them.

I also understand that the event may be photographed, and, unless I indicate otherwise to Still Water representatives at the event, I hereby grant the Still Water permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.



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