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Adventures in Wellness, Maine Trail Running Retreats
Retreats
About
Yoga
Contact
Adventures in Wellness, Maine Trail Running Retreats
Retreats
About
Yoga
Contact
Retreats
About
Yoga
Contact
Name *
Address
Birthday
Emergency Contact *
her/she him/his them/they
If yes, please reach out to Ramona so we can find ways to keep you comfortable in a shared living space.
Vegan, vegetarian, gluten free, lactose intolerant etc.
Please tell us about any medical conditions or medications you are taking that we should be aware of.
What is your prefered distance on short running days? Within the range of 5-10 miles. What is your prefered distance on long run day? Within the range of 10-20 miles. Please give us any other information we should know about your running expectations on this trip.
By registering for Adventures in Wellness Maine’s Trail Running Retreat (hereinafter the “Retreat”), I acknowledge that trail running and other activities and events held during the Retreat are potentially hazardous activities, which could cause injury or death. I agree that I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to participate in this Retreat, am in good health, and am properly trained. I agree to abide by any decision of the Retreat Director or Retreat personnel relative to any aspect of my participation in any or all runs, events, or activities during the Retreat, including the right of the director to deny or suspend my participation for any reason whatsoever. I acknowledge, agree to assume, and accept full responsibility for the inherent risks associated with trail running, hiking, road running, yoga, swimming, kayaking, or any other activities or events that I participate in during this Retreat. My participation in this activity is purely voluntary, no one is forcing me to participate, and I elect to participate in spite of and with full knowledge of the inherent risks associated with the events and activities of this Retreat, including but not limited to trail running, hiking, road running, yoga, swimming, and/or kayaking. I attest that I have read the House Rules and Safety Guidelines and agree to abide by them. I assume all risks associated with trail running, hiking, road running, yoga, swimming, kayaking, or any other activities or events that I choose to participate in during this Retreat, including but not limited to: falls, tripping, muscle injuries, drowning, physical contact with other participants, retreat personnel, contract service providers, employees, and the general public including the potential contraction of a communicable disease resulting from contact with other participants, personnel, contract service providers, and the general public. I accept and assume all risks including: the effects of the weather; high heat and/or humidity; freezing cold temperatures; traffic and the conditions of the road and/or trails including surrounding terrain. [INSERT ANY OTHER SPECIFIC THREATS ASSOCIATED WITH Retreat HERE”]. Therefore, I assume and accept full responsibility for myself for bodily injury, death, or loss of personal property and expenses as a result of those inherent risks and dangers identified herein and those inherent risks and dangers not specifically identified, and as a result of my negligence in participating in this activity. I further agree to abide by the Center for Disease Control’s (CDC) recommendations for the prevention of the spread of the 2019 Novel Coronavirus Disease (COVID-19) and other communicable diseases, and I attest to having read the CDC’s guidance at: https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html. I assume all such risks being known, appreciated, and accepted by me. I understand that bicycles, skateboards, baby joggers/strollers, roller skates or inline skates, and/or animals are not allowed during trail or road runs, and I will abide by all House Rules and Safety Guidelines. Having read this waiver and knowing these facts and in consideration of Adventure in Wellness Maine accepting my registration, I, for myself and anyone entitled to act on my behalf, waive and release Adventure in Wellness Maine, its directors, members, and employees, any and all Retreat sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this Trial Running Retreat, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. In addition, I acknowledge the contagious nature of COVID-19 and other communicable diseases and voluntarily assume the risk that I may be exposed to or infected by COVID-19 and/or other communicable diseases by participating in this Retreat. I acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 in connection with my participation in this Retreat and personally assume this risk. PHOTO RELEASE I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this Retreat for any legitimate purposes. CANCELATION POLICY In the event I cancel my registration on or before March 15, 2022, I am entitled to a full refund. All cancellations after March 15, 2022, are non-refundable and non-transferable. Adventures in Wellness Maine reserves the right to cancel or reschedule the Retreat for any reason, but will not cancel the Retreat less than 90 days before the first day of the Retreat, except for Force Majeure, natural disasters, pandemic, travel bans, war, civil unrest or other unusual or unforeseen circumstances outside the Adventures in Wellness Maine’s control. In the event the Retreat canceled by Adventures in Wellness Maine prior to commencement for any reason, I may: 1) Transfer my retreat payment (less any non-refundable costs already paid to suppliers) to the same Retreat in the future, or to a different Retreat by notifying Adventure in Wellness Maine. 2) Put my payment (less any non-refundable costs already paid to our suppliers) on file as credit with no expiration date. 3) Request a refund, less any credit card processing fees, cancellation fees, and nonrefundable deposits paid to local suppliers on my behalf. AUTHORIZATION I grant to the Retreat Director and her designees, permission to administer or arrange for any medical assistance that they deem necessary or appropriate as a result of my participation in this Retreat, including without limitation, arranging transportation to a hospital or other medical facilities. I also grant them access to my medical records and physicians, as well as other information, relating to medical care that may be administered to me at any such medical facility as a result of my participation in the Retreat. I assume all risks associated with being a participant in this Retreat and any Retreat activities which may include: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the trail/road, all such risks being known and appreciated by me. ACKNOWLEDGMENT OF UNDERSTANDING I have read this Waiver of Liability & Release, and I fully understand its terms and conditions and understand that I am giving up substantial rights, including my right to bring actions against the Adventures in Wellness Maine, its directors, officers, members, or assigns. I acknowledge that I am over the age of 18 and am signing the Waiver of Liability & Release freely and voluntarily and that I intend by my online signature to completely and unconditionally release the Adventures in Wellness Maine, its directors, officers, members, or assigns to the fullest extent allowed by law. I expressly agree that this Waiver of Liability & Release is intended to be as broad and inclusive as permitted by the laws of the State of Maine and that this Waiver shall be governed by and interpreted by the laws of the State of Maine. I agree that in the event that any clause or provision of this Waiver of Liability & Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Waiver of Liability & Release, which shall continue to remain in full force and effect.
I have read and waiver or liability and release of this trip. *
Printed Signature *
Date *

Thank you! Feel free to email with any additional information or questions.

 

Adventures in Wellness
Maine Trail Running Retreats

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