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Activity Waiver Form

THIS ACTIVITY WAIVER FORM (this "Waiver") dated this       day of               ,



IN CONSIDERATION of being allowed to participate in the Activity and other good and valuable consideration, the receipt of which is hereby acknowledged, I                     of

                             (the "Participant") agree with Bob Sapp of TBD (the "Activity Provider") to the following:






1. The Participant will be participating in the following activity: Wellness Retreat (the " provided by the Activity Provider.


  1. Being of lawful age and of good mental health in consideration of being permitted to participate in the Activity, the Participant releases and forever discharges the Activity Provider, the Acti Provider's spouse, heirs, executors, administrators, legal representatives, and assigns fr manner of actions, causes of action, debts, accounts, bonds, contracts, claims, and

or by reason of any injury to person or property, including injury resulting in the d Participant, which has been or may be sustained as a consequence of the P participation in the Activity, and not withstanding that such damage, loss,

been caused solely or partly by the negligence of the Activity Provide


  1. The Participant understands that the Participant would not be Activity unless the Participant signed this Waiver.



4. The Participant acknowledges that this Waive extinguishment of certain obligations owe

the intention of binding the Participant representatives, and assigns.



5. The Participant acknowledges to the Activity Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity. If required, the Participant will obtain a medical examination and clearance.



6. The Participant acknowledges and agrees with the Activity Provider that: (1) the Activity Provider has given the Participant sufficient time to carefully read this Waiver, (2) the Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Waiver, (3) the Participant fully understands the risks and claims that the Participant




IN WITNESS WHEREOF the Participant has duly affixed their signature on this     day of

               ,         .


is waiving to participate in the Activity, (4) the Participant is freely and voluntarily executing this Waiver, and (5) the Participant is forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the Activity.


7. This Waiver will be governed by and construed in accordance with the laws of the Province of British Columbia.



8. Name: Phone:

Activity Waiver Form                                                Page 2 of 2

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