Waiver and Release of Liability
IN CONSIDERATION of the risk of injury that exists while participating in the Sacred Ceremony facilitated by Axis Of Being (hereinafter the “Activity”); and,
IN CONSIDERATION of my desire to participate in said Activity and being given the right to participate in same;
I HEREBY, for myself, my heirs, executors, administrators, assigns, or personal representatives
(hereinafter collectively, “Releasor,” “I” or “me”), knowingly and voluntarily enter into this
WAIVER AND RELEASE OF LIABILITY and hereby waive any and all rights, claims or causes of action
of any kind arising out of my participation in the Activity; and
I HEREBY release and forever discharge Axis of Being, a Affiliate of the sunflower congregation non-profit church, their
affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors,
successors, and assigns (collectively, “Releasees”), from any physical or psychological injury that I may suffer
as a direct result of my participation in the aforementioned Activity.
I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY
ENTIRELY AT MY OWN RISK, I AM AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE,
BUT ARE NOT LIMITED TO: PHYSCIAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, TEMPORARY OR PERMANENT
DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR
OUTCOMES MAY ARISE FROM MY OWN OR OTHERS’ NEGLIGENCE, CONDITIONS RELATED TO TRAVEL TO AND FROM THE ACTIVITY, OR
FROM CONDITIONS AT THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN AND UNKNOWN TO ME,
OF MY PARTICIPATION IN THIS ACTIVITY.
I FURTHER AGREE to indemnify, defend, and hold harmless the Releasees against any and all claims,
suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone
on my behalf, including attorney’s fees and any related costs.
I FURTHER ACKNOWLEDGE that Releasees are not responsible for errors, omissions, acts or failures to
act of any party or entity conducting a specific event or activity on behalf of Releasees. In the event that I
should require medical care or treatment, I authorize Axis Of Being to provide all emergency medical care
deemed necessary, including but not limited to, first aid, CPR, the use of AED’s, emergency medical transport, and
sharing of all medical information with medical personnel. I further agree to assume all costs involved and agree
to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand
that I should carry my own health insurance.
I FURTHER ACKNOWLEDGE that this activity may involve a test of a person’s physical and mental
limits and may carry with it the potential for death or serious injury. I agree not to participate in the
Activity unless I am medically able and I agree to abide by the decision of the The Temple of Eden official or
agent, regarding my approval to participate in the Activity.
I HEREBY ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS “WAIVER AND RELEASE” AND FULLY UNDERSTAND THAT
IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELASE AND DISCHARGE The Temple of Eden AND ALL OF ITS
AFFILIATES, MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS,
SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY
RIGHT THAT I OTHERWISE MIGHT HAVE TO BRING A LEGAL ACTION AGAINST The Temple of Eden FOR PERSONAL INJURY.
I FURTHER REPRESENT that I understand the Activity includes the ingestion of natural entheogenic
substances.
