GENERAL RELEASE AND
WAIVER OF LIABILITY

This GENERAL RELEASE AND WAIVER OF LIABILITY (this “Release”) is executed by the undersigned in favor of THE FOUNDATION FOR INSPIRED LIVING, INC. d/b/a Supersoul, a New York not-for-profit corporation (the “Foundation”), the Foundation’s members, managers, employees, agents, contractors and subcontractors, and its respective successors and assigns; Raymond A. Cappo and Bridget Kathleen Cappo, their employees, agents, heirs, and assigns (“Cappo”) (collectively, the Foundation and Cappo are referred to as the “Releasees”). 

I, the undersigned, acknowledge that I am participating in the Program delineated below (the “Workshop”), organized by and facilitated by the Released Parties and occurring at 365 Schillings Crossing Road, East Chatham, New York (the “Premises”).  I understand that said Workshop may be physically strenuous and that there is risk of personal injury, property loss, or death.  I further understand and acknowledge that there are potential and inherent risks, both known and unknown, associated with the Premises, a natural area, that include, but are not limited to, open and hidden bodies of water, falling/fallen timber, ruts and holes, exposure to the elements, and exposure to domesticated animals and wild animals as may be located on or enter onto the Premises; and that my activities on the Premises, including the Workshop, will include inherently dangerous activities and exposure to and consuming food in the course of such activities. 

I agree and acknowledge that my presence on the Premises and participation in the Workshop is voluntary and I knowingly and voluntarily assume all risks and responsibility for loss, property damage, illness, and personal injury, including death whether caused by negligence of the Releasees, accident, omissions or otherwise.

I acknowledge and represent that I have read and understand this Release; that I sign it voluntarily and that no oral representations, statements, or inducements have been made. I am at least eighteen (18) years of age and fully competent. I understand that I am giving up substantial rights by signing it, and voluntarily agree to be bound by it. 

NOW, in consideration of the permission to enter on, cross, participate in activities on, use or otherwise being present in, on or upon the Premises and participate in the Workshop, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged,  I, for myself and my estate, heirs, administrators, executors, and assigns, hereby agree to indemnify, release, forever discharge and hold harmless the Releasees from any and all liability and responsibility whatsoever, for any and all damages, claims, demands, or causes of action, including medical, court, and attorneys costs, that I, my estate, heirs, administrators, executors, or assigns may have for any loss, illness, personal injury, death, or property damage arising out of, connected with, or in any manner pertaining to my presence in, on, or upon the Premises, whether caused by negligence of the Releasees, accident, omissions or otherwise.

I further hereby release and forever discharge the Releasees from any claim whatsoever which arises or may hereafter arise on account of any first aid, medical treatment, or service rendered in connection with my participation in the Workshop or on the Premises or with the decision by any representative or agent of the Releasees to exercise the power to consent to medical or dental treatment.

I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of New York, and that this Release shall be governed by and interpreted in accordance with the laws of the State of New York. In the event any clause or provision of this 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 Release, which shall continue to be enforceable.

Date *
Date
The undersigned *
The undersigned
By checking this box I acknowledge that I have read and agree to the waiver and that my typed name serves as a signature. *

IN WITNESS WHEREOF, Volunteer has executed this Release, as of the day and year written above.