Acknowledgement of Risk and Assumption of Personal Responsibility and Release

I, the undersigned, understand that the activities I will be engaged in during this Program, conducted by Christy Young, Molly Harrison and Life Enrichment Resources, PLLC and all their partners, agents, subcontractors, employees, members, personnel, and all others operating on their behalf (collectively the “Company”), may sometimes require strenuous physical exertion and that pose potentially serious risks of injuries, including, but in no way limited to concussions, paralysis or death to their participants and I acknowledge that I have voluntarily made the choice to expose myself to these activities. BY SIGNING BELOW, I UNDERSTAND THE FOREGOING AND DO HEREBY VOLUNTARILY EXPOSE MYSELF TO AND ASSUME ALL RISKS INHERENT IN PARTICIPATION IN THE ACTIVITIES, AND I ACCEPT COMPLETE RESPONSIBILITY FOR ANY CONSEQUENCES WHICH MAY RESULT. To the extent I have any emotional, physical, or mental disability that might impair my ability to participate in this Program, I have communicated this information to the coordinators of the Program. In the event I have made no reference to any such disability, I represent that I have none.

I understand that the activities to be engaged in entail inherent risks of physical injury, including, but not limited to, the risks described above. Having read this form, I am fully aware of the risks and hazards associated with these activities and hereby elect to voluntarily participate. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that may be sustained by me as a result of camping, unless caused by the gross negligence or willful misconduct of the Owners. I recognize that everything I choose to do, I do so of my own free will. To the extent I participate, I do so voluntarily and of my own volition. I agree to act in a manner that will contribute to the safety and well- being of both myself and the other participants. I agree to hold the Company harmless from the results of any incident which causes injury to me during this Program.

I have familiarized myself with the trip policies. I recognize that travel insurance and trip cancellation / trip interruption insurance are always suggested, and I have taken appropriate action.

I acknowledge that I will be offered the opportunity to participate in a wide range of activities, and it is always my free choice whether to participate or not. I acknowledge that I am a sovereign individual and I take 100% full responsibility for all my decisions and actions. My signature below is my acknowledgement that I fully accept all the terms and agreements outlined in this document. That, in consideration of the permission extended to me by the Company to participate in the retreat and related activities, I HEREBY FOREVER WAIVE, REMISE, RELEASE, AND DISCHARGE Company from any and all liability, claims, demands and causes of action, known or unknown, which I ,ever had, or now has, or may have, on account of personal injury to myself or damage to my property arising from any cause during my, participation in the retreat and related activities or presence on the Company’s property. That, in further consideration of Company’s agreement to permit me to participate in the retreat and related activities, and to be present on their property, I hereby agree that Company shall not be held liable for any personal injury, death, economic loss or any other claim arising out of the attendance and/or participation of myself in the retreat and related or presence on their property.

I agree to be bound by all applicable rules and policies and procedures and understand that all presence on the Company’s property and participation in the retreat and related activities is by permission only, and that Company and its authorized agent(s) reserve the right, in their sole discretion, to refuse entry to and/or to dismiss any person from the retreat and related activities and the property for any reason. I acknowledge that the amount paid by me for admission into the retreat or the property is nonrefundable for any reason whatsoever, except as expressly set forth herein.

This Release and Waiver of Liability and Assumption of Risk (“Release”) shall be governed and construed under the laws of the Commonwealth of Virginia. I agree that this Release is intended to be as broad and as inclusive as permitted by the laws of the Commonwealth of Virginia and that if any portion of this Release is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This Release may be modified only by a written amendment signed by both parties.

Participant Photo, Video, and Audio Recording Release

In consideration of my participation with Christy Young, Molly Harrison, and Life Enrichment Resources, PLLC and all their partners, agents, subcontractors and all other affiliates operating on their behalf, hereby referred to as "The Company", and as part of the role of participant by me to said Company, I hereby give my consent to the photographing and video recording of myself for purposes of social media and marketing.

ALSO, I, the Participant, hereby authorize the Company to edit these recordings at its discretion, and to incorporate these images and/or recordings into movie and/or sound files or audio files.

I hereby release The Company, any of its associated or affiliated companies, their directors, officers, agents, sub-contractors, employees, customers and The Company's appointed advertising agencies, officers, directors, agents, sub-contractors, and employees, from all claims of any kind on account of such use.

Cancellation of Program, Trip or Event

The "Company" reserves the right to cancel services, programs, trips, and events at any time. Should circumstances arise that result in the cancellation or postponement of a service, program, trip or event, registrants will have the option of receiving a full refund or transferring the credits to the same type of service, (program, trip, or event) at a future date.

Refund does not include any additional expenses incurred by the participant such as airline tickets, accommodation arrangements or the like.

Trip Cancellation Policy

Registrations that are cancelled prior to Nov. 1, 2023, will receive a full refund minus a $100 administration fee. There are no refunds after Nov. 1, 2023.

It is advisable to purchase travel insurance to provide coverage for any unexpected travel cancellations or interruptions, medical emergencies and/or baggage loss.

THIS IS A LEGALLY BINDING DOCUMENT WHICH I HAVE READ AND UNDERSTAND, AND SIGN BELOW AS MY OWN FREE ACT. I VOLUNTARILY AGREE TO THE TERMS AND CONDITIONS STATED ABOVE.

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Printed Name of Participant Signature

Address: ______________________________________ Date: ____________

Phone: ________________ Cell Phone / Emergency Number: ________________

Printed Name of Witness Witness Signature

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