Participant Waiver for Stone Cabin Creek

We are so excited that you are participating in an event at Stone Cabin Creek.

Stone Cabin Creek is a venue that houses the not-for-profit Faith Based Organization, Sacred Roots Spiritual Community.

PARTICIPANT INFORMED CONSENT & WAIVER
Sacred Roots Spiritual Community – Cabin Venue @ 5801 Simpson Rd

In exchange for participation in the activity of event participant, therapy client, overnight guest or any and all other activities on the property or in the buildings or facilities at 5801 Simpson Road, Charlotte, NC 28216 organized by Sacred Roots Integrated Therapies, PLLC and/or Sacred Roots Spiritual Community, and/or Hiraeth, LLC, of 5801 Simpson Road, Charlotte, North Carolina, 28216 and/or use of the property, facilities and services of Sacred Roots Integrated Therapies,PLLC and Sacred Roots Spiritual Community, and Hiraeth, LLC, I or my company by the name of_______entered below________(company), if applicable, or my personal, name ______________, of _________________, _________________, _________________ _________________, agree for myself and (if applicable) for the members of my family, and/or company, if applicable, to the following:

First name

Last name

Company (if applicable)

Phone

Address

AGREEMENT TO FOLLOW DIRECTIONS. I or company, agree to observe and obey all posted rules and warnings, and further agree to follow any oral or written instructions or directions given by Sacred Roots Integrated Therapies, PLLC and/or Sacred Roots Spiritual Community, and/or Hiraeth, LLC, or the employees, representatives or agents of Sacred Roots Integrated Therapies, PLLC and/or Sacred Roots Spiritual Community, and/or Hiraeth, LLC.

ASSUMPTION OF THE RISKS AND RELEASE. I and/or company, recognize that there are certain inherent risks associated with the above described activity or activities, and I and/or company assume full responsibility for personal injury to myself and (if applicable) my family members, company, and further release and discharge Sacred Roots Integrated Therapies, PLLC and Sacred Roots Spiritual Community, and Hiraeth, LLC for injury, loss or damage arising out of my and/or company, or my family's use of or presence upon the facilities or property of Sacred Roots Integrated Therapies, PLLC and/or Sacred Roots Spiritual Community, and/or Hiraeth, LLC, whether caused by the fault of myself, my family, and/or company, Sacred Roots Integrated Therapies, PLLC and/or Sacred Roots Spiritual Community, and/or Hiraeth, LLC or other third parties.

INDEMNIFICATION. I and/or company, agree to indemnify and defend Sacred Roots Integrated Therapies, PLLC and Sacred Roots Spiritual Community, and Hiraeth, LLC against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my company, me, or my family's use of or presence upon the facilities or property of Sacred Roots Integrated Therapies, PLLC and Sacred Roots Spiritual Community, and Hiraeth, LLC.

FEES. I agree to pay for all damages to the facilities of Sacred Roots Integrated Therapies, PLLC and Sacred Roots Spiritual Community, and Hiraeth, LLC caused by any negligent, reckless, or willful actions by me, the company, or my family.

APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under North Carolina law.

NO DURESS. I and/or company agree and acknowledge that we are under no pressure or duress to sign this Agreement and that I and/or company have been given a reasonable opportunity to review it before signing. I and/or company further agree and acknowledge that we are free to have our own legal counsel review this Agreement if we so desire. We further agree and acknowledge that Sacred Roots Integrated Therapies, PLLC and Sacred Roots Spiritual Community, and Hiraeth, LLC has offered to refund any fees we have paid to use its facilities, if we choose not to sign this Agreement.

ARM'S LENGTH AGREEMENT. This Agreement and each of its terms are the product of an arm's length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either "for" or "against" a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity.

ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.

DISPUTE RESOLUTION. The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure.

Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation is not successful in resolving the entire dispute or is unavailable, any outstanding issues will be submitted to final and binding arbitration under the rules of the American Arbitration Association. The arbitrator's award will be final, and judgment may be entered upon it by any court having proper jurisdiction.

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PARTICIPANT INFORMED CONSENT & WAIVER Sacred Roots Spiritual Community – Cabin Venue @ 5801 Simpson Rd

PARTICIPANT INFORMED CONSENT & WAIVER
Sacred Roots Spiritual Community – Cabin Venue @ 5801 Simpson Rd