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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: 

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.

Thanks for submitting!

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