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Closing Deep Ecology "Greening Self" Reception: Earth Day! April 22nd, 2017: RSVP

— A DEEP ECOLOGY MONTH PROGRAM OF NEWARK CENTER FOR MEDITATIVE CULTURE —

We invite you to join NCMC and friends for a farm gathering at Rabbit Hole Urban Farm to view art and GreenJean projects, sample natural green juices and teas, and enjoy refreshments.

LOCATION:
Rabbit Hole Urban Farm, 36-38 Rose Terrace, Newark, NJ
TIME:
2:30-3:30pm

(The Farm is having an Open House all day for the start of their growing season, so you can stop by there any time between 9am and 3:30pm.)

EMAIL: Contact us with any questions at info@newarkmeditation.org.

RSVP
1) First Name of (adult 18 year or older) *
Your answer
2) Last Name (adult 18 year or older) *
Your answer
3) Email Address *
If you don not have an email address, type in "none"
Your answer
4) Address (optional)
Street, City, State, Zip Code
Your answer
5) How many adults will attend? *
Your answer
6) How many youths will attend with you? *
Your answer
7) Would you like to subscribe to receive news about NCMC programs? *
We generally email just once a week and our programs are mainly meditation programs.
8) Liability Waiver *
ACKNOWLEDGEMENT OF RISKS: I waive and release any and all claims against Newark Center for Meditative Culture (NCMC), Rabbit Hole Urban Farm Newark, and any of the individuals associated with this gathering “Greening Self Reception” to be held on Saturday, April 22nd, 2017 from approximately 2:30pm to 3:30pm for any injury or illness (mental or physical) which may directly or indirectly result from my participation in this above mentioned program. The risks include, but are not limited to, those caused by terrain, facilities, meals, equipment, lack of hydration, temperature, weather, physical condition of individuals, vehicular traffic, actions of other people including, but not limited to, instructors, participants, volunteers and, spectators, event officials and event monitors, and/or producers of the event, as well as negligence or carelessness of any of these people. These risks are not only inherent to individuals, but are also present for volunteers. I state that I, and my wards if any, am/are in proper condition to participate in the event. NCMC reserves the right to refuse any entry. PARENT GUARDIAN WAIVER FOR MINORS (aged 0 years through 17 years old): The undersigned parent and natural guardian, legal guardian, or chaperone does hereby represent that he/she is, in fact, acting in such capacity and agrees to release, save and hold harmless and indemnify each and all of the Entities and Persons from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said Entities and Persons because of any defect in or lack of such capacity to so act.CHAPERONES: Each adult chaperoning youths agrees that they have received explicit permission from the parent or legal guardian of each youth with the parent's or legal guardian's understanding and approval of the above terms of liability. ASSUMPTION OF RISKS: By checking the box below and adding my electronic signature, I acknowledge that I have read the above Liability Waiver statement and I understand its content. I hereby assume all risks of participating and/or volunteering in the above mentioned program and take full responsibility for my own and my minor-aged ward’s (if any) personal safety and personal property while attending an NCMC event. CONSENT TO MEDIA: I understand that at this event, I and/or my ward(s) may be included in a photograph(s) that could be used for any legitimate promotional purpose by the Event holders, producers, sponsors, organizers and/or assigns.
Required
9) Consent to Media *
I understand that at this event or other NCMC activities, I may be photographed. Do you allow your photo, video, or film likeness to be used for any legitimate promotional purpose by the Event holders, producers, sponsors, organizers and/or assigns?
10) Electronic Signature *
Full Name
Your answer
11) Comments (optional)
Your answer
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