2017 Young People's Retreat - Waitlist
2017 Young People's Retreat
March 17 - 19, 2017
Location: Won Dharma Center (Hudson, NY)

Once your forms have been received and processed, you will receive a confirmation by email or phone.

Liability Waiver Form
I acknowledge that I have voluntarily applied to participate in the following Won Dharma Center (WDC) retreat “2017 Young People’s Retreat” to be held at 361 Route 23. Claverack, NY 12513 from March 17 to March 19, 2017, referred to below as “this event”.

I am fully aware that participating in this event may involve physical activities such as meditation, yoga, or movement activities, and work (e.g., in the kitchen) as well as risks associated with hiking in the rural setting including contact with poison oak and wildlife. I am also aware that participants may experience intense psychological, spiritual and/or physical states of mind and body arising from the retreat activities. I am voluntarily participating in these activities with full knowledge of the risks involved and agree to accept any risk that arises as a result of my participation.

As consideration for Won Dharma Center (WDC) allowing me to participate in these activities and use their facilities, I hereby agree that I, or anyone acting on my behalf will not make a claim against, sue or attach the property of WDC, its affiliates, employees, or volunteers or any of its affiliated organizations for injury or damage resulting from acts, however caused, by any employee of WDC, or any of its affiliated organizations, as a result of my participation in this event. I release WDC from all actions, claims or demands that I and/or anyone acting on my behalf may have for injuries or damages I incur from my participation in these activities.

I hereby grant Won Dharma Center permission to use my likeness in a photograph or video in any and all of its publications, including website entries, without payment or any other consideration. I agree that these materials will become the property of the WDC and will not be returned. I hereby irrevocably authorize the WDC to edit, copy, publish or distribute this photo or video for purposes of publicizing the Won Dharma Center programs or for any other lawful purpose.

I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and contract between myself and Won Dharma Center and its affiliated organizations. I sign it of my own free will.

I agree to follow the retreat liability. *
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